Blood flow simulations with application to cerebral aneurysms

Author(s):  
Simon Wolfgang Funke ◽  
Magne Nordaas ◽  
Øyvind Evju ◽  
Martin Sandve Alnaes ◽  
Kent Andre Mardal

Fluids ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 11
Author(s):  
Magnus Andersson ◽  
Matts Karlsson

Model verification, validation, and uncertainty quantification are essential procedures to estimate errors within cardiovascular flow modeling, where acceptable confidence levels are needed for clinical reliability. While more turbulent-like studies are frequently observed within the biofluid community, practical modeling guidelines are scarce. Verification procedures determine the agreement between the conceptual model and its numerical solution by comparing for example, discretization and phase-averaging-related errors of specific output parameters. This computational fluid dynamics (CFD) study presents a comprehensive and practical verification approach for pulsatile turbulent-like blood flow predictions by considering the amplitude and shape of the turbulence-related tensor field using anisotropic invariant mapping. These procedures were demonstrated by investigating the Reynolds stress tensor characteristics in a patient-specific aortic coarctation model, focusing on modeling-related errors associated with the spatiotemporal resolution and phase-averaging sampling size. Findings in this work suggest that attention should also be put on reducing phase-averaging related errors, as these could easily outweigh the errors associated with the spatiotemporal resolution when including too few cardiac cycles. Also, substantially more cycles are likely needed than typically reported for these flow regimes to sufficiently converge the phase-instant tensor characteristics. Here, higher degrees of active fluctuating directions, especially of lower amplitudes, appeared to be the most sensitive turbulence characteristics.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Kunyang Bao ◽  
Chao Liu ◽  
Jin Li ◽  
Xiang Liu ◽  
Wenzhang Luo ◽  
...  

In order to analyze the change characteristics of blood flow field in cerebral aneurysms before and after stent implantation, this study first constructed an optimized iterative reconstruction algorithm to reconstruct CT images of patients with cerebral aneurysms and used it to solve the problem of image sharpness. In addition, backprojection image reconstruction algorithm and Fourier transform analytic method were introduced. According to the CT images of cerebral arteries of patients, the lesions were presented in a three-dimensional and visual way through the reconstructed three-dimensional images, thus achieving the effects of simulation and simulation. The results showed that the sensitivity, specificity, and accuracy of the optimized iterative reconstruction algorithm were 90.78%, 83.27%, and 94.82%, which were significantly higher than those of the backprojection image reconstruction algorithm and Fourier transform analysis method, and the difference was statistically significant ( P < 0.05 ). Before operation, the blood flow velocity in the neck of aneurysm was 7.35 × 10−2 m/s, the exit velocity was 1.51 × 10−1 m/s, and the maximum velocity appeared in the upstream part of the exit. After passing through the aneurysm, the blood flow velocity began to decrease gradually, forming a vortex at the top of the tumor. After stent implantation, the neck and outlet velocities of cerebral aneurysm were 9.352 × 10−2 m/s and 1.897 × 10−2 m/s, respectively. The velocity of blood flow decreased after entering the aneurysm, and there was no vortex at the top of the aneurysm. Among the outlet velocities of arterial blood vessels, the velocity before stent implantation was significantly lower than that after stent implantation, and the difference was statistically significant ( P < 0.05 ). Compared with prestent, the shear force distribution on the wall of cerebral aneurysm showed a significant decrease, and the difference was statistically significant ( P < 0.05 ). To sum up, pelvic floor ultrasound based on hybrid iterative reconstruction algorithm has high accuracy in diagnosing the changes of blood flow field in cerebral aneurysms. The application of CT images in the diagnosis of cerebral aneurysms can objectively provide imaging data for clinical practice and has high application value.


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