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Updated: May 7, 2026

Spatial Temporal Analysis of Fieldwise Flow in Microvasculature
Published on: November 18, 2019
Relationships between local geometrical features and hemodynamic flow properties
Insights
Researchers identified geometric factors to predict wall shear stress (WSS) in carotid arteries, aiding stroke risk assessment. This offers a cost-effective method for identifying individuals at higher risk of stroke.
Area of Science:
- Biomedical Engineering
- Cardiovascular Research
- Medical Imaging
Background:
- Stroke is a leading cause of death and disability globally, with ischemic strokes often caused by carotid artery atherosclerosis.
- Vascular wall shear stress (WSS) is implicated in carotid plaque development, but in vivo measurement and computational fluid dynamics (CFD) analysis are challenging.
- Identifying reliable predictors of WSS is crucial for understanding stroke risk.
Purpose of the Study:
- To identify local geometric parameters correlated with WSS in carotid arteries.
- To develop a predictive regression model for WSS based on these geometric parameters.
- To establish a cost-effective method for identifying individuals at elevated stroke risk.
Main Methods:
- Analysis of six carotid arteries, separating the internal (ICA) and external (ECA) carotid arteries.
- Identification of local geometric parameters relevant to WSS.
- Development and validation of a regression model using metrics like RMSE, adjusted R(2), and AIC.
Main Results:
- The regression model demonstrated strong correlations between geometric parameters and WSS.
- Adjusted R(2) values exceeded 0.8 for 9 out of 12 analyzed arterial branches.
- The proposed geometric parameters are efficiently obtainable.
Conclusions:
- Local geometric parameters can effectively predict WSS in carotid arteries.
- These parameters offer a cost-effective approach to identifying stroke risk phenotypes.
- This method has the potential to significantly improve early detection of individuals susceptible to stroke.
Abstract:
Stroke is among the leading causes of death and disability worldwide. Most strokes are ischemic, mostly caused by the blockage of a cerebral artery by a thrombotic embolus. Carotid atherosclerosis and the subsequent plaque rupture can be a major source of these emboli. It is well known that blood flow affects where atherosclerotic plaque will arise. In particular, vascular wall shear stress (WSS) has been linked to the initiation and progression of carotid plaque. However, it is difficult to measure WSS in vivo and it is time-consuming to compute WSS using computational fluid dynamics packages. The goals of this paper are (i) to identify a set of local geometric parameters that are correlated with WSS and (ii) to develop a regression model to predict WSS from the geometric parameters. We validated our regression model using the root mean squared error (RMSE), adjusted R(2) and Akaike information criterion (AIC). The experimental study involved six carotid arteries with the internal and external carotid arteries (ICA and ECA respectively) analyzed separately. The adjusted R(2)s for 9 of the 12 branches were higher than 0.8. Since the proposed local geometric parameters can be obtained efficiently, these parameters can potentially be used as carotid disease phenotypes that will allow for a much more cost-effective method to identify subjects with elevated stroke risk.
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