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An effective simulation- and measurement-based workflow for enhanced diagnostics in rhinology
Moritz Waldmann1,2, Alice Grosch3, Christian Witzler3
1Institute of Aerodynamics and Chair of Fluid Mechanics, RWTH Aachen University, Wüllnerstr. 5a, 52062, Aachen, Germany. m.waldmann@aia.rwth-aachen.de.
Medical & Biological Engineering & Computing
|December 24, 2021
Summary
This study introduces a new workflow for rhinology diagnostics, integrating physics-based simulations with machine learning for accurate medical image analysis. This enhances clinical decision-making by providing physically sound interpretations beyond traditional methods.
Area of Science:
- Medical Imaging
- Computational Fluid Dynamics
- Otolaryngology
Background:
- Physics-based analyses offer potential for rhinology diagnostics but are limited by isolated solutions.
- Current clinical applications lack integrated data processing from medical imaging to simulation.
Purpose of the Study:
- To present a comprehensive workflow for rhinology diagnostics integrating data processing and physics-based simulations.
- To automate medical image pre-processing and incorporate user-uploaded rhinomanometry data.
Main Methods:
- Developed a Jupyter-based workflow for end-to-end data processing.
- Utilized machine learning for fully automated pre-processing of medical image data.
- Integrated high-performance computing for accurate geometry-based simulations and visualization of 4-phase rhinomanometry data.
Main Results:
- Achieved up to 99.5% accuracy in simulated geometries compared to manual segmentation.
- Demonstrated the workflow's capability to extend diagnostic results with physically sound interpretations.
- Validated the pipeline's functionality through an exemplary medical case, comparing simulation output with 4-phase rhinomanometry data.
Conclusions:
- The presented workflow enhances rhinology diagnostics by integrating automated image processing, physics-based simulations, and rhinomanometry data.
- The study highlights the potential of computational methods to provide deeper insights into nasal airflow and pressure dynamics.
- Further research should address factors like mucosa swelling to refine simulation accuracy.

