Shen Yuanyuan, Wei Yanji, Bokkers Reinoud P H, Uyttenboogaart Maarten, Van Dijk J Marc C
Department of Neurosurgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Faculty of Science and Engineering, University of Groningen, Groningen, Netherlands.
Front Bioeng Biotechnol. 2022 Mar 4;10:835347. doi: 10.3389/fbioe.2022.835347. eCollection 2022.
Cerebral hemodynamics play an important role in the development of cerebrovascular diseases. In this work, we propose a numerical framework for modeling patient-specific cerebral blood flow, using commonly available clinical datasets. Our hemodynamic model was developed using Simscape Fluids library in Simulink, based on a block diagram language. Medical imaging data obtained from computerized tomography angiography (CTA) in 59 patients with aneurysmal subarachnoid hemorrhage was used to extract arterial geometry parameters. Flow information obtained from transcranial Doppler (TCD) measurement was employed to calibrate input parameters of the hemodynamic model. The results show that the proposed numerical model can reproduce blood flow in the circle of Willis (CoW) per patient per measurement set. The resistance at the distal end of each terminal branch was the predominant parameter for the flow distribution in the CoW. The proposed model may be a promising tool for assessing cerebral hemodynamics in patients with cerebrovascular disease.
脑血流动力学在脑血管疾病的发展中起着重要作用。在这项工作中,我们提出了一个数值框架,用于使用常见的临床数据集对特定患者的脑血流进行建模。我们的血流动力学模型是基于方框图语言,使用Simulink中的Simscape Fluids库开发的。从59例动脉瘤性蛛网膜下腔出血患者的计算机断层血管造影(CTA)获得的医学成像数据用于提取动脉几何参数。从经颅多普勒(TCD)测量获得的血流信息用于校准血流动力学模型的输入参数。结果表明,所提出的数值模型可以针对每个测量集的每个患者重现 Willis 环(CoW)中的血流。每个终末分支远端的阻力是CoW中血流分布的主要参数。所提出的模型可能是评估脑血管疾病患者脑血流动力学的一个有前景的工具。