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Search Results (17)
  • Open Access

    ARTICLE

    Use of Patient-Specific “4D” Tele-Education to Enhance Actual and Perceived Knowledge in Congenital Heart Disease (CHD) Patients

    Molly Clarke1,*, Karin Hamann2, Nancy Klein2, Laura Olivieri3, Yue-Hin Loke2

    Congenital Heart Disease, Vol.19, No.1, pp. 5-17, 2024, DOI:10.32604/chd.2024.046328

    Abstract Background: Patients with congenital heart disease (CHD) will transition to lifelong adult congenital cardiac care. However, their structural heart disease is challenging to convey via two-dimensional drawings. This study utilized a tele-educational environment, with personalized three-dimensional (3D) modeling and health Details (3D + Details = “4D”), to improve actual and perceived knowledge, both important components of transition readiness in CHD patients. Methods: Participants aged ≥13 years with a history of CHD and cardiac magnetic resonance imaging (MRI) studies were eligible. Cardiac MRI datasets were then used to segment and create 3D heart models (using Mimics, Materialize Inc.). Participants first completed… More >

  • Open Access

    ARTICLE

    Study of Effect of Boundary Conditions on Patient-Specific Aortic Hemodynamics

    Qingzhuo Chi1, Huimin Chen1, Shiqi Yang1, Lizhong Mu1,*, Changjin Ji2, Ying He1, Yong Luan3

    CMES-Computer Modeling in Engineering & Sciences, Vol.131, No.1, pp. 31-47, 2022, DOI:10.32604/cmes.2022.018286

    Abstract Cardiovascular computational fluid dynamics (CFD) based on patient-specific modeling is increasingly used to predict changes in hemodynamic parameters before or after surgery/interventional treatment for aortic dissection (AD). This study investigated the effects of flow boundary conditions (BCs) on patient-specific aortic hemodynamics. We compared the changes in hemodynamic parameters in a type A dissection model and normal aortic model under different BCs: inflow from the auxiliary and truncated structures at aortic valve, pressure control and Windkessel model outflow conditions, and steady and unsteady inflow conditions. The auxiliary entrance remarkably enhanced the physiological authenticity of numerical simulations of flow in the ascending… More >

  • Open Access

    ARTICLE

    Effect of Patient-Specific Aorta Wall Properties on Hemodynamic Parameters

    Mohamad Shukri Zakaria1,*, Haslina Abdullah2, Azmi Nordin1, Syazwati Ahmad Zaki1

    FDMP-Fluid Dynamics & Materials Processing, Vol.17, No.1, pp. 171-179, 2021, DOI:10.32604/fdmp.2021.010974

    Abstract This study deals with the interaction of blood flow with the wall aorta, i.e., the boundary of the main artery that transports blood in the human body. The problem is addressed in the framework of computational fluid dynamics complemented with (FSI), i.e., a fluid-structure interaction model. Two fundamental types of wall are considered, namely a flexible and a rigid boundary. The resulting hemodynamic flows are carefully compared in order to determine which boundary condition is more effective in reproducing reality. Special attention is paid to wall shear stress (WSS), a factor known for its ability to produce atherosclerosis and bulges.… More >

  • Open Access

    ARTICLE

    A Patient-Specific Computational Fluid Dynamic Model of Middle Cerebral Artery Aneurysm Before and One Year After Surgery

    Shicheng He1, Juhui Qiu1, Wanling Liu1, Tieying Yin1, Dechuan Zhang2,*, Donghua Liao3,4, Haijun Zhang5, Yuxia Yin5, Guixue Wang1,*

    Molecular & Cellular Biomechanics, Vol.17, No.2, pp. 63-74, 2020, DOI:10.32604/mcb.2020.08750

    Abstract Computational fluid dynamics (CFD) has been widely used for studying intracranial aneurysm hemodynamics, while its use for guiding clinical strategy is still in development. In this study, CFD simulations helped inform treatment decision for a middle cerebral artery (MCA) aneurysm case was investigated. A patient with a 10.4 × 9.8 mm aneurysm attached with a small aneurysm at the edge of the trifurcation in the left MCA was included in this study. For removing the MCA aneurysm, two scenarios were considered: Plan-A involved clipping the small aneurysm and Plan-B involved clipping the whole aneurysm. A suitable treatment plan was decided… More >

  • Open Access

    ABSTRACT

    Comparisons of Patient-specific Active and Passive Models for Left Ventricle in Hypertrophic Obstructive Cardiomyopathy

    Xueying Huang1,*, Long Deng2, Chun Yang3, Mary Lesperance4, Dalin Tang5

    Molecular & Cellular Biomechanics, Vol.16, Suppl.2, pp. 58-58, 2019, DOI:10.32604/mcb.2019.06969

