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Updated: Mar 29, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Towards personalised management of atherosclerosis via computational models in vascular clinics: technology based on
Vanessa Díaz-Zuccarini1, Giulia Di Tomaso1, Obiekezie Agu2
1UCL Mechanical Engineering , University College London , Multiscale Cardiovascular Engineering Group , Torrington Place , London , WC1E 7JE , UK.
Insights
This study introduces patient-specific computer simulations for personalized atherosclerosis healthcare. This technology aims to create in-silico management systems for better clinical support and patient outcomes.
Area of Science:
- Biomedical Engineering
- Computational Biology
- Medical Simulation
Background:
- Atherosclerosis is a leading global cause of death, presenting diverse clinical forms and imposing significant burdens on healthcare systems.
- Its multifactorial, chronic, and lifelong nature creates substantial financial and clinical pressures.
- Current healthcare approaches face challenges due to the complexity and systemic nature of the disease.
Purpose of the Study:
- To present a novel technology for personalized healthcare in atherosclerosis using patient-specific modeling.
- To explore the potential of computer simulations as in-silico management and support systems for chronic diseases.
- To demonstrate a simulation workflow and an exemplar clinical application for atherosclerosis.
Main Methods:
- Development of predictive models integrating diverse data (observations, theories, risk factors, anatomical sub-systems).
- Combination of predictive models with digital patient data and advanced visualization tools.
- Creation of a simulation workflow tailored to clinical requirements, exemplified by a vascular service unit.
Main Results:
- A simulation workflow for patient-specific modeling in atherosclerosis has been established.
- An exemplar application demonstrating the clinical utility of the developed technology is presented.
- The technology is under development by a multidisciplinary team in collaboration with a clinical vascular unit.
Conclusions:
- Patient-specific modeling and computer simulations hold significant promise for the future of personalized healthcare in managing complex diseases like atherosclerosis.
- The developed in-silico approach can potentially alleviate clinical and financial pressures on healthcare systems.
- Further development and clinical integration of this technology are ongoing to enhance patient care and management strategies.
Abstract:
The development of a new technology based on patient-specific modelling for personalised healthcare in the case of atherosclerosis is presented. Atherosclerosis is the main cause of death in the world and it has become a burden on clinical services as it manifests itself in many diverse forms, such as coronary artery disease, cerebrovascular disease/stroke and peripheral arterial disease. It is also a multifactorial, chronic and systemic process that lasts for a lifetime, putting enormous financial and clinical pressure on national health systems. In this Letter, the postulate is that the development of new technologies for healthcare using computer simulations can, in the future, be developed as in-silico management and support systems. These new technologies will be based on predictive models (including the integration of observations, theories and predictions across a range of temporal and spatial scales, scientific disciplines, key risk factors and anatomical sub-systems) combined with digital patient data and visualisation tools. Although the problem is extremely complex, a simulation workflow and an exemplar application of this type of technology for clinical use is presented, which is currently being developed by a multidisciplinary team following the requirements and constraints of the Vascular Service Unit at the University College Hospital, London.
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