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8.5 PATIENT-SPECIFIC CARDIAC PODI COMPUTATION                    173

                               TABLE 8.11  Mesh Discretization Refinement Levels of the Heart Grid Template
                               Heart grid     HG-1       HG-2      HG-3       HG-4       HG-5
                               Nodes           347       448        533        714        977



           template is labeled as HG-1 while the refined discretization models are labeled HG-2 to HG-5 where Table 8.11 lists the
           respective nodal numbers.
              Using the new refined heart templates, the performance improvement is separately investigated for the registration
           of the dataset and the problem-at-hand geometries, and also for the projection of the solution fields to and from the
           template geometry. Starting with the CPD registration, the mean distance between the nodes, the average minimum
           element angle, and the element shape are the criteria used to assess the quality of the registration. The compiled results
           are given in Fig. 8.38.
              From Fig. 8.38A, it is found that the mean distance decreases continuously with the increase in the number of tem-
           plate nodes. This effect indicates that the registration has been enhanced, leading to the lowering of the average dis-
           tance between the template nodes and the registered dataset nodes. The average minimum angle and shape of the
           registered heart elements also show improvement. As indicated by the curve in Fig. 8.38B and C, the minimum angle
           and shape increase gradually as more grid nodes are provided, moving closer to the state before the heart mesh was
           perturbed, shown as dotted lines on their respective plots, being the unperturbed mesh configuration. Based on these
           results, it can be deduced that providing more nodes to the mesh template promotes better registration with less mesh
           distortion. This point can be supported by a visual inspection of the registrations given in Fig. 8.39. In all three cases,
           the registration appears to ameliorate around the LV-RV connection and the RV wall at the basal and apical region.




                    4.5                                            0.85
                                                                             Unperturbed (reference)
                                                                                       Mapped
                     4
                                                                   0.84
                  Mean distance   3.5                            Minimum angle   0.83


                     3
                                                                   0.82
                    2.5


                     2                                             0.81
                      300   400   500   600   700   800   900   1000   300   400   500   600   700   800   900   1000
                 (A)            Number of template nodes       (B)              Number of template nodes

                                               51
                                                        Unperturbed (reference)
                                                                  Mapped
                                              50.5
                                               50
                                            Shape   49.5


                                               49
                                              48.5

                                               48
                                                 300   400   500   600   700   800   900   1000
                                           (C)             Number of template nodes
           FIG. 8.38  Evolution of the mesh quality measures as the number of template nodes increases. (A) Mean distance; (B) minimum angle; and
           (C) shape.



                                                       I. BIOMECHANICS
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