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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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A COMPUTATIONAL METHOD TO ESTIMATE THE ELASTIC<br />

PARAMETERS OF BIOMECHANICAL MODELS FOR THE IN-VIVO<br />

HUMAN LIVER<br />

F. Martínez-Martínez 1 , M.A. Lago 1 , M.J. Rupérez 1 , C. Monserrat 1 , E. Pareja 2 , M.<br />

Cortés 2 , R. López 2 and S. Brugger 2<br />

1. ABSTRACT<br />

In this work, a computational method to estimate the elastic parameters of models for<br />

the in-vivo human liver is presented. A function based on similarity coefficients from<br />

Medical Image, the Geometric Similarity Function (GSF), is formulated in order to<br />

compare the similarity between two voxelized meshes, one from a simulated<br />

deformation and the other from the real deformation caused for example, by the<br />

breathing of the patient obtained from CT images. An iterative searching algorithm<br />

(ISA) is implemented, where the model parameters change in each iterate depending on<br />

the results of GSF, in order to find the optimum parameter. The method shows that the<br />

ISA finds the parameters of two synthetic cases: The Young’s modulus of a linear<br />

elastic model for a cube and the parameters of a Mooney-Rivlin’s model for an ex-vivo<br />

human liver.<br />

2. INTRODUCTION<br />

Computer-Aided Surgery (CAS) is a useful technique that allows guiding the surgeons<br />

to perform more reliable surgical interventions. In particular, CAS helps the surgeons<br />

ensure the proper positioning of a needle in a biopsy or replace accurately a joint<br />

implant. When the interventions are focused on organs, biomechanical models of them<br />

can be useful to model the deformable behavior of soft tissue. In some interventions<br />

where really accurate results are needed, a good biomechanical model is essential. This<br />

is the case of the liver, which is subjected to the deformation due to the patient<br />

breathing during radiotherapy or during some kind of biopsies [1-3]. In these cases it is<br />

fundamental to know where the tumor is located to radiate the dose or to place the<br />

biopsy needle. To achieve accurate results in biomechanical modeling, two critical<br />

aspects must be solved: to select a model that better represents the behavior of the liver<br />

tissue and to obtain the parameters that characterize its constitutive equations.<br />

Many researchers have estimated the parameters of biomechanical models<br />

experimentally. They measured the mechanical response of ex-vivo or in-vitro liver<br />

tissue samples by means of indentation tests [4-6] or a combination of compression and<br />

elongation tests [7-8]. However, these models are not able to reproduce faithfully the<br />

liver behavior due to the mechanical differences between in-vivo and ex-vivo tissue<br />

1<br />

Instituto Interuniversitario de Investigación en Bioingenieria y Tecnología Orientada al Ser Humano<br />

(UPV) Universiat Politècnica de València, Spain.<br />

2<br />

Unidad de Cirugía y Trasplante Hepático, Hospital Universitari i Politècnic La Fe, Valencia, Spain.

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