Yogesh Karnam, Fernando Mut, Alexander K. Yu, Boyle Cheng, Sepideh Amin-Hanjani, Fady T. Charbel, Henry H. Woo, Mika Niemelä, Riikka Tulamo, Behnam Rezai Jahromi, Juhana Frösen, Yasutaka Tobe, Anne M. Robertson, Juan R. Cebral
{"title":"Distribution of rupture sites and blebs on intracranial aneurysm walls suggests distinct rupture patterns in ACom and MCA aneurysms","authors":"Yogesh Karnam, Fernando Mut, Alexander K. Yu, Boyle Cheng, Sepideh Amin-Hanjani, Fady T. Charbel, Henry H. Woo, Mika Niemelä, Riikka Tulamo, Behnam Rezai Jahromi, Juhana Frösen, Yasutaka Tobe, Anne M. Robertson, Juan R. Cebral","doi":"10.1002/cnm.3837","DOIUrl":"10.1002/cnm.3837","url":null,"abstract":"<p>The mechanisms behind intracranial aneurysm formation and rupture are not fully understood, with factors such as location, patient demographics, and hemodynamics playing a role. Additionally, the significance of anatomical features like blebs in ruptures is debated. This highlights the necessity for comprehensive research that combines patient-specific risk factors with a detailed analysis of local hemodynamic characteristics at bleb and rupture sites. Our study analyzed 359 intracranial aneurysms from 268 patients, reconstructing patient-specific models for hemodynamic simulations based on 3D rotational angiographic images and intraoperative videos. We identified aneurysm subregions and delineated rupture sites, characterizing blebs and their regional overlap, employing statistical comparisons across demographics, and other risk factors. This work identifies patterns in aneurysm rupture sites, predominantly at the dome, with variations across patient demographics. Hypertensive and anterior communicating artery (ACom) aneurysms showed specific rupture patterns and bleb associations, indicating two pathways: high-flow in ACom with thin blebs at impingement sites and low-flow, oscillatory conditions in middle cerebral artery (MCA) aneurysms fostering thick blebs. Bleb characteristics varied with gender, age, and smoking, linking rupture risks to hemodynamic factors and patient profiles. These insights enhance understanding of the hemodynamic mechanisms leading to rupture events. This analysis elucidates the role of localized hemodynamics in intracranial aneurysm rupture, challenging the emphasis on location by revealing how flow variations influence stability and risk. We identify two pathways to wall failure—high-flow and low-flow conditions—highlighting the complexity of aneurysm behavior. Additionally, this research advances our knowledge of how inherent patient-specific characteristics impact these processes, which need further investigation.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Friederike Schäfer, Daniele E. Schiavazzi, Leif Rune Hellevik, Jacob Sturdy
{"title":"Global sensitivity analysis with multifidelity Monte Carlo and polynomial chaos expansion for vascular haemodynamics","authors":"Friederike Schäfer, Daniele E. Schiavazzi, Leif Rune Hellevik, Jacob Sturdy","doi":"10.1002/cnm.3836","DOIUrl":"10.1002/cnm.3836","url":null,"abstract":"<p>Computational models of the cardiovascular system are increasingly used for the diagnosis, treatment, and prevention of cardiovascular disease. Before being used for translational applications, the predictive abilities of these models need to be thoroughly demonstrated through verification, validation, and uncertainty quantification. When results depend on multiple uncertain inputs, sensitivity analysis is typically the first step required to separate relevant from unimportant inputs, and is key to determine an initial reduction on the problem dimensionality that will significantly affect the cost of all downstream analysis tasks. For computationally expensive models with numerous uncertain inputs, sample-based sensitivity analysis may become impractical due to the substantial number of model evaluations it typically necessitates. To overcome this limitation, we consider recently proposed Multifidelity Monte Carlo estimators for Sobol’ sensitivity indices, and demonstrate their applicability to an idealized model of the common carotid artery. Variance reduction is achieved combining a small number of three-dimensional fluid–structure interaction simulations with affordable one- and zero-dimensional reduced-order models. These multifidelity Monte Carlo estimators are compared with traditional Monte Carlo and polynomial chaos expansion estimates. Specifically, we show consistent sensitivity ranks for both bi- (1D/0D) and tri-fidelity (3D/1D/0D) estimators, and superior variance reduction compared to traditional single-fidelity Monte Carlo estimators for the same computational budget. As the computational burden of Monte Carlo estimators for Sobol’ indices is significantly affected by the problem dimensionality, polynomial chaos expansion is found to have lower computational cost for idealized models with smooth stochastic response.