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  • Open Access

    ARTICLE

    Cyclic Bending Contributes to High Stress in a Human Coronary Atherosclerotic Plaque and Rupture Risk: In Vitro Experimental Modeling and Ex Vivo MRI-Based Computational Modeling Approach

    Chun Yang∗,†, Dalin Tang∗,‡, Shunichi Kobayashi§, Jie Zheng, Pamela K. Woodard§, Zhongzhao Teng*, Richard Bach||, David N. Ku∗∗

    Molecular & Cellular Biomechanics, Vol.5, No.4, pp. 259-274, 2008, DOI:10.3970/mcb.2008.005.259

    Abstract Many acute cardiovascular syndromes such as heart attack and stroke are caused by atherosclerotic plaque ruptures which often happen without warning. MRI-based models with fluid-structure interactions (FSI) have been introduced to perform flow and stress/strain analysis for atherosclerotic plaques and identify possible mechanical and morphological indices for accurate plaque vulnerability assessment. In this paper, cyclic bending was added to 3D FSI coronary plaque models for more accurate mechanical predictions. Curvature variation was prescribed using the data of a human left anterior descending (LAD) coronary artery. Five computational models were constructed based on ex vivo MRI… More >

  • Open Access

    ARTICLE

    Meshless Generalized Finite Difference Method and Human Carotid Atherosclerotic Plaque Progression Simulation Using Multi-Year MRI Patient-Tracking Data

    Chun Yang1, Dalin Tang2, Chun Yuan3, William Kerwin2, Fei Liu3, Gador Canton3, Thomas S. Hatsukami3,4, Satya Atluri5

    CMES-Computer Modeling in Engineering & Sciences, Vol.28, No.2, pp. 95-108, 2008, DOI:10.3970/cmes.2008.028.095

    Abstract Atherosclerotic plaque rupture and progression have been the focus of intensive investigations in recent years. Plaque rupture is closely related to most severe cardiovascular syndromes such as heart attack and stroke. A computational procedure based on meshless generalized finite difference (MGFD) method and serial magnetic resonance imaging (MRI) data was introduced to quantify patient-specific carotid atherosclerotic plaque growth functions and simulate plaque progression. Participating patients were scanned three times (T1,T2, and T3, at intervals of about 18 months) to obtain plaque progression data. Vessel wall thickness (WT) changes were used as the measure for plaque progression.… More >

  • Open Access

    ARTICLE

    Experience improves staging accuracy of endorectal magnetic resonance imaging in prostate cancer: what is the learning curve?

    Kalyan C. Latchamsetty, Lester S. Borden, Jr, Christopher R. Porter, Marc Lacrampe, Matthew Vaughan, Eugene Lin, Neal Conti, Jonathan L. Wright, John M. Corman

    Canadian Journal of Urology, Vol.14, No.1, pp. 3429-3434, 2007

    Abstract Introduction: Accurate clinical staging is critical in guiding treatment for patients with prostate adenocarcinoma. Endorectal magnetic resonance imaging (MRI) has been advocated to improve staging accuracy. In order to assess the learning curve for endorectal MRI interpretation, we compared two cohorts of patients with high-risk prostate who underwent endorectal MRI at a center with limited prior exposure to this imaging modality.
    Materials and methods: Data for all patients who received a preoperative endorectal MRI followed by radical prostatectomy were prospectively collected. MRI was performed in patients with a high level of suspicion for extracapsular disease based on… More >

  • Open Access

    ABSTRACT

    A Meshless Regularized Integral Equation Method (MRIEM) for Laplace Equation in Arbitrary Interior or Exterior Plane Domains

    Chein-Shan Liu1

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.3, No.2, pp. 57-68, 2007, DOI:10.3970/icces.2007.003.057

    Abstract A new method is developed to solve the interior and exterior Dirichlet problems for the two-dimensional Laplace equation, namely the meshless regularized integral equation method (MRIEM), which consists of three parts: Fourier series expansion, the second kind Fredholm integral equation and an analytically regularized solution of the unknown boundary condition on an artificial circle. We find that the new method is powerful even for the problem with very complex boundary shape and with boundary noise. More >

  • Open Access

    ARTICLE

    Two-Layer Passive/Active Anisotropic FSI Models with Fiber Orientation: MRI-Based Patient-Specific Modeling of Right Ventricular Response to Pulmonary Valve Insertion Surgery

    Dalin Tang*, Chun Yang, Tal Geva‡,§, Pedro J. del Nido

    Molecular & Cellular Biomechanics, Vol.4, No.3, pp. 159-176, 2007, DOI:10.3970/mcb.2007.004.159

    Abstract A single-layer isotropic patient-specific right/left ventricle and patch (RV/LV/Patch) combination model with fluid-structure interactions (FSI) was introduced in our previous papers to evaluate and optimize human pulmonary valve replacement/insertion (PVR) surgical procedure and patch design. In this paper, an active anisotropic model with two-layer structure for ventricle wall and tissue fiber orientation was introduced to improve previous isotropic model for more accurate assessment of RV function and potential application in PVR surgery and patch design. A material-stiffening approach was used to model active heart contraction. The computational models were used to conduct ``virtual (computational)'' surgeries More >

  • Open Access

    ARTICLE

    In Vivo/Ex Vivo MRI-Based 3D Non-Newtonian FSI Models for Human Atherosclerotic Plaques Compared with Fluid/Wall-Only Models

    Chun Yang1, Dalin Tang2, Chun Yuan3, Thomas S. Hatsukami4, Jie Zheng5, Pamela K. Woodard5

    CMES-Computer Modeling in Engineering & Sciences, Vol.19, No.3, pp. 233-246, 2007, DOI:10.3970/cmes.2007.019.233

    Abstract It has been recognized that fluid-structure interactions (FSI) play an important role in cardiovascular disease initiation and development. However, in vivo MRI multi-component FSI models for human carotid atherosclerotic plaques with bifurcation and quantitative comparisons of FSI models with fluid-only or structure-only models are currently lacking in the literature. A 3D non-Newtonian multi-component FSI model based on in vivo/ex vivo MRI images for human atherosclerotic plaques was introduced to investigate flow and plaque stress/strain behaviors which may be related to plaque progression and rupture. Both artery wall and plaque components were assumed to be hyperelastic,… More >

  • Open Access

    ARTICLE

    A MRIEM for Solving the Laplace Equation in the Doubly-Connected Domain

    Chein-Shan Liu1

    CMES-Computer Modeling in Engineering & Sciences, Vol.19, No.2, pp. 145-162, 2007, DOI:10.3970/cmes.2007.019.145

    Abstract A new method is developed to solve the Dirichlet problems for the two-dimensional Laplace equation in the doubly-connected domains, namely the meshless regularized integral equations method (MRIEM), which consists of three portions: Fourier series expansion, the Fredholm integral equations, and linear equations to determine the unknown boundary conditions onartificial circles. The boundary integral equations on artificial circles are singular-free and the kernels are degenerate. When boundary-type methods are inefficient to treat the problems with complicated domains, the new method can be applicable for such problems. The new method by using the Fourier series and the Fourier coefficients More >

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