Meeting Banner
Abstract #3917

Modeling and Simulation Framework for Hemodynamic Assessment of Aortic Coarctation Patients

Kristof Ralovich1, 2, Viorel Mihalef2, Puneet Sharma2, Lucian Itu3, Dime Vitanovski2, Razvan Ionasec2, Michael Suehling2, Allen Everett4, Giacomo Pongiglione

1Computer Aided Medical Procedures, TU Munich, Munich, Germany; 2Siemens Corporate Research, Princeton, NJ, United States; 3Universitatea Transilvania, Brasov, Romania; 4Johns Hopkins University; 5Ospedale Pediatrico Bambino Gesu, Rome, Italy

We present an integrated modeling and simulation framework for hemodynamic analysis of coarctation patients (post-stenting). 3D anatomical and 2D PC-MRI images are automatically processed to obtain the patient-specific anatomy and flow measurements, which are then used for performing patient-specific Computational Fluid Dynamics (CFD) simulations. A novel coupling of axi-symmetric 1D and 3D CFD unsteady simulations provides physiological boundary conditions for the overall simulation framework. As a first validation study, we compared the simulated and PC-MRI distal aortic flow rate in six patients. The promising initial results reiterate the potential of CFD simulations to provide assessment of post operative hemodynamics.

Keywords

able accounted accurately address agreement aided allow anatomy aorta aortic arises arterial assessment automated automatic becoming best better boundary cardiac cine clinical combined come compliance compliant computational computations compute computed computing condition conditions consist construct coupled cross descending distal downstream dynamics either employ employed enabling enhanced established flow fluid framework full fused future generic geometry good gradients hard implanted important imposed improve incompressible increasingly inflow initial instrumental introduced invasive lack likely lumen manner matching measured medical minute mismatch model modeling moderate morphological much namely need neonatal network next novel obstruction operative optimal outflow outlets outside overview paper patient patients physiological physiologically physiology pipeline post potential pressure procedures profiles promising propagation propose proposed quantities recovering reiterate repair represented resistance retrieve section setup simulated simulation simulations site solution solving spatial step steps stokes structured subsequently supra surgical takes taking temporal thoracic tree turn underlines unsteady validation velocity versions vessel volumetric walls wave wherein