{"id":{"repo_id":"kings","oai_identifier":"oai:kclpure.kcl.ac.uk:studenttheses/f6a945d7-3a8e-4458-91c8-377ce3202119"},"canonical_url":"https://search.dev.ndltd.org/etd/kings/oai:kclpure.kcl.ac.uk:studenttheses/f6a945d7-3a8e-4458-91c8-377ce3202119","repository":{"repo_id":"kings","name":"King's College London","base_url":"https://kclpure.kcl.ac.uk/ws/oai"},"display":{"title":"Full 3D Blood Velocity Mapping and Flow Quantification from Doppler Echocardiographic Images","abstract":"This thesis contributes to knowledge by describing two novel methods to calculate<br/>3D blood velocity and flow within the heart using 3D colour Doppler images. The<br/>principal goal of both methods was to overcome the main limitation of Doppler<br/>systems which is that the Doppler effect only measures one component of the velocity<br/>(parallel to the beam direction). For that reason, measured velocity and calculated<br/>flow depend on the angle between the beam direction and the flow.<br/>The first method was developed to reconstruct 3D intracardiac velocity vector<br/>fields. This is the first time that such vector fields have been obtained from 3D<br/>colour Doppler images. The novelty of the proposal lies not only in the 3D velocity<br/>reconstruction, but also 1) a new noise model for colour Doppler images was proposed<br/>which improves the realism of simulation studies, 2) an efficient patch-wise<br/>implementation was introduced and 3) ventricle wall motion was used to enable<br/>full ventricular coverage. Based on simulations minimum acquisition requirements<br/>for accurate reconstruction were established. These requirements were: view angles<br/>over 20 degrees and noise below 10% of the Doppler maximum velocity. The<br/>method was tested on healthy volunteers and on paediatric patients and an accuracy<br/>of 15% compared to flow Magnetic Resonance Imaging (MRI) was obtained, when<br/>acquisition and data conditions were close to the optimum range.<br/>The second method proposes an algorithm to calculate angle-independent flow<br/>rates through surfaces within the heart and vessels. Built on the Gauss’s theorem,<br/>this method enables to increase coverage beyond the Field of View (FoV) of individual<br/>colour Doppler images by combining images acquired from multiple views. The<br/>method was validated in patients with Hypoplastic Left Heart Syndrome. Results<br/>were compared with the current clinical gold standard measurement of flow MRI,<br/>agreeing on flow values and volumes to less than 10%.<br/>The novel methods proposed in this thesis have shown encouraging results using<br/>volunteer and patient data. I hope that the methods proposed will in the future be<br/>able to offer advanced flow measurements using echo. The ability to improve the<br/>information available from echo imaging, due to its ease of use and cost effective<br/>nature, has the potential for widespread improvements in clinical care.","abstract_html":"This thesis contributes to knowledge by describing two novel methods to calculate&lt;br/&gt;3D blood velocity and flow within the heart using 3D colour Doppler images. The&lt;br/&gt;principal goal of both methods was to overcome the main limitation of Doppler&lt;br/&gt;systems which is that the Doppler effect only measures one component of the velocity&lt;br/&gt;(parallel to the beam direction). For that reason, measured velocity and calculated&lt;br/&gt;flow depend on the angle between the beam direction and the flow.&lt;br/&gt;The first method was developed to reconstruct 3D intracardiac velocity vector&lt;br/&gt;fields. This is the first time that such vector fields have been obtained from 3D&lt;br/&gt;colour Doppler images. The novelty of the proposal lies not only in the 3D velocity&lt;br/&gt;reconstruction, but also 1) a new noise model for colour Doppler images was proposed&lt;br/&gt;which improves the realism of simulation studies, 2) an efficient patch-wise&lt;br/&gt;implementation was introduced and 3) ventricle wall motion was used to enable&lt;br/&gt;full ventricular coverage. Based on simulations minimum acquisition requirements&lt;br/&gt;for accurate reconstruction were established. These requirements were: view angles&lt;br/&gt;over 20 degrees and noise below 10% of the Doppler maximum velocity. The&lt;br/&gt;method was tested on healthy volunteers and on paediatric patients and an accuracy&lt;br/&gt;of 15% compared to flow Magnetic Resonance Imaging (MRI) was obtained, when&lt;br/&gt;acquisition and data conditions were close to the optimum range.