Dempere-Marco Laura, Oubel Estanislao, Castro Marcelo, Putman Christopher, Frangi Alejandro, Cebral Juan
Department of Technology, Pompeu Fabra University, 08003 Barcelona, Spain.
Med Image Comput Comput Assist Interv. 2006;9(Pt 2):438-45. doi: 10.1007/11866763_54.
Haemodynamics, and in particular wall shear stress, is thought to play a critical role in the progression and rupture of intracranial aneurysms. A novel method is presented that combines image-based wall motion estimation obtained through non-rigid registration with computational fluid dynamics (CFD) simulations in order to provide realistic intra-aneurysmal flow patterns and understand the effects of deforming walls on the haemodynamic patterns. In contrast to previous approaches, which assume rigid walls or ad hoc elastic parameters to perform the CFD simulations, wall compliance has been included in this study through the imposition of measured wall motions. This circumvents the difficulties in estimating personalized elasticity properties. Although variations in the aneurysmal haemodynamics were observed when incorporating the wall motion, the overall characteristics of the wall shear stress distribution do not seem to change considerably. Further experiments with more cases will be required to establish the clinical significance of the observed variations.
血流动力学,尤其是壁面剪应力,被认为在颅内动脉瘤的发展和破裂过程中起着关键作用。本文提出了一种新方法,该方法将通过非刚性配准获得的基于图像的壁面运动估计与计算流体动力学(CFD)模拟相结合,以提供逼真的动脉瘤内血流模式,并了解变形壁面对血流动力学模式的影响。与之前假设刚性壁面或采用临时弹性参数进行CFD模拟的方法不同,本研究通过施加测量得到的壁面运动来考虑壁面顺应性。这避免了估计个性化弹性特性的困难。尽管在纳入壁面运动时观察到动脉瘤血流动力学存在变化,但壁面剪应力分布的总体特征似乎没有显著改变。需要更多病例的进一步实验来确定观察到的变化的临床意义。