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利用熵产生率对胸主动脉进行详细分析:预测动脉粥样硬化病变。

A detailed analysis in thoracic aorta by means of the entropy generation rate: Prediction of the atherosclerotic lesion.

机构信息

Department of Chemical Engineering, University of Guanajuato, DCNE, Guanajuato, Mexico.

Department of Mechanical Engineering, University of Guanajuato, DICIS, Salamanca, Mexico.

出版信息

Proc Inst Mech Eng H. 2022 Nov;236(11):1675-1684. doi: 10.1177/09544119221126270. Epub 2022 Sep 30.

Abstract

A detailed numerical analysis is carried out in a real human thoracic aorta by means of the Computational Fluid Dynamics (CFD) for the prediction of the atherosclerosis lesion. Common hemodynamics parameters, such as, the oscillatory shear index (OSI) and the time average wall shear stress (TAWSS) are used for the prediction of the atherosclerosis lesion. Furthermore, the entropy generation rate is considered to obtain the main irreversibilities that occurs inside the thoracic aorta for the prediction of the atherosclerosis lesion. The model considers the blood flow inside the thoracic aorta in an unsteady state. The results show contours of velocity, streams lines, velocity profiles and the comparison of the hemodynamics parameters OSI versus TAWSS. Moreover, contours of the entropy generation rate are showed inside the aorta. The time averaged entropy generation rate (TAEGR) is obtained as a result of the entropy generation analysis. Finally, TAEGR index is compared and discussed with the common hemodynamics parameters, OSI and TAWSS. The accuracy to detect prone locations to atherosclerotic development in the real aorta using the TAEGR in comparison to the OSI and the TAWSS is in good agreement.

摘要

采用计算流体动力学(CFD)对真实人体胸主动脉进行详细的数值分析,以预测动脉粥样硬化病变。常用的血流动力学参数,如振荡剪切指数(OSI)和时均壁切应力(TAWSS),用于预测动脉粥样硬化病变。此外,还考虑熵产生率以获得预测动脉粥样硬化病变时发生在胸主动脉内的主要不可逆性。该模型考虑了胸主动脉内的非定常血流。结果显示了速度轮廓、流线、速度分布以及 OSI 与 TAWSS 等血流动力学参数的比较。此外,还显示了主动脉内的熵产生率轮廓。通过熵产生分析得到了时均熵产生率(TAEGR)。最后,将 TAEGR 指数与常用的血流动力学参数 OSI 和 TAWSS 进行了比较和讨论。使用 TAEGR 与 OSI 和 TAWSS 相比,在真实主动脉中检测易发生动脉粥样硬化发展的位置的准确性非常吻合。

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