Computer simulation of three-dimensional plaque formation and progression in the carotid artery.

Atherosclerosis is becoming the number one cause of death worldwide. In this study, three-dimensional computer model of plaque formation and development for human carotid artery is developed. The three-dimensional blood flow is described by the Navier-Stokes equation, together with the continuity eq...

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Publicado en:Medical & Biological Engineering & Computing Vol. 51; no. 6; pp. 607 - 617
Autores principales: Filipovic, Nenad, Teng, Zhongzhao, Radovic, Milos, Saveljic, Igor, Fotiadis, Dimitris, Parodi, Oberdan
Formato: research Journal Article
Publicado: Springer Nature Jun2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2013
      vid: 51
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      pub: Springer Nature
      place: New York, New York
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        2012112714
        10.1007/s11517-012-1031-4
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        atl: Computer simulation of three-dimensional plaque formation and progression in the carotid artery.
      aug:
        au:
          Filipovic, Nenad
          Teng, Zhongzhao
          Radovic, Milos
          Saveljic, Igor
          Fotiadis, Dimitris
          Parodi, Oberdan
        affil: University of Kragujevac, Kragujevac, Serbia, fica@kg.ac.rs.
      sug:
        subj:
          Carotid Arteries Pathology
          Carotid Artery Diseases Diagnosis
          Models, Biological
          Atherosclerosis Diagnosis
          Carotid Arteries Physiopathology
          Computer Simulation
          Disease Progression
          Prospective Studies
          Human
          Imaging, Three-Dimensional Methods
          Magnetic Resonance Angiography Methods
      ab: Atherosclerosis is becoming the number one cause of death worldwide. In this study, three-dimensional computer model of plaque formation and development for human carotid artery is developed. The three-dimensional blood flow is described by the Navier-Stokes equation, together with the continuity equation. Mass transfer within the blood lumen and through the arterial wall is coupled with the blood flow and is modeled by a convection-diffusion equation. The low-density lipoproteins transports in lumen of the vessel and through the vessel tissue are coupled by Kedem-Katchalsky equations. The inflammatory process is modeled using three additional reaction-diffusion partial differential equations. Fluid-structure interaction is used to estimate effective wall stress analysis. Plaque growth functions for volume progression are correlated with shear stress and effective wall stress distribution. We choose two specific patients from MRI study with significant plaque progression. Plaque volume progression using three time points for baseline, 3- and 12-month follow up is fitted. Our results for plaque localization correspond to low shear stress zone and we fitted parameters from our model using nonlinear least-square method. Determination of plaque location and composition, and computer simulation of progression in time for a specific patient shows a potential benefit for the prediction of disease progression. The proof of validity of three-dimensional computer modeling in the evaluation of atherosclerotic plaque burden may shift the clinical information of MRI from morphological assessment toward a functional tool. Understanding and prediction of the evolution of atherosclerotic plaques either into vulnerable or stable plaques are major tasks for the medical community.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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