Numerical Study of Cerebroarterial Hemodynamic Changes Following Carotid Artery Operation: A Comparison Between Multiscale Modeling and Stand-Alone Three-Dimensional Modeling

2015 ◽  
Vol 137 (10) ◽  
Author(s):  
Fuyou Liang ◽  
Marie Oshima ◽  
Huaxiong Huang ◽  
Hao Liu ◽  
Shu Takagi
Keyword(s):  
Carotid Artery ◽  
Multiscale Modeling ◽  
3D Model ◽  
Numerical Study ◽  
Three Dimensional ◽  
Multiscale Model ◽  
Patient Specific ◽  
Hemodynamic Changes ◽  
Model Studies ◽  
Outflow Boundary

Free outflow boundary conditions have been widely adopted in hemodynamic model studies, they, however, intrinsically lack the ability to account for the regulatory mechanisms of systemic hemodynamics and hence carry a risk of producing incorrect results when applied to vascular segments with multiple outlets. In the present study, we developed a multiscale model capable of incorporating global cardiovascular properties into the simulation of blood flows in local vascular segments. The multiscale model was constructed by coupling a three-dimensional (3D) model of local arterial segments with a zero-one-dimensional (0-1-D) model of the cardiovascular system. Numerical validation based on an idealized model demonstrated the ability of the multiscale model to preserve reasonable pressure/flow wave transmission among different models. The multiscale model was further calibrated with clinical data to simulate cerebroarterial hemodynamics in a patient undergoing carotid artery operation. The results showed pronounced hemodynamic changes in the cerebral circulation following the operation. Additional numerical experiments revealed that a stand-alone 3D model with free outflow conditions failed to reproduce the results obtained by the multiscale model. These results demonstrated the potential advantage of multiscale modeling over single-scale modeling in patient-specific hemodynamic studies. Due to the fact that the present study was limited to a single patient, studies on more patients would be required to further confirm the findings.

scholarly journals Numerical computation of blood flow for a patient-specific hemodialysis shunt model

2021 ◽  
Author(s):  
Surabhi Rathore ◽  
Tomoki Uda ◽  
Viet Q. H. Huynh ◽  
Hiroshi Suito ◽  
Toshitaka Watanabe ◽  
...  
Keyword(s):  
Stokes Equations ◽  
Three Dimensional ◽  
Arteriovenous Shunt ◽  
Navier Stokes ◽  
Patient Specific ◽  
Stabilized Finite Element ◽  
Computed Tomography Scanning ◽  
Outflow Boundary ◽  
Stage Renal Disease ◽  
End Stage

AbstractHemodialysis procedure is usually advisable for end-stage renal disease patients. This study is aimed at computational investigation of hemodynamical characteristics in three-dimensional arteriovenous shunt for hemodialysis, for which computed tomography scanning and phase-contrast magnetic resonance imaging are used. Several hemodynamical characteristics are presented and discussed depending on the patient-specific morphology and flow conditions including regurgitating flow from the distal artery caused by the construction of the arteriovenous shunt. A simple backflow prevention technique at an outflow boundary is presented, with stabilized finite element approaches for incompressible Navier–Stokes equations.

Tuning a Multiscale Model of Abdominal Aortic Hemodynamics to Incorporate Patient-Specific Features of Flow and Pressure Waveforms

2009 ◽  
Author(s):  
Ryan L. Spilker ◽  
Charles A. Taylor
Keyword(s):  
Boundary Conditions ◽  
Computational Models ◽  
Multiscale Model ◽  
Patient Specific ◽  
Vascular Walls ◽  
Outflow Boundary Conditions ◽  
Abdominal Aortic ◽  
Cardiovascular Models ◽  
Outflow Boundary ◽  
Aortic Hemodynamics

Computational models enable the calculation of quantities that are impractical or impossible to measure and the prediction of physiological changes due to interventions. In order to be useful, cardiovascular models must be both rooted in physical principles and designed such that measured or otherwise desired features of the cardiovascular system are reproduced. The former requirement has motivated the development of image-based anatomic models, patient-specific inflow boundary conditions, deformable vascular walls, outflow boundary conditions that represent the influence of the downstream circulation, and multiscale models. The development of approaches to address the latter requirement, reproducing desired features of the circulation, is a critical area of modeling research that has received comparatively little attention.

scholarly journals Numerical Simulation of the Dispersion and Deposition of a Spray Carried by a Pulsating Airflow in a Patient-Specific Human Nasal Cavity

2017 ◽  
Author(s):  
Ali Farnoud ◽  
Xinguang Cui ◽  
Ingo Baumann ◽  
Eva Gutheil
Keyword(s):  
Nasal Cavity ◽  
High Performance ◽  
Numerical Study ◽  
Three Dimensional ◽  
Flow Simulation ◽  
Patient Specific ◽  
Process Time ◽  
Nasal Valve ◽  
Time Step ◽  
Real Process

