Fanni Benigno Marco, Antonuccio Maria Nicole, Pizzuto Alessandra, Berti Sergio, Santoro Giuseppe, Celi Simona
BioCardioLab, Bioengineering Unit, Fondazione Toscana "G. Monasterio", 54100 Massa, Italy.
Pediatric Cardiology Unit, Fondazione Toscana "G. Monasterio", 54100 Massa, Italy.
J Cardiovasc Dev Dis. 2023 Mar 4;10(3):109. doi: 10.3390/jcdd10030109.
Patient-specific computational models are a powerful tool for planning cardiovascular interventions. However, the in vivo patient-specific mechanical properties of vessels represent a major source of uncertainty. In this study, we investigated the effect of uncertainty in the elastic module () on a Fluid-Structure Interaction (FSI) model of a patient-specific aorta.
The image-based χ-method was used to compute the initial value of the vascular wall. The uncertainty quantification was carried out using the generalized Polynomial Chaos (gPC) expansion technique. The stochastic analysis was based on four deterministic simulations considering four quadrature points. A deviation of about ±20% on the estimation of the value was assumed.
The influence of the uncertain parameter was evaluated along the cardiac cycle on area and flow variations extracted from five cross-sections of the aortic FSI model. Results of stochastic analysis showed the impact of in the ascending aorta while an insignificant effect was observed in the descending tract.
This study demonstrated the importance of the image-based methodology for inferring , highlighting the feasibility of retrieving useful additional data and enhancing the reliability of in silico models in clinical practice.
针对特定患者的计算模型是规划心血管介入治疗的有力工具。然而,血管的体内特定患者力学特性是不确定性的主要来源。在本研究中,我们研究了弹性模量()的不确定性对特定患者主动脉的流固耦合(FSI)模型的影响。
基于图像的χ方法用于计算血管壁的初始值。使用广义多项式混沌(gPC)展开技术进行不确定性量化。随机分析基于考虑四个求积点的四个确定性模拟。假设在值估计上存在约±20%的偏差。
在心动周期中,对从主动脉FSI模型的五个横截面提取的面积和流量变化评估了不确定参数的影响。随机分析结果显示了在升主动脉中的影响,而在降主动脉段观察到的影响不显著。
本研究证明了基于图像的方法推断的重要性,突出了检索有用附加数据以及提高临床实践中计算机模型可靠性的可行性。