James T. Willerson Center for Cardiovascular Modeling and Simulation, Oden Institute for Computational Engineering and Science, University of Texas at Austin, Austin, Texas, USA.
Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Int J Numer Method Biomed Eng. 2021 Apr;37(4):e3438. doi: 10.1002/cnm.3438. Epub 2021 Feb 10.
The functional complexity of native and replacement aortic heart valves (AVs) is well known, incorporating such physical phenomenons as time-varying non-linear anisotropic soft tissue mechanical behavior, geometric non-linearity, complex multi-surface time varying contact, and fluid-structure interactions to name a few. It is thus clear that computational simulations are critical in understanding AV function and for the rational basis for design of their replacements. However, such approaches continued to be limited by ad-hoc approaches for incorporating tissue fibrous structure, high-fidelity material models, and valve geometry. To this end, we developed an integrated tri-leaflet valve pipeline built upon an isogeometric analysis framework. A high-order structural tensor (HOST)-based method was developed for efficient storage and mapping the two-dimensional fiber structural data onto the valvular 3D geometry. We then developed a neural network (NN) material model that learned the responses of a detailed meso-structural model for exogenously cross-linked planar soft tissues. The NN material model not only reproduced the full anisotropic mechanical responses but also demonstrated a considerable efficiency improvement, as it was trained over a range of realizable fibrous structures. Results of parametric simulations were then performed, as well as population-based bicuspid AV fiber structure, that demonstrated the efficiency and robustness of the present approach. In summary, the present approach that integrates HOST and NN material model provides an efficient computational analysis framework with increased physical and functional realism for the simulation of native and replacement tri-leaflet heart valves.
天然和替代主动脉心脏瓣膜(AV)的功能复杂性是众所周知的,它包含了一些物理现象,如时变非线性各向异性软组织力学行为、几何非线性、复杂的多曲面时变接触和流固相互作用等。因此,计算模拟对于理解 AV 的功能以及为其替代品的合理设计提供依据是至关重要的。然而,这些方法仍然受到组织纤维结构、高保真材料模型和瓣膜几何形状的特定方法的限制。为此,我们开发了一个基于等几何分析框架的三尖瓣综合管道。我们开发了一种基于高阶结构张量(HOST)的方法,用于高效地存储和将二维纤维结构数据映射到瓣膜的 3D 几何形状上。然后,我们开发了一个神经网络(NN)材料模型,该模型学习了外源性交联平面软组织的详细细观结构模型的响应。NN 材料模型不仅再现了完整的各向异性力学响应,而且由于它是在一系列可实现的纤维结构上进行训练的,因此还提高了效率。然后进行了参数模拟和基于人群的二叶式 AV 纤维结构的结果,证明了本方法的效率和鲁棒性。总之,这种集成 HOST 和 NN 材料模型的方法为天然和替代三叶式心脏瓣膜的模拟提供了一个高效的计算分析框架,增加了物理和功能的真实性。