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Related Experiment Video

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Paired Cisterna Magna Nanoinjection and Laser Speckle Contrast Imaging Assay to Study Cerebral Blood Flow Regulation In Vivo
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A patient-specific cerebral blood flow model.

Jasper H G Helthuis1, Tristan P C van Doormaal2, Sepideh Amin-Hanjani3

  • 1Department of Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands; Brain Technology Institute, Utrecht, the Netherlands; Department of Radiology, Medisch Spectrum Twente, Enschede, the Netherlands.

Journal of Biomechanics
|November 12, 2019
PubMed
Summary

A simplified patient-specific mathematical blood flow model shows potential for aiding clinical decisions in cerebrovascular diseases. Validation in healthy subjects indicates feasibility, though further patient studies are required.

Keywords:
Cerebral blood flowHemodynamicsModellingPatient-specificStructured tree

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Area of Science:

  • Biomedical Engineering
  • Computational Fluid Dynamics
  • Medical Imaging

Background:

  • Complex cerebrovascular diseases necessitate difficult treatment choices.
  • Patient-specific mathematical blood flow models can assist in clinical decision-making.
  • Simplified models may suffice when high accuracy is not critical.

Purpose of the Study:

  • To validate a patient-specific, simplified mathematical blood flow model.
  • To assess the model's feasibility for clinical application in cerebrovascular disease treatment planning.

Main Methods:

  • MRI and Noninvasive Optimal Vessel Analysis (NOVA) were used to obtain patient-specific vascular data.
  • A Hagen-Poiseuille based mathematical model with patient-specific boundary conditions was employed.
  • Model validation was performed on 20 healthy subjects, with autoregulatory parameters optimized using data from 10 additional subjects.

Main Results:

  • A median percentual flow difference of -3% (IQR -36% to 17%) was observed.
  • Regression analysis yielded R² values of 0.71 for absolute flow.
  • Bland-Altman analysis indicated a bias of 5% (-70% to 80%) for absolute flow.

Conclusions:

  • The validated simplified model demonstrates accuracy potentially suitable for clinical use.
  • Model simplifications and validation limitations necessitate further studies in actual patient populations.
  • The model shows promise for aiding treatment decisions in complex cerebrovascular cases.