在左冠状动脉分支中基于机器学习的血液动力学参数的预测:一种CFD方法
Sara Malek1, Arshia Eskandari1, Mahkame Sharbatdar1
1Faculty of Mechanical Engineering, K. N. Toosi University of Technology, Tehran, 19991-43344, Iran.
Heliyon
|February 5, 2025
概括
机器学习模型准确地预测血液动力学参数,如冠状动脉分支中的壁剪应力,有助于评估急性冠状动脉综合征风险,以更好地管理疾病.
科学领域:
- 心血管研究研究心血管研究
- 生物医学工程 生物医学工程
- 计算流体动力学的流体动力学.
背景情况:
- 冠状动脉疾病 (CAD) 是导致死亡的主要原因,动脉样硬化斑块通常在冠状动脉分叉处形成.
- 穿皮冠状动脉干预 (PCI) 对于分叉病变具有挑战性,需要精确的血液动力学评估 (墙壁剪切应力 - WSS,振荡剪切指数 - OSI) 进行急性冠状动脉综合征 (ACS) 风险预测.
- 计算流体动力学 (CFD) 提供了洞察力,但是计算密集型的,推动了对高效机器学习 (ML) 模型的需求.
研究的目的:
- 为了研究狭窄的严重程度和位置对左冠状动脉 (LCA) 两叉血动力学的影响.
- 将ML算法与CFD模拟集成,以提高复杂血液动力学的非侵入性预测.
- 改善血液动力学参数的预测,以更好地管理CAD.
主要方法:
- 产生了6858个合成LCA几何形状的广泛数据集,其斑块严重程度和位置各不相同.
- 使用CFD模拟计算的血液动力学参数 (TAWSS和OSI).
- 训练并评估了14个ML算法用于血液动力学参数的回归分析.
主要成果:
- 决策树回归和K近邻模型显示了TAWSS和OSI的最有效的预测,与CFD结果密切匹配.
- 决策树回归器显示出高准确度 (TAWSS:R2=0.998952;OSI:R2=0.961977) 的结果.
- 这些ML模型在LCA分支中提供快速可靠的血液动力学评估.
结论:
- 将ML与CFD集成为LCA分支中的复杂血动力学的非侵入性预测提供了一种强大的方法.
- 血液动力学参数的有效预测可以帮助临床医生在时间敏感的情况下改善CAD管理.
- 建议对深度学习模型和患者特定应用进行进一步的研究.
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