Strain Measurement in Coronary Arteries Using Intravascular Ultrasound and Deformable Images

2002 ◽  
Vol 124 (6) ◽  
pp. 734-741 ◽  
Author(s):  
Alexander I. Veress ◽  
Jeffrey A. Weiss ◽  
Grant T. Gullberg ◽  
D. Geoffrey Vince ◽  
Richard D. Rabbitt

Atherosclerotic plaque rupture is responsible for the majority of myocardial infarctions and acute coronary syndromes. Rupture is initiated by mechanical failure of the plaque cap, and thus study of the deformation of the plaque in the artery can elucidate the events that lead to myocardial infarction. Intravascular ultrasound (IVUS) provides high resolution in vitro and in vivo cross-sectional images of blood vessels. To extract the deformation field from sequences of IVUS images, a registration process must be performed to correlate material points between image pairs. The objective of this study was to determine the efficacy of an image registration technique termed Warping to determine strains in plaques and coronary arteries from paired IVUS images representing two different states of deformation. The Warping technique uses pointwise differences in pixel intensities between image pairs to generate a distributed body force that acts to deform a finite element model. The strain distribution estimated by image-based Warping showed excellent agreement with a known forward finite element solution, representing the gold standard, from which the displaced image was created. The Warping technique had a low sensitivity to changes in material parameters or material model and had a low dependency on the noise present in the images. The Warping analysis was also able to produce accurate strain distributions when the constitutive model used for the Warping analysis and the forward analysis was different. The results of this study demonstrate that Warping in conjunction with in vivo IVUS imaging will determine the change in the strain distribution resulting from physiological loading and may be useful as a diagnostic tool for predicting the likelihood of plaque rupture through the determination of the relative stiffness of the plaque constituents.

2002 ◽  
Vol 02 (01) ◽  
pp. 1-7 ◽  
Author(s):  
DEBORAH KILPATRICK ◽  
CHENGPEI XU ◽  
RAYMOND VITO ◽  
SEYMOUR GLAGOV

Regions of matrix metalloproteinase (MMP) activity potentially increase the susceptibility of the atherosclerotic lesion to complications associated with plaque rupture. Assessing the risk posed by this mechanism requires investigating the stress-strain environment associated with matrix metalloproteinase production in heterogeneous plaque. To this end, an experimental-computational technique was developed to perform mechanical analysis of physiologically loaded, diseased human aorta in vitro and to investigate relationships between vascular mechanics, histology, and histochemistry. Mechanical data and specimen histology were coupled through a heterogeneous finite element model, and tissue constituent material properties were determined by an optimization method. The cross-sectional distribution of MMP-1 was quantified using immunohistochemical techniques. Results show stresses and strains are strongly influenced by lesion structure and composition, and MMP-1 presence is correlated with histology and lesion mechanics. Interactions between lipid presence, mechanical stimuli, and extracellular matrix metabolism-catabolism likely affect arterial plaque remodeling, progression, and the risk of disruption and clinical symptoms.


2020 ◽  
Vol 11 (1) ◽  
pp. 20190123 ◽  
Author(s):  
Giulia Luraghi ◽  
Jose Felix Rodriguez Matas ◽  
Gabriele Dubini ◽  
Francesca Berti ◽  
Sara Bridio ◽  
...  

An acute ischaemic stroke appears when a blood clot blocks the blood flow in a cerebral artery. Intra-arterial thrombectomy, a mini-invasive procedure based on stent technology, is a mechanical available treatment to extract the clot and restore the blood circulation. After stent deployment, the clot, trapped in the stent struts, is pulled along with the stent towards a receiving catheter. Recent clinical trials have confirmed the effectiveness and safety of mechanical thrombectomy. However, the procedure requires further investigation. The aim of this study is the development of a numerical finite-element-based model of the thrombectomy procedure. In vitro thrombectomy tests are performed in different vessel geometries and one simulation for each test is carried out to verify the accuracy and reliability of the proposed numerical model. The results of the simulations confirm the efficacy of the model to replicate all the experimental setups. Clot stress and strain fields from the numerical analysis, which vary depending on the geometric features of the vessel, could be used to evaluate the possible fragmentation of the clot during the procedure. The proposed in vitro / in silico comparison aims at assessing the applicability of the numerical model and at providing validation evidence for the specific in vivo thrombectomy outcomes prediction.


1982 ◽  
Vol 104 (2) ◽  
pp. 119-124 ◽  
Author(s):  
E. Rooz ◽  
D. F. Young ◽  
T. R. Rogge

A finite-element model for pulsatile flow in a straight flexible partially obstructed tube is developed. In the unobstructed sections of the tube the model considers the continuity equation, the one-dimensional momentum equation, and an equation of state relating tube cross-sectional area to pressure. For the obstructed region, a nonlinear relationship between the flow and the pressure drop across the stenosis is considered. The applicability of a model is checked by comparing predicted flow and pressure waveforms with corresponding in-vitro experimental measurements obtained on a mechanical system. These comparisons indicate that the model satisfactorily predicts pressures and flows under variety of frequencies of oscillation and stenosis severities.