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of high blood flow on heat distribution and ablation zone during microwave ablation-numerical approach","authors":"Gangadhara Boregowda, Panchatcharam Mariappan","doi":"10.1002/cnm.3835","DOIUrl":"10.1002/cnm.3835","url":null,"abstract":"<p>Microwave ablation has become a viable alternative for cancer treatment for patients who cannot undergo surgery. During this procedure, a single-slot coaxial antenna is employed to effectively deliver microwave energy to the targeted tissue. The success of the treatment was measured by the amount of ablation zone created during the ablation procedure. The significantly large blood vessel placed near the antenna causes heat dissipation by convection around the blood vessel. The heat sink effect could result in insufficient ablation, raising the risk of local tumor recurrence. In this study, we investigated the heat loss due to large blood vessels and the relationship between blood velocity and temperature distribution. The hepatic artery, with a diameter of 4 mm and a height of 50 mm and two branches, is considered in the computational domain. The temperature profile, localized tissue contraction, and ablation zones were simulated for initial blood velocities 0.05, 0.1, and 0.16 m/s using the 3D Pennes bio-heat equation, temperature–time dependent model, and cell death model, respectively. Temperature-dependent blood velocity is modeled using the Navier–Stokes equation, and the fluid–solid interaction boundary is treated as a convective boundary. For discretization, we utilized <span></span><math>\u0000 <mrow>\u0000 <mi>H</mi>\u0000 <mfenced>\u0000 <mi>curl</mi>\u0000 <mi>Ω</mi>\u0000 </mfenced>\u0000 </mrow></math> elements for the wave propagation model, <span></span><math>\u0000 <mrow>\u0000 <msup>\u0000 <mi>H</mi>\u0000 <mn>1</mn>\u0000 </msup>\u0000 <mfenced>\u0000 <mi>Ω</mi>\u0000 </mfenced>\u0000 </mrow></math> elements for the Pennes bio-heat model, and <span></span><math>\u0000 <mrow>\u0000 <msup>\u0000 <mfenced>\u0000 <mrow>\u0000 <msup>\u0000 <mi>H</mi>\u0000 <mn>1</mn>\u0000 </msup>\u0000 <mfenced>\u0000 <mi>Ω</mi>\u0000 </mfenced>\u0000 </mrow>\u0000 </mfenced>\u0000 <mn>3</mn>\u0000 </msup>\u0000 <mo>×</mo>\u0000 <msubsup>\u0000 <mi>L</mi>\u0000 <mn>0</mn>\u0000 <mn>2</mn>\u0000 </msubsup>\u0000 <mfenced>\u0000 <mi>Ω</mi>\u0000 </mfenced>\u0000 </mrow></math> elements for the Navier–Stokes equation, where <span></span><math>\u0000 <mrow>\u0000 <mi>Ω</mi>\u0000 </mrow></math> represents the computational domain. The simulated results show that blood vessels and blood velocity have a significant impact on temperature distribution, tissue contraction, and the volume of the ablation zone.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul W. Sweeney, Claire Walsh, Simon Walker-Samuel, Rebecca J. Shipley
{"title":"A three-dimensional, discrete-continuum model of blood pressure in microvascular networks","authors":"Paul W. Sweeney, Claire Walsh, Simon Walker-Samuel, Rebecca J. Shipley","doi":"10.1002/cnm.3832","DOIUrl":"10.1002/cnm.3832","url":null,"abstract":"<p>We present a 3D discrete-continuum model to simulate blood pressure in large microvascular tissues in the absence of known capillary network architecture. Our hybrid approach combines a 1D Poiseuille flow description for large, discrete arteriolar and venular networks coupled to a continuum-based Darcy model, point sources of flux, for transport in the capillary bed. We evaluate our hybrid approach using a vascular network imaged from the mouse brain medulla/pons using multi-fluorescence high-resolution episcopic microscopy (MF-HREM). We use the fully-resolved vascular network to predict the hydraulic conductivity of the capillary network and generate a fully-discrete pressure solution to benchmark against. Our results demonstrate that the discrete-continuum methodology is a computationally feasible and effective tool for predicting blood pressure in real-world microvascular tissues when capillary microvessels are poorly defined.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cnm.3832","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aseem Milind Pradhan, Fernando Mut, Juan Raul Cebral
{"title":"A one-dimensional computational model for blood flow in an elastic blood vessel with a rigid catheter","authors":"Aseem Milind Pradhan, Fernando Mut, Juan Raul Cebral","doi":"10.1002/cnm.3834","DOIUrl":"10.1002/cnm.3834","url":null,"abstract":"<p>Strokes are one of the leading causes of death in the United States. Stroke treatment involves removal or dissolution of the obstruction (usually a clot) in the blocked artery by catheter insertion. A computer simulation to systematically plan such patient-specific treatments needs a network of about 10<sup>5</sup> blood vessels including collaterals. The existing computational fluid dynamic (CFD) solvers are not employed for stroke treatment planning as they are incapable of providing solutions for such big arterial trees in a reasonable amount of time. This work presents a novel one-dimensional mathematical formulation for blood flow modeling in an elastic blood vessel with a centrally placed rigid catheter. The governing equations are first-order hyperbolic partial differential equations, and the hypergeometric function needs to be computed to obtain the characteristic system of these hyperbolic equations. We employed the Discontinuous Galerkin method to solve the hyperbolic system and validated the implementation by comparing it against a well-established 3D CFD solver using idealized vessels and a realistic truncated arterial network. The results showed clinically insignificant differences in steady flow cases, with overall variations between 1D and 3D models remaining below 10%. Additionally, the solver accurately captured wave reflection phenomena at domain discontinuities in unsteady cases. A primary advantage of this model over 3D solvers is its ease in obtaining a discretized geometry of complex vasculatures with multiple arterial branches. Thus, the 1D computational model offers good accuracy and applicability in simulating complex vasculatures, demonstrating promising potential for investigating patient-specific endovascular interventions in strokes.