Towards patient-specific cardiovascular modeling system using the immersed boundary technique.

Background: Previous research shows that the flow dynamics in the left ventricle (LV) reveal important information about cardiac health. This information can be used in early diagnosis of patients with potential heart problems. The current study introduces a patient-specific cardiovascular-modelling...

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Published in:BioMedical Engineering OnLine Vol. 10; no. 1; pp. 52 - 69
Main Authors: Wee-Beng Tay, Yu-Heng Tseng, Liang-Yu Lin, Wen-Yih Tseng, Tay, Wee-Beng, Tseng, Yu-Heng, Lin, Liang-Yu, Tseng, Wen-Yih
Format: research Journal Article
Published: BioMed Central 2011
Online Access:View this record in EBSCOhost
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      pub: BioMed Central
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        atl: Towards patient-specific cardiovascular modeling system using the immersed boundary technique.
      aug:
        au:
          Wee-Beng Tay
          Yu-Heng Tseng
          Liang-Yu Lin
          Wen-Yih Tseng
          Tay, Wee-Beng
          Tseng, Yu-Heng
          Lin, Liang-Yu
          Tseng, Wen-Yih
        affil: High Performance Computing & Environmental Fluid Dynamic Laboratory, Department of Atmospheric Sciences, National Taiwan University, Taipei, Taiwan
      sug:
        subj:
          Models, Biological
          Cardiovascular System Metabolism
          Heart Diseases Diagnosis
          Physiochemical Phenomena
          Image Interpretation, Computer Assisted Methods
          Adult
          Human
          Pressure
          Heart Ventricle Metabolism
          Computer Simulation
          Magnetic Resonance Imaging Methods
          Female
          Blood Flow Velocity Physiology
          Kinetics
          Hemodynamics
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Scales
          Adult: 19-44 years
          Female
      ab: Background: Previous research shows that the flow dynamics in the left ventricle (LV) reveal important information about cardiac health. This information can be used in early diagnosis of patients with potential heart problems. The current study introduces a patient-specific cardiovascular-modelling system (CMS) which simulates the flow dynamics in the LV to facilitate physicians in early diagnosis of patients before heart failure.Methods: The proposed system will identify possible disease conditions and facilitates early diagnosis through hybrid computational fluid dynamics (CFD) simulation and time-resolved magnetic resonance imaging (4-D MRI). The simulation is based on the 3-D heart model, which can simultaneously compute fluid and elastic boundary motions using the immersed boundary method. At this preliminary stage, the 4-D MRI is used to provide an appropriate comparison. This allows flexible investigation of the flow features in the ventricles and their responses.Results: The results simulate various flow rates and kinetic energy in the diastole and systole phases, demonstrating the feasibility of capturing some of the important characteristics of the heart during different phases. However, some discrepancies exist in the pulmonary vein and aorta flow rate between the numerical and experimental data. Further studies are essential to investigate and solve the remaining problems before using the data in clinical diagnostics.Conclusions: The results show that by using a simple reservoir pressure boundary condition (RPBC), we are able to capture some essential variations found in the clinical data. Our approach establishes a first-step framework of a practical patient-specific CMS, which comprises a 3-D CFD model (without involving actual hemodynamic data yet) to simulate the heart and the 4-D PC-MRI system. At this stage, the 4-D PC-MRI system is used for verification purpose rather than input. This brings us closer to our goal of developing a practical patient-specific CMS, which will be pursued next. We anticipate that in the future, this hybrid system can potentially identify possible disease conditions in LV through comprehensive analysis and facilitates physicians in early diagnosis of probable cardiac problems.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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