    Abstract Hypertrophic cardiomyopathy (HCM) occurs in about 1 of every 500 adults in the general population. It has been reported that left ventricular outflow tract obstruction (LVOTO) is observed in 70% patients with HCM. Systolic anterior motion (SAM) of the mitral valve (MV) is the dominant cause of dynamic outflow tract obstruction in most patients with hypertrophic obstructive cardiomyopathy (HOCM). Currently, the hemodynamic mechanisms of SAM remain unclear. In this study, we developed 12 active and corresponding passive models based on 6 patients’ pre- and post-operative ECG-gated cardiac CT images of patients’ LV at the pre-SAM time point (5% RR interval).… More >

  • Open Access

    ABSTRACT

    Patient-Specific Computational Approach for Trans Catheter Aortic Valve Replacement (TAVR): Pre-Procedural Planning for Enhancing Performance and Clinical Outcomes

    Ram P. Ghosh1, Matteo Bianchi1, Gil Marom2, Oren M. Rotman1, Brandon Kovarovic1, Danny Bluestein1,*

    Molecular & Cellular Biomechanics, Vol.16, Suppl.2, pp. 12-14, 2019, DOI:10.32604/mcb.2019.07379

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

    Using 3D Thin-Layer Model with in Vivo Patient-Specific Vessel Material Properties to Assesse Carotid Atherosclerotic Plaque Vulnerability

    Qingyu Wang1, Dalin Tang1,2,*, Gador Canton3, Zheyang Wu2, Thomas S. Hatsukami4, Kristen L Billiar5, Chun Yuan6

    Molecular & Cellular Biomechanics, Vol.16, Suppl.1, pp. 81-82, 2019, DOI:10.32604/mcb.2019.05748

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

    Predicting Plaque Progression Using Patient-Specific Fluid-Structure-Interaction Models Based on IVUS and OCT Images with Follow-Up

    Xiaoya Guo1, Dalin Tang1,2,*, David Molony3, Chun Yang2, Habib Samady3, Jie Zheng4, Gary S. Mintz5, Akiko Maehara5, Jian Zhu6, Genshan Ma6, Mitsuaki Matsumura5, Don P. Giddens3,7

    Molecular & Cellular Biomechanics, Vol.16, Suppl.1, pp. 75-76, 2019, DOI:10.32604/mcb.2019.05743

    Abstract Atherosclerotic plaque progression is generally considered to be closely associated with morphological and mechanical factors. Plaque morphological information on intravascular ultrasound (IVUS) and optical coherence tomography (OCT) images could complement each other and provide for more accurate plaque morphology. Fluid-structure interaction (FSI) models combining IVUS and OCT were constructed to obtain accurate plaque stress/strain and flow shear stress data for analysis. Accuracy and completeness of imaging and advanced modeling lead to accurate plaque progression predictions.
    In vivo IVUS and OCT coronary plaque data at baseline and follow-up were acquired from left circumflex coronary and right coronary artery of one… More >

  • Open Access

    ABSTRACT

    Numerical Investigation of the Hemodynamic Environment Change in Patient-Specific Intracranial Aneurysm with Progressive Stenosis in Unilateral Internal Carotid Artery

    Guangyu Zhu1, Yuan Wei1, Qi Yuan1,*, Ge Yan2, Jian Yang2

    Molecular & Cellular Biomechanics, Vol.16, Suppl.1, pp. 55-56, 2019, DOI:10.32604/mcb.2019.05730

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Influence of Clip Locations on Intraaneurysmal Flow Dynamics in Patient-specific Anterior Communicating Aneurysm Models with Different Aneurysmal Angle

    Lizhong Mu1, *, Qingzhuo Chi1, Changjin Ji2, Ying He1, Ge Gao3

    CMES-Computer Modeling in Engineering & Sciences, Vol.116, No.2, pp. 175-197, 2018, DOI:10.31614/cmes.2018.04191

    Abstract To improve aneurysm treatment, this study examined the influence of clip locations on hemodynamic factors in patient-specific anterior communicating artery (ACoA) aneurysms with different aneurysmal angle. We proposed a simplified classification of ACoA aneurysms using aneurysmal angle, defined by the angle of pivot of the aneurysmal dome and the virtual two-dimensional plane created by both proximal A2 segments of anterior cerebral artery (ACA). ACoA aneurysms with three different aneurysmal angles, which are 15°, 80° and 120°, were analyzed in our study. In this work, we obtained hemodynamics before and after clipping surgery with three clip locations based on clinical clipping… More >

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