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Segmentation of Cardiac MR Images
Dohnalová, Petra ; Mézl, Martin (referee) ; Jiřík, Radovan (advisor)
This diploma thesis focuses on the influence of myocardial fibrosis on cardiac activity, changes in end-diastolic and end-systolic volume, as well as changes in ejection fraction. The theoretical part is focused on studying the methods used in left ventricular segmentation. The goal is then to implement an algorithm suitable for left ventricular segmentation on the supplied dataset. Based on segmentation, the effect of myocardial fibrosis on the group of rats with induced fibrosis is monitored, at the same time the data are compared with the control group of healthy rats.
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Analysis of diagnostic parameters from 4D CINE MRI data
Panáček, Oldřich ; Harabiš, Vratislav (referee) ; Chmelík, Jiří (advisor)
The thesis is focused on calculation and analysis of heart function parameters which could be calculated from image data obtained by magnetic resonance. Manually annotated image data in short axis of heart were used for calculation. Volumetric parameters were calculated directly from image data by counting voxels which were parts of specific heart structure and then multiplied by voxel volume. Modified radial method was used to compute functional parameters whereas myocardial contractility was calculated by using segmental strain analysis. Obtained results were given into table and visualised in box– plots. Correlation analysis of parameters was also performed and decision tree classifier was used to test discrimination capacity of estimated parameters.
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Heart failure with preseved ejection fraction
Charvátová, Běla ; Neckář, Jan (advisor) ; Galatík, František (referee)
Heart failure (HF) has been considered to be one of the biggest challenges in modern medicine. As a leading cause of mortality in industrialised countries, it is vital to understand the disease properly. Heart failure with preserved ejection fraction (HFpEF) represents approximately half of all HF cases. Even though it has been studied a lot recently, little we know about the pathophysiology and the treatment of this complex syndrome. Not only does it affect heart function, but also damage can be caused in other organs such as lungs, kidneys, skeletal muscle etc. It used to be called a diastolic heart failure, because in this syndrome the heart is unable to stretch, relax and fill properly during diastole causing a diastolic dysfunction. In addition, HFpEF is often associated with other diseases that can worsen the patients' outcomes, such as hypertension, diabetes mellitus type 2. obesity, chronic kidney disease, pulmonary hypertension etc. This link to other diseases (comorbidities) can complicate the treatment because of a great heterogeneity between patients with HFpEF. The need for specific treatment pathways for each patient's phenotype is the main drive for searching for adequate suiting animal models in research. In the first half, this work provides a comprehensive overview of HFpEF,...
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Function of systemic right ventricle after atrial correction of transposition of great arteries - longitudinal follow-up and impact on exercise capacity
Frank Antonová, Petra ; Rohn, Vilém (advisor) ; Linhartová, Kateřina (referee) ; Pudil, Radek (referee)
Function of systemic right ventricle after atrial correction of transposition of great arteries - longitudinal follow-up and impact on exercise capacity Abstract Maximal oxygen uptake during cardiopulmonary exercise test determines decision about pregnancy, therapeutic measures and timing of surgery and heart transplantation. Atrial correction of transposition of great arteries places right ventricle in the systemic positon. The aim of our work was to assess relation of parameters of function of systemic right ventricle to maximal oxygen uptake. 86 patients after Senning correction were subjected to testing of NYHA class, blood tests of NT-proBNP, Holter monitoring and cardiopulmonary exercise test. Systolic function of right ventricle was assessed semiquantitatively by echocardiography and precisely calculated by heart MRI. Maximal oxygen uptake was not associated with NYHA, NT-proBNP nor systolic function of systemic right and subpulmonary left ventricles. The only parameter associated with VO2max was heart rate reserve. Systolic function of the systemic right ventricle is likely only one integral part of a more complex haemodynamic mechanism of total heart output and its increase during exercise. In the second part of our study we aimed to ascertain long term mortality of all patients after atrial...
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Segmentation of Cardiac MR Images
Dohnalová, Petra ; Mézl, Martin (referee) ; Jiřík, Radovan (advisor)
This diploma thesis focuses on the influence of myocardial fibrosis on cardiac activity, changes in end-diastolic and end-systolic volume, as well as changes in ejection fraction. The theoretical part is focused on studying the methods used in left ventricular segmentation. The goal is then to implement an algorithm suitable for left ventricular segmentation on the supplied dataset. Based on segmentation, the effect of myocardial fibrosis on the group of rats with induced fibrosis is monitored, at the same time the data are compared with the control group of healthy rats.
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Effect of regularly applied nordic walking on selected cardiorespiratory parameters in adults after heart valve surgery
Tejnecká, Michaela ; Daďová, Klára (advisor) ; Malá, Michaela (referee)
Author: Bc. Michaela Tejnecká Title: The effect of regularly applied Nordic walking on selected cardiorespiratory parameters in adults after heart valve surgery. Aim: The aim of this work was to analyze the effect of six months of Nordic walking intervention on selected casrdiorespiratory parameters in adults after heart valve surgery. Methods: The study included ten individuals (mean age 62 years) who were at least five years apart after heart valve surgery. Blood pressure (BP) was measured using a pulsed wrist tonometer, blood oxygen saturation (BOS) and heart rate (HR) were measured using a pulse oximeter, and the ejection fraction of the heart (EF) was evaluated echocardiographically. Nordic walking training units took plaxe once a week for 6 months. During this intervention, the level of training gradually increased both in distance and elevation of the terrain. Results: In all probands there was an average reduction in systolic blood pressure during exercise by an average of 10,3 mmHg and a reductionin heart rate during exercise by an average of 24 beats per minute. The resting ejection fraction increased by an average of 5,5% after six month intervention. These changes were statistically significant (p<0,01). The results of the work point to the benefits of Nordic walking for cardiac...
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Effect of regularly applied nordic walking on selected cardiorespiratory parameters in adults after heart valve surgery
Tejnecká, Michaela ; Daďová, Klára (advisor) ; Malá, Michaela (referee)
Author: Bc. Michaela Tejnecká Title: The effect of regularly applied Nordic walking on selected cardiorespiratory parameters in adults after heart valve surgery. Aim: The aim of this work was to analyze the effect of six months of Nordic walking intervention on selected casrdiorespiratory parameters in adults after heart valve surgery. Methods: The study included ten individuals (mean age 62 years) who were at least five years apart after heart valve surgery. Blood pressure (BP) was measured using a pulsed wrist tonometer, blood oxygen saturation (BOS) and heart rate (HR) were measured using a pulse oximeter, and the ejection fraction of the heart (EF) was evaluated echocardiographically. Nordic walking training units took plaxe once a week for 6 months. During this intervention, the level of training gradually increased both in distance and elevation of the terrain. Results: In all probands there was an average reduction in systolic blood pressure during exercise by an average of 10,3 mmHg and a reductionin heart rate during exercise by an average of 24 beats per minute. The resting ejection fraction increased by an average of 5,5% after six month intervention. These changes were statistically significant (p<0,01). The results of the work point to the benefits of Nordic walking for cardiac...
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