The present numerical study concerns the dispersion and deposition of a nasal spray in a patient-specific human nose. The realistic three-dimensional geometry of the nasal cavity is reconstructed from computer tomography (CT) scans. Identification of the region of interest, removal of artifacts, segmentation, generation of the .STL file and the triangulated surface grid are performed using the software packages ImageJ, meshLab, and NeuRA2. An unstructured computational volume grid with approximately 15 million tetrahedral grid cells is generated using the software Ansys ICEM-CFD 11.0. An unsteady Eulerian-Lagrangian formulation is used to describe the airflow and the spray dispersion and deposition in the realistic human nasal airway using two-way coupling. A new solver called pimpleParcelFoam is developed, which combines the lagrangianParcel libraries with the pimpleFoam solver within the software package OpenFOAM 3.0.0. A large eddy simulation (LES) with the dynamic sub-grid scale (SGS) model is performed to study the spray in both a steady and a pulsating airflow with an inflow rate of 7.5 L/min (or maximum value in case of the pulsating spray) and a frequency of 45 Hz for pulsation as used in commercial inhalation devices. 10,000 mono-disperse particles with the diameters of 2.4 µm and 10 µm are uniformly injected at the nostrils. In order to fulfil the stability conditions for the numerical solution, a constant time-step of 10−5 s is implemented. The simulations are performed for a real process time of 1 s, since after the first second of the process, all particles have escaped through the pharynx or they are deposited at the surface of the nasal cavity. The numerical computations are performed on the high-performance computer bwForCluster MLS&WISO Production using 256 processors, which take around 32 and 75 hours for steady and pulsating flow simulation, respectively. The study shows that the airflow velocity reaches its maximum values in the nasal valve, in parts of the septum and in the nasopharynx. A complex airflow is observed in the vestibule and in the nasopharynx region, which may directly affect the dispersion and deposition pattern of the spray. The results reveal that the spray tends to deposit in the nasal valve, the septum and in the nasopharynx due to the change in the direction of the airflow in these regions. Moreover, it is found that due to the pulsating airflow, the aerosols are more dispersed and penetrate deeper into the posterior regions and the meatuses where the connections to the sinuses reside.DOI: http://dx.doi.org/10.4995/ILASS2017.2017.4628

scholarly journals Multiscale Modeling of Endothelium Derived Wall Shear Stress Regulation in Common Carotid Artery

2019 ◽  
Vol 35 (6) ◽  
pp. 901-914
Author(s):  
Saeed Siri ◽  
Malikeh Nabaei ◽  
Nasser Fatouraee
Keyword(s):  
Mechanical Properties ◽  
Shear Stress ◽  
Carotid Artery ◽  
Wall Shear Stress ◽  
Common Carotid Artery ◽  
3D Model ◽  
Stable Condition ◽  
Patient Specific ◽  
Local Flow ◽  
Wall Shear

ABSTRACTShear induced autoregulation is the natural ability of organs to maintain the local hemodynamic stresses in a stable condition in spite of altering perfusion rate. Endothelium cells are shear sensitive mechanoreceptors that are responsible for regulating the arterial wall architecture and mechanical properties in order to maintain homeostasis. This occurs by means of vasoactive mediators, which cause vasodilation or vasoconstriction. In this paper we presented a multiscale model of local flow regulation. First, a lumped parameter model of the whole cardiovascular system was implemented. Then a 3D numerical model of human common carotid artery was constructed considering fluid-structure interaction. The CCA inflow waveform obtained from the extended 0D model was applied to the 3D model as the boundary condition. After applying the Head-Up Tilt test, the local hemodynamics were disturbed. By considering the wall shear stress as the regulation criterion, then altering the arterial mechanical properties and the following vasodilation, shear forces exerted on the inner lining of the vessel were regulated and returned to the normal range. The resulting 0D/3D model can be considered as a plat-form for a more complete model containing local and systemic cardiovascular control mechanisms and patient-specific geometries which can be used for clinical purposes.

scholarly journals A multiscale model for the study of cardiac biomechanics in single-ventricle surgeries: a clinical case

2015 ◽  
Vol 5 (2) ◽  
pp. 20140079 ◽  
Author(s):  
Alessio Meoli ◽  
Elena Cutrì ◽  
Adarsh Krishnamurthy ◽  
Gabriele Dubini ◽  
Francesco Migliavacca ◽  
...  
Keyword(s):  
Clinical Case ◽  
Single Ventricle ◽  
Three Dimensional ◽  
Multiscale Model ◽  
Patient Specific ◽  
Complex Congenital Heart Disease ◽  
Dimensional Model ◽  
Three Dimensional Model ◽  
Sequential Approach ◽  
Lp Model

Complex congenital heart disease characterized by the underdevelopment of one ventricular chamber (single ventricle (SV) circulation) is normally treated with a three-stage surgical repair. This study aims at developing a multiscale computational framework able to couple a patient-specific three-dimensional finite-element model of the SV to a patient-specific lumped parameter (LP) model of the whole circulation, in a closed-loop fashion. A sequential approach was carried out: (i) cardiocirculatory parameters were estimated by using a fully LP model; (ii) ventricular material parameters and unloaded geometry were identified by means of the stand-alone, three-dimensional model of the SV; and (iii) the three-dimensional model of SV was coupled to the LP model of the circulation, thus closing the loop and creating a multiscale model. Once the patient-specific multiscale model was set using pre-operative clinical data, the virtual surgery was performed, and the post-operative conditions were simulated. This approach allows the analysis of local information on ventricular function as well as global parameters of the cardiovascular system. This methodology is generally applicable to patients suffering from SV disease for surgical planning at different stages of treatment. As an example, a clinical case from stage 1 to stage 2 is considered here.

