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在具有实验验证的解剖学脑血管模型中进行血流建模。

Modeling flow in an anatomical cerebrovascular model with experimental validation.

作者信息

Bhardwaj Saurabh, Craven Brent A, Sever Jacob E, Costanzo Francesco, Simon Scott D, Manning Keefe B

机构信息

Department of Biomedical Engineering, Pennsylvania State University, University Park, PA, United States.

Office of Science and Engineering Laboratories, Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD, United States.

出版信息

Front Med Technol. 2023 Feb 23;5:1130201. doi: 10.3389/fmedt.2023.1130201. eCollection 2023.

Abstract

Acute ischemic stroke (AIS) is a leading cause of mortality that occurs when an embolus becomes lodged in the cerebral vasculature and obstructs blood flow in the brain. The severity of AIS is determined by the location and how extensively emboli become lodged, which are dictated in large part by the cerebral flow and the dynamics of embolus migration which are difficult to measure in AIS patients. Computational fluid dynamics (CFD) can be used to predict the patient-specific hemodynamics and embolus migration and lodging in the cerebral vasculature to better understand the underlying mechanics of AIS. To be relied upon, however, the computational simulations must be verified and validated. In this study, a realistic experimental model and a corresponding computational model of the cerebral vasculature are established that can be used to investigate flow and embolus migration and lodging in the brain. First, the anatomical model is described, including how the flow distribution in the model is tuned to match physiological measurements from the literature. Measurements of pressure and flow rate for both normal and stroke conditions were acquired and corresponding CFD simulations were performed and compared with the experiments to validate the flow predictions. Overall, the CFD simulations were in relatively close agreement with the experiments, to within ±7% of the mean experimental data with many of the CFD predictions within the uncertainty of the experimental measurement. This work provides an benchmark data set for flow in a realistic cerebrovascular model and is a first step towards validating a computational model of AIS.

摘要

急性缺血性卒中(AIS)是一种主要的致死原因,当栓子阻塞脑血管并阻碍脑部血流时就会发生。AIS的严重程度取决于栓子阻塞的位置和范围,而这在很大程度上由脑血流以及栓子迁移的动力学决定,这些在AIS患者中很难测量。计算流体动力学(CFD)可用于预测特定患者的血流动力学以及栓子在脑血管中的迁移和阻塞情况,以便更好地理解AIS的潜在机制。然而,为了可靠使用,计算模拟必须经过验证和确认。在本研究中,建立了一个逼真的脑血管实验模型和相应的计算模型,可用于研究脑部的血流以及栓子的迁移和阻塞情况。首先,描述了解剖模型,包括如何调整模型中的血流分布以匹配文献中的生理测量值。获取了正常和卒中情况下的压力和流速测量值,并进行了相应的CFD模拟,并与实验结果进行比较以验证血流预测。总体而言,CFD模拟与实验结果相对吻合,在平均实验数据的±7%范围内,许多CFD预测结果在实验测量的不确定度范围内。这项工作为逼真的脑血管模型中的血流提供了一个基准数据集,是验证AIS计算模型的第一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/015f/9996037/1c1c69c7c41a/fmedt-05-1130201-g001.jpg

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