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Multi-level digital-twin models of pulmonary mechanics: correlation analysis of 3D CT lung volume and 2D Chest motion

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机构: [1]Univ Canterbury, Dept Mech Engn, Christchurch, New Zealand [2]Univ Canterbury, Ctr Bioengn, Christchurch, New Zealand [3]Hebei Med Univ, Affiliated Hosp 4, Intens Care Unit, Shijiazhuang, Peoples R China [4]Hebei Prov Tumor Hosp, Shijiazhuang, Peoples R China
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关键词: mechanical ventilation digital twins CT reconstruction lung segmentation U-Net convolutional neural network

摘要:
Creating multi-level digital-twin models for mechanical ventilation requires a detailed estimation of regional lung volume. An accurate generic map between 2D chest surface motion and 3D regional lung volume could provide improved regionalisation and clinically acceptable estimates localising lung damage. This work investigates the relationship between CT lung volumes and the forced vital capacity ( FVC ) a surrogate of tidal volume proven linked to 2D chest motion. In particular, a convolutional neural network ( CNN ) with U-Net architecture is employed to build a lung segmentation model using a benchmark CT scan dataset. An automated thresholding method is proposed for image morphology analysis to improve model performance. Finally, the trained model is applied to an independent CT dataset with FVC measurements for correlation analysis of CT lung volume projection to lung recruitment capacity. Model training results show a clear improvement of lung segmentation performance with the proposed automated thresholding method compared to a typically suggested fi xed value selection, achieving accuracy greater than 95% for both training and independent validation sets. The correlation analysis for 160 patients shows a good correlation of R squared value of 0.73 between the proposed 2D volume projection and the FVC value, which indicates a larger and denser projection of lung volume relative to a greater FVC value and lung recruitable capacity. The overall results thus validate the potential of using non-contact, non-invasive 2D measures to enable regionalising lung mechanics models to equivalent 3D models with a generic map based on the good correlation. The clinical impact of improved lung mechanics digital twins due to regionalising the lung mechanics and volume to specific lung regions could be very high in managing mechanical ventilation and diagnosing or locating lung injury or dysfunction based on regular monitoring instead of intermittent and invasive lung imaging modalities.

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出版当年[2025]版:
大类 | 4 区 医学
小类 | 4 区 核医学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 核医学
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出版当年[2023]版:
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2025版] 出版当年五年平均 出版前一年[2024版]

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第一作者机构: [1]Univ Canterbury, Dept Mech Engn, Christchurch, New Zealand [2]Univ Canterbury, Ctr Bioengn, Christchurch, New Zealand
通讯作者:
通讯机构: [1]Univ Canterbury, Dept Mech Engn, Christchurch, New Zealand [2]Univ Canterbury, Ctr Bioengn, Christchurch, New Zealand
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