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 7","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cnm.3834","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hybrid deep learning assisted multi classification: Grading of malignant thyroid nodules","authors":"Mayuresh Bhagavat Gulame, Vaibhav V. Dixit","doi":"10.1002/cnm.3824","DOIUrl":"10.1002/cnm.3824","url":null,"abstract":"<p>Thyroid nodules are commonly diagnosed with ultrasonography, which includes internal characteristics, varying looks, and hazy boundaries, making it challenging for a clinician to differentiate between malignant and benign forms based only on visual identification. The advancement of AI, particularly DL, provides significant breakthroughs in the domain of medical image identification. Yet, there are certain obstacles to achieving accuracy as well as efficacy in thyroid nodule detection. The thyroid nodules in this study are detected and classified using an inventive hybrid deep learning-assisted multi-classification method. The median blur method is applied in this work to eliminate the salt and pepper noise from the image. Then MPIU-Net-based segmentation is utilized to segment the image. The LGBPNP-based features are retrieved from the segmented image to obtain a single histogram sequence of the LGBP pattern in addition to other features like extraction of multi-texton and LTP-based features. After the feature extraction, the data augmentation process is applied and then the features are fed to the hybrid classification-based nodule classification model that comprises Deep Maxout and CNN, this hybrid classification trains the features and predicts the thyroid nodule. Additionally, the TIRADS score classification is used for the projected malignant thyroid nodule coupled with statistical features collected from the segmented. The DBNAAF with transfer learning model is employed to classify the grading of malignant thyroid nodules, where the weights of the model are learned with transfer learning. The MCC of the Hybrid Model is 0.9445, whereas the DCNN is 0.6858, YOLOV3-DMRF is 0.7229, CNN is 0.7780, DBN is 0.7601, Bi-GRU is 0.7038, Deep Maxout is 0.7528, and RNN is 0.8522, respectively.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 7","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radek Fučík, Jan Kovář, Kateřina Škardová, Ondřej Polívka, Radomír Chabiniok
{"title":"A lattice Boltzmann approach to mathematical modeling of myocardial perfusion","authors":"Radek Fučík, Jan Kovář, Kateřina Škardová, Ondřej Polívka, Radomír Chabiniok","doi":"10.1002/cnm.3833","DOIUrl":"10.1002/cnm.3833","url":null,"abstract":"<p>A mathematical model of myocardial perfusion based on the lattice Boltzmann method (LBM) is proposed and its applicability is investigated in both healthy and diseased cases. The myocardium is conceptualized as a porous material in which the transport and mass transfer of a contrast agent in blood flow is studied. The results of myocardial perfusion obtained using LBM in 1D and 2D are confronted with previously reported results in the literature and the results obtained using the mixed-hybrid finite element method. Since LBM is not suitable for simulating flow in heterogeneous porous media, a simplified and computationally efficient 1D-analog approach to 2D diseased case is proposed and its applicability discussed.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 7","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Observer-based control for plasma glucose regulation in type 1 diabetes mellitus patients with unknown input delay","authors":"Boubekeur Targui, Jose-Fernando Castro-Gomez, Omar Hernández-González, Guillermo Valencia-Palomo, María-Eusebia Guerrero-Sánchez","doi":"10.1002/cnm.3826","DOIUrl":"10.1002/cnm.3826","url":null,"abstract":"<p>This article introduces an observer-based control strategy tailored for regulating plasma glucose in type 1 diabetes mellitus patients, addressing challenges like unknown time-varying delays and meal disturbances. This control strategy is based on an extended Bergman minimal model, a nonlinear glucose-insulin model to encompass unknown inputs, such as unplanned meals, exercise disturbances, or delays. The primary contribution lies in the design of an observer-based state feedback control in the presence of unknown long delays, which seeks to support and enhance the performance of the traditional artificial pancreas by considering realistic scenarios. The observer and control gains for the observer-based control are computed through linear matrix inequalities formulated from Lyapunov conditions that guarantee closed-loop stability. This design deploys a soft and gentle dynamic response, similar to a natural pancreas, despite meal disturbances and input delays. Numerical tests demonstrate the scheme's effectiveness in glycemic level regulation and hypoglycemic episode avoidance.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 7","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel A. Burgos, Markus Bastir, Alejandro Pérez-Ramos, Daniel Sanz-Prieto, Yann Heuzé, Laura Maréchal, Francisco Esteban-Ortega
