Search Results

Now showing 1 - 10 of 20
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    A Geometric Optimization Approach for the Detection and Segmentation of Multiple Aneurysms
    (The Eurographics Association and John Wiley & Sons Ltd., 2019) Lawonn, Kai; Meuschke, Monique; Wickenhöfer, Ralph; Preim, Bernhard; Hildebrandt, Klaus; Gleicher, Michael and Viola, Ivan and Leitte, Heike
    We present a method for detecting and segmenting aneurysms in blood vessels that facilitates the assessment of risks associated with the aneurysms. The detection and analysis of aneurysms is important for medical diagnosis as aneurysms bear the risk of rupture with fatal consequences for the patient. For risk assessment and treatment planning, morphological descriptors, such as the height and width of the aneurysm, are used. Our system enables the fast detection, segmentation and analysis of single and multiple aneurysms. The method proceeds in two stages plus an optional third stage in which the user interacts with the system. First, a set of aneurysm candidate regions is created by segmenting regions of the vessels. Second, the aneurysms are detected by a classification of the candidates. The third stage allows users to adjust and correct the result of the previous stages using a brushing interface. When the segmentation of the aneurysm is complete, the corresponding ostium curves and morphological descriptors are computed and a report including the results of the analysis and renderings of the aneurysms is generated. The novelty of our approach lies in combining an analytic characterization of aneurysms and vessels to generate a list of candidate regions with a classifier trained on data to identify the aneurysms in the candidate list. The candidate generation is modeled as a global combinatorial optimization problem that is based on a local geometric characterization of aneurysms and vessels and can be efficiently solved using a graph cut algorithm. For the aneurysm classification scheme, we identified four suitable features and modeled appropriate training data. An important aspect of our approach is that the resulting system is fast enough to allow for user interaction with the global optimization by specifying additional constraints via a brushing interface.
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    Visual Analytics to Support Treatment Decisions in Late-Stage Melanoma Patients
    (The Eurographics Association, 2023) Pereira, Calida; Niemann, Uli; Braun, Andreas; Mengoni, Miriam; Tüting, Thomas; Preim, Bernhard; Meuschke, Monique; Hansen, Christian; Procter, James; Renata G. Raidou; Jönsson, Daniel; Höllt, Thomas
    We present a visual analytics system to support treatment decisions in late-stage Melanoma patients. With the aim of improving patient outcomes, personalized treatment decisions based on individual characteristics and medical histories are crucial. The research focuses on the design and development of a visual analytics system tailored specifically for tumor boards, where multidisciplinary teams collaborate to make informed decisions. By leveraging a comprehensive database containing treatment and tumor stage progression information from over 1100 patients, the system provides healthcare professionals with a holistic overview and facilitates the analysis of individual cases as well as comparisons between multiple patients. The distinction between tumor board preparation systems and systems used during discussions is emphasized to ensure user-centric design and usability. Through the use of visual analytics techniques, complex relationships between treatment outcomes, temporal features, and patient-specific factors are explored, enabling clinicians to identify patterns and trends that may impact treatment decisions. The findings of this research contribute to the growing field of visual analytics in healthcare and have the potential to enhance treatment decision-making and patient care in late-stage cancer scenarios.
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    COMFIS - Comparative Visualization of Simulated Medical Flow Data
    (The Eurographics Association, 2022) Meuschke, Monique; Voß, Samuel; Eulzer, Pepe; Janiga, Gabor; Arens, Christoph; Wickenhöfer, Ralph; Preim, Bernhard; Lawonn, Kai; Renata G. Raidou; Björn Sommer; Torsten W. Kuhlen; Michael Krone; Thomas Schultz; Hsiang-Yun Wu
    Simulations of human blood and airflow are playing an increasing role in personalized medicine. Comparing flow data of different treatment scenarios or before and after an intervention is important to assess treatment options and success. However, existing visualization tools are either designed for the evaluation of a single data set or limit the comparison to a few partial aspects such as scalar fields defined on the vessel wall or internal flow patterns. Therefore, we present COMFIS, a system for the comparative visual analysis of two simulated medical flow data sets, e.g. before and after an intervention. We combine various visualization and interaction methods for comparing different aspects of the underlying, often time-dependent data. These include comparative views of different scalar fields defined on the vessel/mucous wall, comparative depictions of the underlying volume data, and comparisons of flow patterns. We evaluated COMFIS with CFD engineers and medical experts, who were able to efficiently find interesting data insights that help to assess treatment options.
