Kenny Nguyen/Dr. Jonathan Weinsaft - Week 3
Week 3: 06/19/23 – 06/23/23
I spent my third week of the Summer Immersion term focusing on
my research project. I am performing volumetric analysis on the heart,
specifically the right ventricle, using cardiac magnetic resonance (CMR) images
to quantify volume, shape, and mass. Here, I gained a deeper understanding of
the cardiac cycle which plays a pivotal role in quantifying cardiovascular
features. The cardiac cycle is divided into two phases, systole (the
contraction phase) and diastole (the relaxation phase).
In cardiovascular physiology, important parameters that can
be derived from these volumetric quantifications are end-systolic volume (ESV)
and end-diastolic volume (EDV) which represent the volume of
blood remaining in the right ventricle at the end of diastole and systole,
respectively. The difference between the EDV and ESV is known as stroke volume
(SV). Ejection fraction (EF) can be calculated using these values to calculate
the percentage of blood ejected from the ventricle with each contraction and
provide an indication of the ventricle’s pumping efficiency. These parameters provide
valuable information for radiologists to comprehensively assess cardiac performance
and function.
Conducting these analyses have reminded me that radiologists
must have a deep understanding and mastery of the tools used in cardiac
evaluations. Whether it is cardiac CT, MRI, or other modalities, radiologists must
understand the unique strengths and capabilities of each tool. As a biomedical
engineering student, it is a privilege to see firsthand the workflow of
radiologists. This allows me to witness limitations in the current protocols
and see techniques used to accommodate these weaknesses to reduce variability and
improve reproducibility.
Deidentified CMR for
Volumetric analysis. Orange lines are tracings of right ventricle in short-axis
view for post-processing. Left side: end of diastole. Right side: end of systole.
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