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在胸部主动脉血流的 CFD-MRI 耦合模拟中,几何诱导壁切应力变化。

Geometrically induced wall shear stress variability in CFD-MRI coupled simulations of blood flow in the thoracic aortas.

机构信息

Department of Chemical Engineering, Faculty of Applied Sciences, Delft University of Technology and J.M. Burgerscentrum Research School for Fluid Mechanics, Delft, the Netherlands.

Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands.

出版信息

Comput Biol Med. 2021 Jun;133:104385. doi: 10.1016/j.compbiomed.2021.104385. Epub 2021 Apr 20.

Abstract

Aortic aneurysm is associated with aberrant blood flow and wall shear stress (WSS). This can be studied by coupling magnetic resonance imaging (MRI) with computational fluid dynamics (CFD). For patient-specific simulations, extra attention should be given to the variation in segmentation of the MRI data-set and its effect on WSS. We performed CFD simulations of blood flow in the aorta for ten different volunteers and provided corresponding WSS distributions. The aorta of each volunteer was segmented four times. The same inlet and outlet boundary conditions were applied for all segmentation variations of each volunteer. Steady-state CFD simulations were performed with inlet flow based on phase-contrast MRI during peak systole. We show that the commonly used comparison of mean and maximal values of WSS, based on CFD in the different segments of the thoracic aorta, yields good to excellent correlation (0.78-0.95) for rescan and moderate to excellent correlation (0.64-1.00) for intra- and interobserver reproducibility. However, the effect of geometrical variations is higher for the voxel-to-voxel comparison of WSS. With this analysis method, the correlation for different segments of the whole aorta is poor to moderate (0.43-0.66) for rescan and poor to good (0.48-0.73) for intra- and interobserver reproducibility. Therefore, we advise being critical about the CFD results based on the MRI segmentations to avoid possible misinterpretation. While the global values of WSS are similar for different modalities, the variation of results is high when considering the local distributions.

摘要

主动脉瘤与异常血流和壁面切应力(WSS)有关。这可以通过将磁共振成像(MRI)与计算流体动力学(CFD)相结合来研究。对于特定于患者的模拟,应特别注意 MRI 数据集的分割变化及其对 WSS 的影响。我们对十个不同志愿者的主动脉血流进行了 CFD 模拟,并提供了相应的 WSS 分布。每个志愿者的主动脉都被分割了四次。对于每个志愿者的所有分割变化,都应用相同的入口和出口边界条件。使用基于相位对比 MRI 在收缩期峰值时的入口流量进行稳态 CFD 模拟。我们表明,基于不同胸主动脉段的 CFD 进行的 WSS 均值和最大值的常用比较,对于重扫具有良好到极好的相关性(0.78-0.95),对于观察者内和观察者间的可重复性具有中等到极好的相关性(0.64-1.00)。然而,对于 WSS 的体素对体素比较,几何形状变化的影响更高。使用这种分析方法,整个主动脉不同节段的相关性对于重扫为差到中等(0.43-0.66),对于观察者内和观察者间的可重复性为差到良好(0.48-0.73)。因此,我们建议对基于 MRI 分割的 CFD 结果持批评态度,以避免可能的误解。虽然不同模态的 WSS 整体值相似,但考虑到局部分布,结果的变化很大。

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