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Aging Impact on Thoracic Aorta 3D Morphometry in Intermediate-Risk Subjects: Looking Beyond Coronary Arteries with Non-Contrast Cardiac CT

Overview of attention for article published in Annals of Biomedical Engineering, December 2011
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Title
Aging Impact on Thoracic Aorta 3D Morphometry in Intermediate-Risk Subjects: Looking Beyond Coronary Arteries with Non-Contrast Cardiac CT
Published in
Annals of Biomedical Engineering, December 2011
DOI 10.1007/s10439-011-0487-y
Pubmed ID
Authors

Damian Craiem, Gilles Chironi, Alban Redheuil, Mariano Casciaro, Elie Mousseaux, Alain Simon, Ricardo L. Armentano

Abstract

An increasing number of intermediate risk asymptomatic subjects benefit from measures of atherosclerosis burden like coronary artery calcification studies with non-contrast heart computed tomography (CT). However, additional information can be derived from these studies, looking beyond the coronary arteries and without exposing the patients to further radiation. We report a semi-automatic method that objectively assesses ascending, arch and descending aorta dimension and shape from non-contrast CT datasets to investigate the effect of aging on thoracic aorta geometry. First, the segmentation process identifies the vessel centerline coordinates following a toroidal path for the curvilinear portion and axial planes for descending aorta. Then, reconstructing oblique planes orthogonal to the centerline direction, it iteratively fits circles inside the vessel cross-section. Finally, regional thoracic aorta dimensions (diameter, volume and length) and shape (vessel curvature and tortuosity) are calculated. A population of 200 normotensive men was recruited. Length, mean diameter and volume differed by 1.2 cm, 0.13 cm and 21 cm(3) per decade of life, respectively. Aortic shape uncoiled with aging, reducing its tortuosity and increasing its radius of curvature. The arch was the most affected segment. In conclusion, non-contrast cardiac CT imaging can be successfully employed to assess thoracic aorta 3D morphometry.

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Geographical breakdown

Country Count As %
United States 2 3%
Netherlands 1 1%
Switzerland 1 1%
Unknown 66 94%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 18 26%
Researcher 14 20%
Student > Bachelor 6 9%
Professor > Associate Professor 6 9%
Student > Master 6 9%
Other 11 16%
Unknown 9 13%
Readers by discipline Count As %
Engineering 26 37%
Medicine and Dentistry 15 21%
Computer Science 5 7%
Agricultural and Biological Sciences 3 4%
Physics and Astronomy 2 3%
Other 7 10%
Unknown 12 17%