Wall shear stress (WSS) is a hemodynamic parameter which can be estimated from 4D flow MRI. The aim of this work was to advance the surface inward normal computation for complex (i.e. cone-shaped) vessel geometries and thus to improve the accuracy of wall shear stress estimates. We propose a Gauss gradient field approach to adapt to complex vessel courses and evaluate our method using synthetic flow data and selected patient data. Results show that correct inward normal definition is crucial for reliable WSS estimates, in particular in cases where complex vessel geometries are present.
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