&lt;br/&gt;The second method proposes an algorithm to calculate angle-independent flow&lt;br/&gt;rates through surfaces within the heart and vessels. Built on the Gauss’s theorem,&lt;br/&gt;this method enables to increase coverage beyond the Field of View (FoV) of individual&lt;br/&gt;colour Doppler images by combining images acquired from multiple views. The&lt;br/&gt;method was validated in patients with Hypoplastic Left Heart Syndrome. Results&lt;br/&gt;were compared with the current clinical gold standard measurement of flow MRI,&lt;br/&gt;agreeing on flow values and volumes to less than 10%.&lt;br/&gt;The novel methods proposed in this thesis have shown encouraging results using&lt;br/&gt;volunteer and patient data. I hope that the methods proposed will in the future be&lt;br/&gt;able to offer advanced flow measurements using echo. The ability to improve the&lt;br/&gt;information available from echo imaging, due to its ease of use and cost effective&lt;br/&gt;nature, has the potential for widespread improvements in clinical care.","abstract_has_math":false,"creators":["Gomez, Alberto"],"institution":"King's College London","degree_name":"Doctor of Philosophy","degree_level":"Doctoral Thesis","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Schaeffter, Tobias Richard","Penney, Graeme Patrick"],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-12-1","date_published":"2013-12-1","updated_at":"2026-07-24T02:44:31Z","subjects":["Echo","Doppler","Flow","3D echo"],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:kclpure.kcl.ac.uk:studenttheses/f6a945d7-3a8e-4458-91c8-377ce3202119"],"render_values":[{"text":"oai:kclpure.kcl.ac.uk:studenttheses/f6a945d7-3a8e-4458-91c8-377ce3202119","href":null,"code":true}]}]},"links":{"outbound_url":"https://kclpure.kcl.ac.uk/portal/en/studentTheses/f6a945d7-3a8e-4458-91c8-377ce3202119","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Schaeffter, Tobias Richard","Penney, Graeme Patrick"]},{"key":"dc:creator","label":"Author","values":["Gomez, Alberto"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2013-12-1"]},{"key":"dc:date.issued","label":"Date","values":["2013-12-1"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Biomedical Engineering Department"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["King's College London"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://kclpure.kcl.ac.uk/portal/en/studentTheses/f6a945d7-3a8e-4458-91c8-377ce3202119"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Doctoral Thesis"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["Doctor of Philosophy"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Echo","Doppler","Flow","3D echo"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:kclpure.kcl.ac.uk:studenttheses/f6a945d7-3a8e-4458-91c8-377ce3202119","https://kclpure.kcl.ac.uk/portal/en/studentTheses/f6a945d7-3a8e-4458-91c8-377ce3202119"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://kclpure.kcl.ac.uk/portal/files/12144005/Studentthesis-Alberto_Gomez_2013.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This thesis contributes to knowledge by describing two novel methods to calculate<br/>3D blood velocity and flow within the heart using 3D colour Doppler images. The<br/>principal goal of both methods was to overcome the main limitation of Doppler<br/>systems which is that the Doppler effect only measures one component of the velocity<br/>(parallel to the beam direction). For that reason, measured velocity and calculated<br/>flow depend on the angle between the beam direction and the flow.<br/>The first method was developed to reconstruct 3D intracardiac velocity vector<br/>fields. This is the first time that such vector fields have been obtained from 3D<br/>colour Doppler images. The novelty of the proposal lies not only in the 3D velocity<br/>reconstruction, but also 1) a new noise model for colour Doppler images was proposed<br/>which improves the realism of simulation studies, 2) an efficient patch-wise<br/>implementation was introduced and 3) ventricle wall motion was used to enable<br/>full ventricular coverage. Based on simulations minimum acquisition requirements<br/>for accurate reconstruction were established. These requirements were: view angles<br/>over 20 degrees and noise below 10% of the Doppler maximum velocity. The<br/>method was tested on healthy volunteers and on paediatric patients and an accuracy<br/>of 15% compared to flow Magnetic Resonance Imaging (MRI) was obtained, when<br/>acquisition and data conditions were close to the optimum range.