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Updated: May 12, 2026

Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
13:07

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Published on: January 15, 2022

Predicting Atherosclerosis in Unruptured MCA Aneurysm with Computational Fluid Dynamics Study.

Brajesh Kumar1, Niraj Kanaujia1, Zeenat S Imam2

  • 1Department of Neurosurgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Asian Journal of Neurosurgery
|May 11, 2026
PubMed
Summary

Computational fluid dynamics (CFD) can predict atherosclerotic changes in middle cerebral artery (MCA) aneurysms by analyzing wall pressure and shear stress. This study correlated CFD findings with intraoperative observations, suggesting CFD

Keywords:
CFDMCAaneurysmatherosclerosis

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Area of Science:

  • Medical Imaging
  • Computational Fluid Dynamics
  • Vascular Surgery

Background:

  • Atherosclerotic changes in middle cerebral artery (MCA) aneurysms pose risks of emboli and distal arterial occlusion.
  • Computational fluid dynamics (CFD) is being explored as a diagnostic tool for aneurysm hemodynamics.
  • Predicting atherosclerotic changes in MCA bifurcation aneurysms is crucial for surgical planning.

Purpose of the Study:

  • To evaluate CFD as a tool for predicting atherosclerotic changes in unruptured MCA bifurcation aneurysms.
  • To correlate CFD findings with intraoperative microscopic observations of MCA aneurysms.
  • To investigate the relationship between CFD-derived hemodynamic parameters and atherosclerosis in MCA aneurysms.

Main Methods:

  • Retrospective review of intraoperative video recordings of MCA bifurcation aneurysms (September 2014 - May 2017).
  • Analysis of MCA bifurcation aneurysms with atherosclerotic changes using CFD, examining wall pressure, wall shear stress (magnitude and vectors), and flow patterns.
  • Correlation of CFD findings with intraoperative observations in patients who underwent open surgery.

Main Results:

  • Decreased wall pressure observed in atherosclerotic segments of MCA aneurysms.
  • Low shear stress magnitude and divergent shear stress vectors identified in atherosclerotic segments.
  • Four cases demonstrated moderately decreased wall pressure and decreased wall shear stress magnitude in atherosclerotic areas.

Conclusions:

  • CFD shows potential in identifying hemodynamic changes associated with atherosclerosis in MCA aneurysms.
  • Findings suggest a correlation between decreased wall pressure and low shear stress with atherosclerotic changes.
  • Larger, multicentric studies are needed to establish statistical significance and validate CFD's predictive capabilities for MCA aneurysm atherosclerosis.