Laboratory of Hemodynamics and Cardiovascular Technology, EPFL / STI / IBI2 / LHTC, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
J Clin Monit Comput. 2012 Oct;26(5):375-82. doi: 10.1007/s10877-012-9382-9. Epub 2012 Jul 29.
Recent advance in imaging modalities used frequently in clinical routine can provide description of the geometrical and hemodynamical properties of the arterial tree in great detail. The combination of such information with models of blood flow of the arterial tree can provide further information, such as details in pressure and flow waves or details in the local flow field. Such knowledge maybe be critical in understanding the development or state of arterial disease and can help clinicians perform better diagnosis or plan better treatments. In the present review, the state of the art of arterial tree models is presented, ranging from 0-D lumped models, 1-D wave propagation model to more complex 3-D fluid-structure interaction models. Our development of a generic and patient-specific model of the human arterial tree permitting to study pressure and flow waves propagation in patients is presented. The predicted pressure and flow waveforms are in good agreement with the in vivo measurements. We discuss the utility of these models in different clinical application and future development of interest.
近年来,临床常规中常用的成像方式在描述动脉树的几何和血液动力学特性方面取得了显著进展。将这些信息与动脉树血流模型相结合,可以提供进一步的信息,如压力和流量波的细节或局部流场的细节。这些知识对于理解动脉疾病的发展或状态至关重要,并有助于临床医生进行更好的诊断或制定更好的治疗计划。在本综述中,介绍了动脉树模型的最新进展,范围从 0-D 集中模型、1-D 波传播模型到更复杂的 3-D 流固耦合模型。我们提出了一种通用的、基于患者个体的人类动脉树模型,可用于研究患者体内压力和流量波的传播。预测的压力和流量波形与体内测量结果吻合良好。我们讨论了这些模型在不同临床应用中的实用性和未来的发展方向。