Fabrication of 3D Models for Microtia Reconstruction Using Smartphone-Based Technology

2021 ◽  
pp. 000348942110240
Author(s):  
Peng You ◽  
Yi-Chun Carol Liu ◽  
Rodrigo C. Silva
Keyword(s):  
3D Model ◽  
Low Cost ◽  
Tertiary Care ◽  
Three Dimensional ◽  
Basic Research ◽  
3D Models ◽  
University Hospital ◽  
Patient Specific ◽  
Surface Scanning ◽  
Barrier To Entry

Objective: Microtia reconstruction is technically challenging due to the intricate contours of the ear. It is common practice to use a two-dimensional tracing of the patient’s normal ear as a template for the reconstruction of the affected side. Recent advances in three-dimensional (3D) surface scanning and printing have expanded the ability to create surgical models preoperatively. This study aims to describe a simple and affordable process to fabricate patient-specific 3D ear models for use in the operating room. Study design: Applied basic research on a novel 3D optical scanning and fabrication pathway for microtia reconstruction. Setting: Tertiary care university hospital. Methods: Optical surface scanning of the patient’s normal ear was completed using a smartphone with facial recognition capability. The Heges application used the phone’s camera to capture the 3D image. The 3D model was digitally isolated and mirrored using the Meshmixer software and printed with a 3D printer (MonopriceTM Select Mini V2) using polylactic acid filaments. Results: The 3D model of the ear served as a helpful intraoperative reference and an adjunct to the traditional 2D template. Collectively, time for imaging acquisition, editing, and fabrication was approximately 3.5 hours. The upfront cost was around $210, and the recurring cost was approximately $0.35 per ear model. Conclusion: A novel, low-cost approach to fabricate customized 3D models of the ear is introduced. It is feasible to create individualized 3D models using currently available consumer technology. The low barrier to entry raises the possibility for clinicians to incorporate 3D printing into various clinical applications.

scholarly journals Information Recall in Pre-Operative Consultation for Glioma Surgery Using Actual Size Three-Dimensional Models

2020 ◽  
Vol 9 (11) ◽  
pp. 3660
Author(s):  
Sümeyye Sezer ◽  
Vitoria Piai ◽  
Roy P.C. Kessels ◽  
Mark ter Laan
Keyword(s):  
3D Model ◽  
Three Dimensional ◽  
3D Models ◽  
Patient Specific ◽  
Mr Images ◽  
Glioma Surgery ◽  
Information Recall ◽  
Cohen’S D ◽  
Real Size ◽  
Cohen's D

Three-dimensional (3D) technologies are being used for patient education. For glioma, a personalized 3D model can show the patient specific tumor and eloquent areas. We aim to compare the amount of information that is understood and can be recalled after a pre-operative consult using a 3D model (physically printed or in Augmented Reality (AR)) versus two-dimensional (2D) MR images. In this explorative study, healthy individuals were eligible to participate. Sixty-one participants were enrolled and assigned to either the 2D (MRI/fMRI), 3D (physical 3D model) or AR groups. After undergoing a mock pre-operative consultation for low-grade glioma surgery, participants completed two assessments (one week apart) testing information recall using a standardized questionnaire. The 3D group obtained the highest recall scores on both assessments (Cohen’s d = 1.76 and Cohen’s d = 0.94, respectively, compared to 2D), followed by AR and 2D, respectively. Thus, real-size 3D models appear to improve information recall as compared to MR images in a pre-operative consultation for glioma cases. Future clinical studies should measure the efficacy of using real-size 3D models in actual neurosurgery patients.

Simulation of the human intracranial arterial tree

2009 ◽  
Vol 367 (1896) ◽  
pp. 2371-2386 ◽  
Author(s):  
Leopold Grinberg ◽  
Tomer Anor ◽  
Elizabeth Cheever ◽  
Joseph R. Madsen ◽  
George Em Karniadakis
Keyword(s):  
Degrees Of Freedom ◽  
Domain Decomposition Method ◽  
Three Dimensional ◽  
Control Flow ◽  
Patient Specific ◽  
Arterial Tree ◽  
Flow Equations ◽  
Outflow Boundary Condition ◽  
New Type ◽  
Outflow Boundary

High-resolution unsteady three-dimensional flow simulations in large intracranial arterial networks of a healthy subject and a patient with hydrocephalus have been performed. The large size of the computational domains requires the use of thousands of computer processors and solution of the flow equations with approximately one billion degrees of freedom. We have developed and implemented a two-level domain decomposition method, and a new type of outflow boundary condition to control flow rates at tens of terminal vessels of the arterial network. In this paper, we demonstrate the flow patterns in the normal and abnormal intracranial arterial networks using patient-specific data.

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