Personalized 0D models of normal and stenosed carotid arteries. (March 2021)

• Record Type: Journal Article
• Authors: Khan, Ayesha Saleem; Shahzad, Aamir; Zubair, Muhammad; Alvi, Abdullah; Gul, Raheem
• Is Part Of: Computer methods and programs in biomedicine. Volume 200(2021)
• Publication Date: 2021-03
• Subjects: Carotid bifurcation -- Carotid artery stenosis -- Sensitivity analysis -- Linear elastic model -- Linear viscoelastic model -- Model validation; Medicine -- Computer programs -- Periodicals; Biology -- Computer programs -- Periodicals; Computers -- Periodicals; Medicine -- Periodicals; Médecine -- Logiciels -- Périodiques; Biologie -- Logiciels -- Périodiques; Biology -- Computer programs; Medicine -- Computer programs; Periodicals; Electronic journals; 610.28
• DOI: 10.1016/j.cmpb.2020.105888
• Languages: English
• ISSNs: 0169-2607

Abstract

Highlights: 0D models for both healthy and stenosed carotid arteries are developed. Local Sensitivity analysis is applied to identify key measurable parameters. Data is collected using Doppler ultrasound. Both models are validated using flow velocities near bifurcation of carotid arteries. Good agreement is seen between model simulation and actual measurements. Abstract: Background and Objective: Recent advances in medical imaging like MRI, CT-Scan, Doppler ultrasound, etc. have made it possible to study the hemodynamics of cardiovascular system having different levels of vessel abnormalities. Methods: Within this work, we have developed two different personalized lumped-parameter models of the human carotid arteries having elastic and viscoelastic vessel wall behaviors. The data used in developing the models of the carotid arteries is taken from a healthy subject and a patient having mild carotid stenosis ( 55 % ) near a bifurcation using doppler ultrasound. The data consists measurements of blood flow velocities and geometrical parameters at selected locations. Prior to the measurements, the key measurable geometrical parameters are identified by normalized local sensitivity analysis. Results: Finally, both developed and personalized models of carotid arteries are validated against the blood flow measurements obtained near carotid bifurcation. We observe a good agreement between model simulations and blood flow measurements taken near the bifurcation i.e. ( r = 0.94 ) for the healthy subject and ( r = 0.96 ) for the patient having a stenosis near the bifurcation. Conclusions: This work provides further evidence, that the hemodynamics near a bifurcation can be modelled well with a 0D approach, even with different levels of stenosis.