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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

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

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C10, C01 and d were taken from [10] (C10=9850 Pa, C01=26290 Pa and K0=10 7<br />

Pa).<br />

The following two cases were used to find a parameter of each model:<br />

Case 1: A linear elastic model for a cube where a force of 4.9 N was applied<br />

perpendicular to one of its surfaces. The Poisson’s ratio was fixed with a value from the<br />

literature and Young’s modulus was found using the GSF and ISA.<br />

Case 2: A Mooney-Rivlin’s model for the human liver. A displacement of 15 mm was<br />

applied to the top part of the liver similar to the movement of the diaphragm due<br />

to the patient breathing [2]. Both parameters, C10 and C01, were estimated<br />

separately. First C01 was fixed and C10 estimated and vice versa.<br />

To estimate the parameters of the biomechanical models, an ex-vivo human liver<br />

supplied by Unidad de Cirugía y Trasplante Hepático from the Hospital Universitari i<br />

Politècnic La Fe was scanned with the Brillance iCT from Philips. The scan parameters<br />

were 80 KVp and 100 mAs. CT images of the liver were acquired in DICOM format<br />

with a size of 323x125x289 pixels. The voxel size was 1.08555x1.08555x0.80 mm. The<br />

DICOM images were processed in order to obtain a Finite Element (FE) mesh. The<br />

commercial software Simpleware 4.2 was used to segment the liver and generate the 3D<br />

model of the liver. A smoothing Gaussian filter was used to get a more realistic and<br />

continuous 3D model. Finally Simpleware 4.2 was used again to obtain a FE mesh<br />

which was exported to the commercial package ANSYS 13.0 for the simulations.<br />

3.2. Computational estimation of the model parameters.<br />

A Geometric Similarity Function (GSF) was formulated in order to compare the liver<br />

volume after the simulation using the selected parameter in the iteration n with the liver<br />

volume of the reference deformation. To formulate GSF, two similarity coefficients<br />

typically used in validation of medical image segmentation was used [14]:<br />

• Jaccard Coefficient: This coefficient measures the overlap between two volumes<br />

providing a value between 0 and 1 where 1 means total overlap and 0 means that<br />

there is no overlap at all.<br />

= | ∩ |<br />

| ∪ |<br />

• Hausdorff Coefficient: This coefficient uses the distance between the voxel i and<br />

the closest voxel of a volume V denoted as . In this work, a modified<br />

Hausdorff coefficient was used, as Eq. 3 shows:<br />

= max , "<br />

For each border voxel from the volume V1, Ɓ (the voxels which have at least one<br />

neighbor that does not belong to V1), the mean of the distances to the closest voxel i<br />

from Ɓ to the volume V2, , is used. The process is computed analogously<br />

from V2 to V1. Both mean distances are stored and the maximum is taken.<br />

#<br />

(2)<br />

(3)

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