<br/>The second method proposes an algorithm to calculate angle-independent flow<br/>rates through surfaces within the heart and vessels. Built on the Gauss’s theorem,<br/>this method enables to increase coverage beyond the Field of View (FoV) of individual<br/>colour Doppler images by combining images acquired from multiple views. The<br/>method was validated in patients with Hypoplastic Left Heart Syndrome. Results<br/>were compared with the current clinical gold standard measurement of flow MRI,<br/>agreeing on flow values and volumes to less than 10%.<br/>The novel methods proposed in this thesis have shown encouraging results using<br/>volunteer and patient data. I hope that the methods proposed will in the future be<br/>able to offer advanced flow measurements using echo. The ability to improve the<br/>information available from echo imaging, due to its ease of use and cost effective<br/>nature, has the potential for widespread improvements in clinical care."]},{"key":"dc:title","label":"Title","values":["Full 3D Blood Velocity Mapping and Flow Quantification from Doppler Echocardiographic Images"]}]}],"canonical_facts":{"dc:contributor.advisor":["Schaeffter, Tobias Richard","Penney, Graeme Patrick"],"dc:creator":["Gomez, Alberto"],"dc:date":["2013-12-1"],"dc:date.issued":["2013-12-1"],"dc:description.abstract":["This thesis contributes to knowledge by describing two novel methods to calculate<br/>3D blood velocity and flow within the heart using 3D colour Doppler images. The<br/>principal goal of both methods was to overcome the main limitation of Doppler<br/>systems which is that the Doppler effect only measures one component of the velocity<br/>(parallel to the beam direction). For that reason, measured velocity and calculated<br/>flow depend on the angle between the beam direction and the flow.<br/>The first method was developed to reconstruct 3D intracardiac velocity vector<br/>fields. This is the first time that such vector fields have been obtained from 3D<br/>colour Doppler images. The novelty of the proposal lies not only in the 3D velocity<br/>reconstruction, but also 1) a new noise model for colour Doppler images was proposed<br/>which improves the realism of simulation studies, 2) an efficient patch-wise<br/>implementation was introduced and 3) ventricle wall motion was used to enable<br/>full ventricular coverage. Based on simulations minimum acquisition requirements<br/>for accurate reconstruction were established. These requirements were: view angles<br/>over 20 degrees and noise below 10% of the Doppler maximum velocity. The<br/>method was tested on healthy volunteers and on paediatric patients and an accuracy<br/>of 15% compared to flow Magnetic Resonance Imaging (MRI) was obtained, when<br/>acquisition and data conditions were close to the optimum range.<br/>The second method proposes an algorithm to calculate angle-independent flow<br/>rates through surfaces within the heart and vessels. Built on the Gauss’s theorem,<br/>this method enables to increase coverage beyond the Field of View (FoV) of individual<br/>colour Doppler images by combining images acquired from multiple views. The<br/>method was validated in patients with Hypoplastic Left Heart Syndrome. Results<br/>were compared with the current clinical gold standard measurement of flow MRI,<br/>agreeing on flow values and volumes to less than 10%.<br/>The novel methods proposed in this thesis have shown encouraging results using<br/>volunteer and patient data. I hope that the methods proposed will in the future be<br/>able to offer advanced flow measurements using echo. The ability to improve the<br/>information available from echo imaging, due to its ease of use and cost effective<br/>nature, has the potential for widespread improvements in clinical care."],"dc:identifier":["oai:kclpure.kcl.ac.uk:studenttheses/f6a945d7-3a8e-4458-91c8-377ce3202119","https://kclpure.kcl.ac.uk/portal/en/studentTheses/f6a945d7-3a8e-4458-91c8-377ce3202119"],"dc:identifier.uri":["https://kclpure.kcl.ac.uk/portal/files/12144005/Studentthesis-Alberto_Gomez_2013.pdf"],"dc:language":["eng"],"dc:publisher.department":["Biomedical Engineering Department"],"dc:publisher.institution":["King's College London"],"dc:relation.isreferencedby":["https://kclpure.kcl.ac.uk/portal/en/studentTheses/f6a945d7-3a8e-4458-91c8-377ce3202119"],"dc:subject":["Echo","Doppler","Flow","3D echo"],"dc:title":["Full 3D Blood Velocity Mapping and Flow Quantification from Doppler Echocardiographic Images"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["Doctoral Thesis"],"dc:type.qualificationname":["Doctor of Philosophy"]},"updated_at":"2026-07-24T02:44:31Z"}