Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study

Analyzing aortic biomechanical wall stresses for abdominal aortic aneurysms remains challenging. Clinical applications of biomechanical and morphological image-based analysis protocols have limited adoption owing to the time and expertise required. Our multidisciplinary and multi-institute team has...

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Main Authors: Pete H. Gueldner, BS, Katherine E. Kerr, BSBME, Nathan Liang, MD, Timothy K. Chung, PhD, Tiziano Tallarita, MD, Joe Wildenberg, MD, Jason Beckermann, MD, David A. Vorp, PhD, Indrani Sen, MD
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428725000887
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author Pete H. Gueldner, BS
Katherine E. Kerr, BSBME
Nathan Liang, MD
Timothy K. Chung, PhD
Tiziano Tallarita, MD
Joe Wildenberg, MD
Jason Beckermann, MD
David A. Vorp, PhD
Indrani Sen, MD
author_facet Pete H. Gueldner, BS
Katherine E. Kerr, BSBME
Nathan Liang, MD
Timothy K. Chung, PhD
Tiziano Tallarita, MD
Joe Wildenberg, MD
Jason Beckermann, MD
David A. Vorp, PhD
Indrani Sen, MD
author_sort Pete H. Gueldner, BS
collection DOAJ
description Analyzing aortic biomechanical wall stresses for abdominal aortic aneurysms remains challenging. Clinical applications of biomechanical and morphological image-based analysis protocols have limited adoption owing to the time and expertise required. Our multidisciplinary and multi-institute team has demonstrated the feasibility of expediting advanced aortic image analysis on a single patient tracked longitudinally. We also demonstrate the utility of a previously trained artificial intelligence-based classifier that accurately predicts patient outcomes, a potential alternative to serial surveillance. This paper describes the overall workflow and processes performed in a 70-year-old man who was incidentally diagnosed to have a 5.4-cm juxtarenal aortic aneurysm in 2016 with successful fenestrated endovascular repair in 2023.
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institution Kabale University
issn 2468-4287
language English
publishDate 2025-08-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-3a64a9ac40ae45509fce8a070ea1a4f12025-08-20T03:56:45ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410180610.1016/j.jvscit.2025.101806Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case studyPete H. Gueldner, BS0Katherine E. Kerr, BSBME1Nathan Liang, MD2Timothy K. Chung, PhD3Tiziano Tallarita, MD4Joe Wildenberg, MD5Jason Beckermann, MD6David A. Vorp, PhD7Indrani Sen, MD8Department of Bioengineering, University of Pittsburgh, Pittsburgh, PADepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PADepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Division of Vascular Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA; Department of Surgery, University of Pittsburgh, Pittsburgh, PADepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Clinical & Translational Sciences Institute, University of Pittsburgh, Pittsburgh, PADepartment of Vascular Surgery, Mayo Clinic Health Systems, Eau Claire, WIDepartment of Radiology, Mayo Clinic Health Systems, Eau Claire, WIDepartment of Vascular Surgery, Mayo Clinic Health Systems, Eau Claire, WIDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Department of Surgery, University of Pittsburgh, Pittsburgh, PA; Clinical & Translational Sciences Institute, University of Pittsburgh, Pittsburgh, PA; Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA; Center for Vascular Remodeling and Regeneration, University of Pittsburgh, Pittsburgh, PA; Magee Women's Research Institute, University of Pittsburgh, Pittsburgh, PA; Department of Mechanical Engineering and Materials Science, University of Pittsburgh, Pittsburgh, PA; Department of Chemical and Petroleum Engineering, University of Pittsburgh, Pittsburgh, PADepartment of Vascular Surgery, Mayo Clinic Health Systems, Eau Claire, WI; Correspondence: Indrani Sen, MD, Division of Vascular Surgery, Mayo Clinic Health System, 1221 Whipple St, Eau Claire, WI 54701Analyzing aortic biomechanical wall stresses for abdominal aortic aneurysms remains challenging. Clinical applications of biomechanical and morphological image-based analysis protocols have limited adoption owing to the time and expertise required. Our multidisciplinary and multi-institute team has demonstrated the feasibility of expediting advanced aortic image analysis on a single patient tracked longitudinally. We also demonstrate the utility of a previously trained artificial intelligence-based classifier that accurately predicts patient outcomes, a potential alternative to serial surveillance. This paper describes the overall workflow and processes performed in a 70-year-old man who was incidentally diagnosed to have a 5.4-cm juxtarenal aortic aneurysm in 2016 with successful fenestrated endovascular repair in 2023.http://www.sciencedirect.com/science/article/pii/S2468428725000887Juxtarenal aneurysmBiomechanicsWall stressFenestrated repair
spellingShingle Pete H. Gueldner, BS
Katherine E. Kerr, BSBME
Nathan Liang, MD
Timothy K. Chung, PhD
Tiziano Tallarita, MD
Joe Wildenberg, MD
Jason Beckermann, MD
David A. Vorp, PhD
Indrani Sen, MD
Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study
Journal of Vascular Surgery Cases and Innovative Techniques
Juxtarenal aneurysm
Biomechanics
Wall stress
Fenestrated repair
title Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study
title_full Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study
title_fullStr Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study
title_full_unstemmed Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study
title_short Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study
title_sort artificial intelligence based machine learning protocols enable quicker assessment of aortic biomechanics a case study
topic Juxtarenal aneurysm
Biomechanics
Wall stress
Fenestrated repair
url http://www.sciencedirect.com/science/article/pii/S2468428725000887
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