Chen Yimin, Canton Gador, Kerwin William S, Chiu Bernard
Department of Electronic Engineering, City University of Hong Kong, Kowloon, Hong Kong.
Department of Mechanical Engineering, University of Washington, Seattle, WA, USA.
Med Biol Eng Comput. 2016 Sep;54(9):1437-52. doi: 10.1007/s11517-015-1417-1. Epub 2015 Nov 17.
Hemodynamic wall shear stress (WSS) plays an important role in the initiation and progression of carotid atherosclerosis. This study aims at developing a technique to model WSS distribution based on point-wise geometric features that can be efficiently computed. Computational fluid dynamic analysis was performed for ten subjects. Surface curvatures, vascular radius, rate of change of radius along the longitudinal direction and standardized longitudinal/circumferential coordinates were computed on a point-wise basis for the arteries. Each of these point-wise geometric parameters was transformed to maximize the adjusted correlation coefficient. The transformed geometric parameters subsequently served as input variables of a multiple regression model. Multiple regression analysis revealed a significant relationship ([Formula: see text]) between WSS and three geometric parameters in internal and external carotid arteries (ICA and ECA). These three geometric parameters include vascular radius (ICA: [Formula: see text], ECA: [Formula: see text]), standardized longitudinal/circumference coordinates (ICA: [Formula: see text], ECA: [Formula: see text]) and Gaussian curvature (ICA: [Formula: see text], ECA: [Formula: see text]). The results suggest that the proposed geometric parameters can serve as risk indicator in large-scale clinical studies aiming at elucidating the roles of local geometric risk of atherosclerosis.
血流动力学壁面剪应力(WSS)在颈动脉粥样硬化的发生和发展中起着重要作用。本研究旨在开发一种基于可有效计算的逐点几何特征对WSS分布进行建模的技术。对10名受试者进行了计算流体动力学分析。在动脉上逐点计算表面曲率、血管半径、半径沿纵向的变化率以及标准化纵向/周向坐标。对这些逐点几何参数中的每一个进行变换,以最大化调整后的相关系数。变换后的几何参数随后用作多元回归模型的输入变量。多元回归分析揭示了颈内动脉和颈外动脉(ICA和ECA)中WSS与三个几何参数之间的显著关系([公式:见原文])。这三个几何参数包括血管半径(ICA:[公式:见原文],ECA:[公式:见原文])、标准化纵向/周长坐标(ICA:[公式:见原文],ECA:[公式:见原文])和高斯曲率(ICA:[公式:见原文],ECA:[公式:见原文])。结果表明,所提出的几何参数可作为大规模临床研究中的风险指标,旨在阐明动脉粥样硬化局部几何风险的作用。