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Abstract #3267

4D flow MRI hemodynamic quantification of pediatric patients with multi-site, multi-vender, and multi-channel machine learning segmentation

Takashi Fujiwara1, Haben Berhane2,3, Michael Baran Scott3, Zachary King2, Michal Schafer4, Brian Fonseca4, Joshua Robinson3, Cynthia Rigsby2,3, Lorna Browne4, Michael Markl3, and Alex Barker1,5
1Department of Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 2Lurie Children's Hospital of Chicago, Chicago, IL, United States, 3Northwestern University, Evanston, IL, United States, 4Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 5Department of Bioengineering, University of Colorado Anschutz Medical Campus, Aurora, CO, United States

A convolutional neural network (CNN) is presented to quantify 4D flow MRI-based hemodynamics using automated segmentation of the proximal vasculature. The intent is to reduce time and user variability for cumbersome 4D flow MRI analyses; however, the pediatric setting is challenging given the complex arterial geometry often seen in congenital heart diseases. Multi-site and -vender datasets were used to train a CNN for 3D segmentation. Flow quantification was conducted with the automated segmentations to test if datasets from multiple institutions and vendors improves flow quantification. We found the multi-site approach improved flow measurements in the setting of complex disease.

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