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    Visualizing Carotid Blood Flow Simulations for Stroke Prevention
    (The Eurographics Association and John Wiley & Sons Ltd., 2021) Eulzer, Pepe; Meuschke, Monique; Klingner, Carsten M.; Lawonn, Kai; Borgo, Rita and Marai, G. Elisabeta and Landesberger, Tatiana von
    In this work, we investigate how concepts from medical flow visualization can be applied to enhance stroke prevention diagnostics. Our focus lies on carotid stenoses, i.e., local narrowings of the major brain-supplying arteries, which are a frequent cause of stroke. Carotid surgery can reduce the stroke risk associated with stenoses, however, the procedure entails risks itself. Therefore, a thorough assessment of each case is necessary. In routine diagnostics, the morphology and hemodynamics of an afflicted vessel are separately analyzed using angiography and sonography, respectively. Blood flow simulations based on computational fluid dynamics could enable the visual integration of hemodynamic and morphological information and provide a higher resolution on relevant parameters. We identify and abstract the tasks involved in the assessment of stenoses and investigate how clinicians could derive relevant insights from carotid blood flow simulations. We adapt and refine a combination of techniques to facilitate this purpose, integrating spatiotemporal navigation, dimensional reduction, and contextual embedding. We evaluated and discussed our approach with an interdisciplinary group of medical practitioners, fluid simulation and flow visualization researchers. Our initial findings indicate that visualization techniques could promote usage of carotid blood flow simulations in practice.
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    Visualizing Carotid Stenoses for Stroke Treatment and Prevention
    (The Eurographics Association, 2023) Eulzer, Pepe; Richter, Kevin; Hundertmark, Anna; Meuschke, Monique; Wickenhöfer, Ralph; Klingner, Carsten M.; Lawonn, Kai; Raidou, Renata; Kuhlen, Torsten
    Analyzing carotid stenoses - potentially lethal constrictions of the brain-supplying arteries - is a critical task in clinical stroke treatment and prevention. Determining the ideal type of treatment and point for surgical intervention to minimize stroke risk is considerably challenging. We propose a collection of visual exploration tools to advance the assessment of carotid stenoses in clinical applications and research on stenosis formation. We developed methods to analyze the internal blood flow, anatomical context, vessel wall composition, and to automatically and reliably classify stenosis candidates. We do not presume already segmented and extracted surface meshes but integrate streamlined model extraction and pre-processing along with the result visualizations into a single framework. We connect multiple sophisticated processing stages in one user interface, including a neural prediction network for vessel segmentation and automatic global diameter computation. We enable retrospective user control over each processing stage, greatly simplifying error detection and correction. The framework was developed and evaluated in multiple iterative user studies, involving a group of eight specialists working in stroke care (radiologists and neurologists). It is publicly available, along with a database of over 100 carotid bifurcation geometries that were extracted with the framework from computed tomography data. Further, it is a vital part of multiple ongoing studies investigating stenosis pathophysiology, stroke risk, and the necessity for surgical intervention.
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    Reflections on AI-Assisted Character Design for Data-Driven Medical Stories
    (The Eurographics Association, 2023) Budich, Beatrice; Garrison, Laura A.; Preim, Bernhard; Meuschke, Monique; Hansen, Christian; Procter, James; Renata G. Raidou; Jönsson, Daniel; Höllt, Thomas
    Data-driven storytelling has experienced significant growth in recent years to become a common practice in various application areas, including healthcare. Within the realm of medical narratives, characters play a pivotal role in connecting audiences with data and conveying complex medical information in an engaging manner that may influence positive behavioral and lifestyle changes on the part of the viewer. However, the process of designing characters that are both informative and engaging remains a challenge. In this paper, we propose an AI-assisted pipeline for character design in the context of data-driven medical stories. Our iterative pipeline blends design sensibilities with automation to reduce the time and artistic expertise needed to develop characters reflective of the underlying data, even when that data is time-oriented as in a cohort study.
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    An Exploration of Practice and Preferences for the Visual Communication of Biomedical Processes
    (The Eurographics Association, 2021) Garrison, Laura; Meuschke, Monique; Fairman, Jennifer; Smit, Noeska N.; Preim, Bernhard; Bruckner, Stefan; Oeltze-Jafra, Steffen and Smit, Noeska N. and Sommer, Björn and Nieselt, Kay and Schultz, Thomas
    The visual communication of biomedical processes draws from diverse techniques in both visualization and biomedical illustration. However, matching these techniques to their intended audience often relies on practice-based heuristics or narrow-scope evaluations. We present an exploratory study of the criteria that audiences use when evaluating a biomedical process visualization targeted for communication. Designed over a series of expert interviews and focus groups, our study focuses on common communication scenarios of five well-known biomedical processes and their standard visual representations. We framed these scenarios in a survey with participant expertise spanning from minimal to expert knowledge of a given topic. Our results show frequent overlap in abstraction preferences between expert and non-expert audiences, with similar prioritization of clarity and the ability of an asset to meet a given communication objective. We also found that some illustrative conventions are not as clear as we thought, e.g., glows have broadly ambiguous meaning, while other approaches were unexpectedly preferred, e.g., biomedical illustrations in place of data-driven visualizations. Our findings suggest numerous opportunities for the continued convergence of visualization and biomedical illustration techniques for targeted visualization design.
