Evaluation and verification of patient-specific modelling of type B aortic dissection
File(s)CBM-Armour_et-al-accepted version.pdf (1.28 MB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Quantitative assessment of the complex hemodynamic environment in type B aortic dissection (TBAD) through computational fluid dynamics (CFD) simulations can provide detailed insights into the disease and its progression. As imaging and computational technologies have advanced, methodologies have been developed to increase the accuracy and physiological relevance of CFD simulations. This study presents a patient-specific workflow to simulate blood flow in TBAD, utilising the maximum amount of in vivo data available in the form of CT images, 4D-flow MRI and invasive Doppler-wire pressure measurements, to implement the recommended current best practice methodologies in terms of patient-specific geometry and boundary conditions. The study aimed to evaluate and verify this workflow through detailed qualitative and quantitative comparisons of the CFD and in vivo data. Based on data acquired from five TBAD patients, a range of essential model inputs was obtained, including inlet flow waveforms and 3-element Windkessel model parameters, which can be utilised in further studies where in vivo flow data is not available. Local and global analysis showed good consistency between CFD results and 4D-MRI data, with the maximum velocity in the primary entry tear differing by up to 0.3 m/s, and 80% of the analysed regions achieving moderate or strong correlations between the predicted and in vivo velocities. CFD predicted pressures were generally well matched to the Doppler-wire measurements, with some deviation in peak systolic values. Overall, this study presents a validated comprehensive workflow with extensive data for CFD simulation of TBAD.
Date Issued
2022-01-01
Date Acceptance
2021-11-16
Citation
Computers in Biology and Medicine, 2022, 140, pp.1-11
ISSN
0010-4825
Publisher
Elsevier
Start Page
1
End Page
11
Journal / Book Title
Computers in Biology and Medicine
Volume
140
Copyright Statement
© 2021 Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000731813200004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Technology
Biology
Computer Science, Interdisciplinary Applications
Engineering, Biomedical
Mathematical & Computational Biology
Life Sciences & Biomedicine - Other Topics
Computer Science
Engineering
Type B Aortic dissection
Computational fluid dynamics
Patient-specific
4D-MRI
Evaluation and verification
COMPUTATIONAL FLUID-DYNAMICS
PHASE-CONTRAST-MRI
FALSE LUMEN
MORPHOLOGIC PREDICTORS
BOUNDARY-CONDITIONS
HEMODYNAMICS
FLOW
DILATATION
SIMULATION
THROMBOSIS
Publication Status
Published
Article Number
ARTN 105053
Date Publish Online
2021-11-23