Al-Jumaily Ahmed M, Al-Rawi Mohammad, Belkacemi Djelloul, Sascău Radu Andy, Stătescu Cristian, Țurcanu Florin-Emilian, Anghel Larisa
Institute of Biomedical Technologies, Auckland University of Technology, Auckland 1010, New Zealand.
Center for Engineering and Industrial Design, Waikato Institute of Technology, Hamilton 3240, New Zealand.
Bioengineering (Basel). 2024 Sep 12;11(9):914. doi: 10.3390/bioengineering11090914.
Cardiovascular diseases (CVD) remain the leading cause of mortality among older adults. Early detection is critical as the prognosis for advanced-stage CVD is often poor. Consequently, non-invasive diagnostic tools that can assess hemodynamic function, particularly of the aorta, are essential. Computational fluid dynamics (CFD) has emerged as a promising method for simulating cardiovascular dynamics efficiently and cost-effectively, using increasingly accessible computational resources. This study developed a CFD model to assess the aorta geometry using tetrahedral and polyhedral meshes. A healthy aorta was modeled with mesh sizes ranging from 0.2 to 1 mm. Key hemodynamic parameters, including blood pressure waveform, pressure difference, wall shear stress (WSS), and associated wall parameters like relative residence time (RRT), oscillatory shear index (OSI), and endothelial cell activation potential (ECAP) were evaluated. The performance of the CFD simulations, focusing on accuracy and processing time, was assessed to determine clinical viability. The CFD model demonstrated clinically acceptable results, achieving over 95% accuracy while reducing simulation time by up to 54%. The entire simulation process, from image construction to the post-processing of results, was completed in under 120 min. Both mesh types (tetrahedral and polyhedral) provided reliable outputs for hemodynamic analysis. This study provides a novel demonstration of the impact of mesh type in obtaining accurate hemodynamic data, quickly and efficiently, using CFD simulations for non-invasive aortic assessments. The method is particularly beneficial for routine check-ups, offering improved diagnostics for populations with limited healthcare access or higher cardiovascular disease risk.
心血管疾病(CVD)仍然是老年人死亡的主要原因。由于晚期心血管疾病的预后通常较差,早期检测至关重要。因此,能够评估血流动力学功能,尤其是主动脉血流动力学功能的非侵入性诊断工具必不可少。计算流体动力学(CFD)已成为一种很有前景的方法,利用日益普及的计算资源,高效且经济地模拟心血管动力学。本研究开发了一种CFD模型,使用四面体和多面体网格来评估主动脉几何形状。对一个健康的主动脉进行建模,网格尺寸范围为0.2至1毫米。评估了关键的血流动力学参数,包括血压波形、压差、壁面剪应力(WSS)以及相关的壁面参数,如相对停留时间(RRT)、振荡剪切指数(OSI)和内皮细胞活化潜能(ECAP)。评估了CFD模拟在准确性和处理时间方面的性能,以确定其临床可行性。CFD模型展示了临床可接受的结果,准确率超过95%,同时将模拟时间减少了多达54%。从图像构建到结果后处理的整个模拟过程在120分钟内完成。两种网格类型(四面体和多面体)都为血流动力学分析提供了可靠的输出。本研究提供了一个新颖的例证,展示了网格类型在使用CFD模拟进行非侵入性主动脉评估时,快速有效地获取准确血流动力学数据方面的影响。该方法对常规体检特别有益,为医疗保健机会有限或心血管疾病风险较高的人群提供了更好的诊断。