{"title":"Assessing nasal airway resistance and symmetry: An approach to global perspective through computational fluid dynamics","authors":"Manuel A. Burgos, Markus Bastir, Alejandro Pérez-Ramos, Daniel Sanz-Prieto, Yann Heuzé, Laura Maréchal, Francisco Esteban-Ortega","doi":"10.1002/cnm.3830","DOIUrl":"10.1002/cnm.3830","url":null,"abstract":"<p>This study aimed to explore the variability in nasal airflow patterns among different sexes and populations using computational fluid dynamics (CFD). We focused on evaluating the universality and applicability of dimensionless parameters R (bilateral nasal resistance) and ϕ (nasal flow asymmetry), initially established in a Caucasian Spanish cohort, across a broader spectrum of human populations to assess normal breathing function in healthy airways. In this retrospective study, CT scans from Cambodia (20 males, 20 females), Russia (20 males, 18 females), and Spain (19 males, 19 females) were analyzed. A standardized CFD workflow was implemented to calculate R-ϕ parameters from these scans. Statistical analyses were conducted to assess and compare these parameters across different sexes and populations, emphasizing their distribution and variances. Our results indicated no significant sex-based differences in the R parameter across the populations. However, moderate sexual dimorphism in the ϕ parameter was observed in the Cambodian group. Notably, no geographical differences were found in either R or ϕ parameters, suggesting consistent nasal airflow characteristics across the diverse human groups studied. The study also emphasized the importance of using dimensionless variables to effectively analyze the relationships between form and function in nasal airflow. The observed consistency of R-ϕ parameters across various populations highlights their potential as reliable indicators in both medical practice and further CFD research, particularly in diverse human populations. Our findings suggest the potential applicability of dimensionless CFD parameters in analyzing nasal airflow, highlighting their utility across diverse demographic and geographic contexts. This research advances our understanding of nasal airflow dynamics and underscores the need for additional studies to validate these parameters in broader population cohorts. The approach of employing dimensionless parameters paves the way for future research that eliminates confounding size effects, enabling more accurate comparisons across different populations and sexes. The implications of this study are significant for the advancement of personalized medicine and the development of diagnostic tools that accommodate individual variations in nasal airflow.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 7","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140841547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ömer Atmaca, Jan Liu, Toni J. Ly, Flakë Bajraktari, Peter P. Pott
{"title":"Spatial sensitivity distribution assessment and Monte Carlo simulations for needle-based bioimpedance imaging during venipuncture using the finite element method","authors":"Ömer Atmaca, Jan Liu, Toni J. Ly, Flakë Bajraktari, Peter P. Pott","doi":"10.1002/cnm.3831","DOIUrl":"10.1002/cnm.3831","url":null,"abstract":"<p>Despite being among the most common medical procedures, needle insertions suffer from a high error rate. Impedance measurements using electrode-equipped needles offer promise for improved tissue targeting and reduced errors. Impedance visualization usually requires an extensive pre-measured impedance dataset for tissue differentiation and knowledge of the electric fields contributing to the resulting impedances. This work presents two finite element simulation approaches for both problems. The first approach describes the generation of a multitude of impedances with Monte Carlo simulations for both, homogeneous and inhomogeneous tissue to circumvent the need to rely on previously measured data. These datasets could be used for tissue discrimination. The second method describes the simulation of the spatial sensitivity distribution of an electrode layout. Two singularity analysis methods were employed to determine the bulk of the sensitivity within a finite volume, which in turn enables consistent 3D visualization. The modeled electrode layout consists of 12 electrodes radially placed around a hypodermic needle. Electrical excitation was simulated using two neighboring electrodes for current carriage and voltage pickup, which resulted in 12 distinct bipolar excitation states. Both, the impedance simulations and the respective singularity analysis methods were compared with each other. The results show that the statistical spread of impedances is highly dependent on the tissue type and its inhomogeneities. The bounded bulk of sensitivities of both methods are of similar extent and symmetry. Future models should incorporate more detailed tissue properties such as anisotropy or changing material properties due to tissue deformation to gain more accurate predictions.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"40 7","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140841206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}