2019 ◽  
Vol 19 (04) ◽  
pp. 1950022
Author(s):  
GUAN-HAO TSENG ◽  
CHENG-TAO CHANG ◽  
CHOU-CHING K. LIN ◽  
TERRY YUAN-FANG CHEN ◽  
MING-SHAUNG JU

Diabetes mellitus induces a variety of neuropathies and causes various symptoms. Understanding how diabetes affects mechanical properties of nerves is useful for preventing complications of diabetes mellitus such as the carpal tunnel syndrome. In a previous study, a two-dimensional hyper-viscoelastic finite element model (FEM) of the ultra-structures of normal rat sciatic nerves was developed using an optical coherence tomography (OCT) microscope and in vitro parallel compression tests. The main goal of this study was to extend the FEM from two to three dimensions and use it to explore hyper-viscoelasticity of ultra-structures of sciatic nerves of diabetic rats. A modification of the compression testing system to enhance OCT cross-sectional images of the nerve samples was also conducted. The results showed that the instantaneous shear moduli of the perineurium, epineurium, and endoneurium of the diabetic rat were all greater than those of the normal rats. Due to high instantaneous shear moduli and low percentage of relaxation, the diabetic nerve is prone to damage when subjected to prolonged mechanical loads.


2004 ◽  
Vol 30 (6) ◽  
pp. 803-813 ◽  
Author(s):  
Radj A. Baldewsing ◽  
Chris L. de Korte ◽  
Johannes A. Schaar ◽  
Frits Mastik ◽  
Antonius F.W. van Der Steen

1994 ◽  
Vol 76 (5) ◽  
pp. 2070-2075 ◽  
Author(s):  
S. S. Margulies ◽  
G. T. Lei ◽  
G. A. Farkas ◽  
J. R. Rodarte

Stress in the diaphragm, transdiaphragmatic pressure, and diaphragm shape are interrelated by a balance of forces. Using precise in vivo measurements of diaphragm shape and transdiaphragmatic pressure distribution in combination with finite-element analysis (ANSYS), we determined the direction and magnitude of stress in the passive diaphragm at relaxation volume. Lead spheres sutured along muscle bundles identified muscle bundle location and orientation in vivo. The x, y, and z coordinates of the lead spheres and entire surface of the diaphragm, excluding the zone of apposition, were determined to within 1.4 mm. Thin shell elements were used to construct a finite-element model of the diaphragm with a 2.1- to 4.2-mm internodal spacing. The diaphragm was assumed to have a uniform thickness of 2.5 mm, and magnitude and direction of the principal stresses were computed. The results show that 1) diaphragm stress is nonuniform and anisotropic (i.e., varies both with location on diaphragm surface and direction examined), 2) largest stress (sigma 1) is aligned with muscle bundles and is two to four times larger than sigma 2 (perpendicular to sigma 1 in diaphragm plane), and 3) stress along the muscle bundles is larger in vivo under conditions of biaxial stress than at same length in vitro under uniaxial stress. Although diaphragm stress and tension have often been assumed to be uniform, our finding that stress is oriented primarily along the muscle fibers should be considered in future models of the diaphragm.(ABSTRACT TRUNCATED AT 250 WORDS)


Author(s):  
Hiroyuki Okura ◽  
Makoto Watanabe ◽  
Akihiro Miura ◽  
Muneo Kurokawa ◽  
Tomoya Ueda ◽  
...  

AbstractPrevious studies suggested possible discordant quantitative measurements between different IVUS catheters and/or systems. The purpose of this study was to assess compatibility of two different IVUS catheters and consoles for quantitative measurements of coronary arteries. (1). In vitro study: IVUS imaging was performed in a concentric cylindrical phantom with 6 sections of known, cross-sectional diameter ranging from 3.0 to 8.0 mm. The lumen diameter (LD) and lumen cross-sectional area (LA) were measured and compared. To compare between 2 different IVUS consoles, IVUS images were obtained using a single IVUS catheter (catheter 1) connected to 2 different IVUS consoles (console 1 and 2). To compare between 2 different IVUS catheters, IVUS imaging was obtained using 2 different IVUS catheters (catheter 1 and 2) connected to a single IVUS console (console 2). (2). In vivo study: IVUS imaging was performed in 40 stented coronary arterial segments from 40 patients. The maximal stent diameter (Max SD), minimal stent diameter (minSD), and stent area (SA) were measured at both distal and proximal stent edges and compared between the two IVUS consoles (console 1 and 2) connected to a single IVUS catheter (catheter 1) (n = 20). IVUS imaging was also performed to compare between catheter 1 and 2 connected to IVUS console 2 (n = 20). Both in vitro and in vivo studies showed good correlation between the two IVUS consoles as well as two IVUS catheters. In conclusion, two IVUS catheters and consoles provide comparable IVUS measures both in vitro and in vivo.


Author(s):  
Hajar Sharif ◽  
Yaser Shanjani ◽  
Mihaela Vlasea ◽  
Ehsan Toyserkani

This work is concerned with the finite element modeling of a dual-porous scaffold including both fine and coarse pores. The layer with coarse pores is suitable for bone in vivo ingrowth and the finer pore layer is appropriate for in vitro cartilage culturing. Such scaffolds can be extensively used for repairing of osteochondral defects. The bio-mechanical properties of the proposed scaffold, including apparent stiffness and strain-based capability of the cell ingrowth, are identified using a 3D Finite Element Model. Moreover, to study the effect of the second layer on the strength of the whole scaffold, the stiffness of the dual and single-porous scaffolds was compared. The result of this study shows that the stiffness decreases by adding the second layer to a single-porous scaffold. Additionally, principal strain histograms of the single and the dual-porous scaffolds are compared to assess the effect of added layer on the capability for cell ingrowth stimulation of the whole structure. According to the results, the dual-porous scaffold provides more homogeneous distribution but a smaller amount of micro-strains which may cause different cell-growth behavior.


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