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Updated: Jan 2, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
An algorithm for coupling multibranch in vitro experiment to numerical physiology simulation for a hybrid
Ehsan Mirzaei1, Masoud Farahmand1, Ethan Kung1,2
1Department of Mechanical Engineering, Clemson University, Clemson, South Carolina, USA.
A new algorithm couples in vitro experiments with computational cardiovascular models for medical device testing. This hybrid approach accurately simulates closed-loop physiology, enhancing device evaluation in complex scenarios.
Area of Science:
- Biomedical Engineering
- Computational Physiology
- Medical Device Testing
Background:
- Hybrid cardiovascular modeling integrates physical experiments with computational simulations.
- Accurate coupling between in vitro and computational domains is crucial for dynamic interaction analysis.
- Existing methods face challenges in integrating multi-branched in vitro setups with complex physiological models.
Purpose of the Study:
- To develop and validate an iterative algorithm for coupling multi-branched in vitro experiments with lumped-parameter cardiovascular simulations.
- To enable direct physical testing of medical devices within a closed-loop physiological context.
- To assess the accuracy and robustness of the developed coupling algorithm.
Main Methods:
- Developed an iterative algorithm using Broyden's approach to identify unique flow waveform solutions for each branch.
- Utilized mathematical surrogates of in vitro experiments for algorithm testing and validation against known "true solutions".
- Coupled surrogates to a lumped-parameter model of a Fontan patient's physiology across five distinct scenarios.
- Introduced random noise to surrogate models to emulate realistic experimental conditions and assess algorithm robustness.
Main Results:
- The algorithm successfully identified accurate flow waveforms in all tested scenarios, closely matching true solutions.
- Convergence was achieved in under 130 iterations across all test cases.
- The coupling algorithm maintained high accuracy even when noise was added to the surrogate models, with convergence tolerance below noise magnitude.
- Demonstrated real-world applicability by coupling a physical experiment to a computational model.
Conclusions:
- The developed iterative algorithm effectively couples multi-branched in vitro experiments with lumped-parameter cardiovascular models.
- This hybrid approach provides a validated and accurate method for testing medical devices in a simulated closed-loop physiological environment.
- The algorithm's robustness to noise and high accuracy demonstrate its potential for advancing cardiovascular research and medical device development.
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