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Multicompartment Darcy Flow Model With Patient-Specific Parameterization: Effect of Heterogeneity and Anisotropy in
Namshad Thekkethil1, Hao Gao1, Nicholas A Hill1
1School of Mathematics and Statistics, University of Glasgow, Glasgow, UK.
Insights
This study introduces a new computational model for cardiac blood flow, improving accuracy in predicting perfusion deficits. The advanced heterogeneous anisotropic model enhances patient-specific cardiac simulations and clinical insights.
Area of Science:
- Computational modeling
- Biomedical engineering
- Cardiovascular science
Background:
- Cardiac perfusion deficits are a major cause of heart disease.
- Current homogeneous models lack patient-specific complexity.
- Accurate modeling aids in understanding and treating cardiac conditions.
Purpose of the Study:
- To develop a computational framework for modeling cardiac perfusion.
- To incorporate heterogeneous anisotropic flow and vessel mechanics.
- To enable patient-specific cardiac simulations.
Main Methods:
- Developed a multicompartment Darcy flow model.
- Incorporated nonlinear vessel deformation and poroelasticity.
- Used realistic vascular data for parameter derivation.
Main Results:
- The heterogeneous anisotropic model accurately predicts perfusion.
- It captures spatial heterogeneity and permeability transitions.
- The model successfully simulates patient-specific conditions like blockages.
Conclusions:
- The proposed model offers superior accuracy over homogeneous models.
- It provides valuable insights for personalized cardiac medicine.
- This framework has potential for clinical applications in diagnosing and managing heart disease.
Abstract:
Blood perfusion in cardiac tissues involves intricate interactions among vascular networks and tissue mechanics. Perfusion deficit is one of the leading causes of cardiac diseases, and modeling certain cardiac conditions that are clinically infeasible, invasive, or costly can provide valuable supplementary insights to aid clinicians. However, existing homogeneous perfusion models lack the complexity required for patient-specific simulations. In this study, we develop a computational framework for modeling perfusion using a multicompartment Darcy flow model with heterogeneous anisotropic perfusion that incorporates the nonlinear deformation and compliance of blood vessels with poroelastic parameters derived from realistic vascular data. Through numerical simulations and a comparison of pore pressure results obtained from the proposed model and the Poiseuille flow approach in a benchmark problem, we demonstrate that the heterogeneous anisotropic model outperforms homogeneous models in predicting perfusion, particularly by accurately capturing the spatial heterogeneity of the poroelastic parameters and the permeability transitions from large vessels to microvessels. Additionally, the proposed model successfully simulates patient-specific conditions, such as vessel blockages, highlighting its potential for personalized medical applications.
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