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    Robustness Evaluation of CFD Simulations to Mesh Deformation
    (The Eurographics Association, 2019) Scheid-Rehder, Alexander; Lawonn, Kai; Meuschke, Monique; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
    CFD simulations are an increasingly important method for the non-invasive analysis of risk factors for aneurysm rupture. Their robustness, however, has to be examined more thoroughly before clinical use is possible. We present a novel framework that enables robustness evaluation of CFD simulation according to mesh deformation on patient-specific blood vessel geometry. Our tool offers a guided workflow to generate, run, and visualize OpenFOAM simulations, which significantly decreases the usual overhead of CFD simulations with OpenFOAM. Besides, the deformation of the original geometry allows the user to evaluate the robustness of the simulation without the need to repeat expensive operations of the data pre-processing phase. We assessed the robustness of CFD simulations by applying our framework to several aneurysm data sets.
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    Do Disease Stories need a Hero? Effects of Human Protagonists on a Narrative Visualization about Cerebral Small Vessel Disease
    (The Eurographics Association and John Wiley & Sons Ltd., 2023) Mittenentzwei, Sarah; Weiß, Veronika; Schreiber, Stefanie; Garrison, Laura A.; Bruckner, Stefan; Pfister, Malte; Preim, Bernhard; Meuschke, Monique; Bujack, Roxana; Archambault, Daniel; Schreck, Tobias
    Authors use various media formats to convey disease information to a broad audience, from articles and videos to interviews or documentaries. These media often include human characters, such as patients or treating physicians, who are involved with the disease. While artistic media, such as hand-crafted illustrations and animations are used for health communication in many cases, our goal is to focus on data-driven visualizations. Over the last decade, narrative visualization has experienced increasing prominence, employing storytelling techniques to present data in an understandable way. Similar to classic storytelling formats, narrative medical visualizations may also take a human character-centered design approach. However, the impact of this form of data communication on the user is largely unexplored. This study investigates the protagonist's influence on user experience in terms of engagement, identification, self-referencing, emotional response, perceived credibility, and time spent in the story. Our experimental setup utilizes a character-driven story structure for disease stories derived from Joseph Campbell's Hero's Journey. Using this structure, we generated three conditions for a cerebral small vessel disease story that vary by their protagonist: (1) a patient, (2) a physician, and (3) a base condition with no human protagonist. These story variants formed the basis for our hypotheses on the effect of a human protagonist in disease stories, which we evaluated in an online study with 30 participants. Our findings indicate that a human protagonist exerts various influences on the story perception and that these also vary depending on the type of protagonist.
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    Automatic Cutting and Flattening of Carotid Artery Geometries
    (The Eurographics Association, 2021) Eulzer, Pepe; Richter, Kevin; Meuschke, Monique; Hundertmark, Anna; Lawonn, Kai; ,; Oeltze-Jafra, Steffen and Smit, Noeska N. and Sommer, Björn and Nieselt, Kay and Schultz, Thomas
    We propose a novel method to cut and flatten vascular geometry that results in an intuitive mapping between the 3D and 2D domains. Our approach is fully automatic, and the sole input is the vessel geometry. We aim to simplify parameter analysis on vessel walls for research on vascular disease and computational hemodynamics. We present a use case for the flattening to aid efforts in investigating the pathophysiology of carotid stenoses (vessel constrictions that are a root cause of stroke). To achieve an intuitive mapping, we introduce the notion of natural vessel cuts. They remain on one side of vessel branches, meaning they adhere to the longitudinal direction and thus result in a comprehensible unfolding of the geometry. Vessel branches and endpoints are automatically detected, and a 2D layout configuration is found that retains the original branch layout. We employ a quasi-isometric surface parameterization to map the geometry to the 2D domain as a single patch. The flattened depiction resolves the need for tedious 3D interaction as the whole surface is visible at once.We found this overview particularly beneficial for exploring temporally resolved parameters.