Suqin Huang , Bao Li , Jincheng Liu , Liyuan Zhang , Hao Sun , Huanmei Guo , Yanping Zhang , Fuyou Liang , Yanjun Gong , Youjun Liu
{"title":"威利斯圈结构对脑过度灌注影响的定量评估多尺度模型分析","authors":"Suqin Huang , Bao Li , Jincheng Liu , Liyuan Zhang , Hao Sun , Huanmei Guo , Yanping Zhang , Fuyou Liang , Yanjun Gong , Youjun Liu","doi":"10.1016/j.bbe.2024.08.005","DOIUrl":null,"url":null,"abstract":"<div><p>Cerebral hyperperfusion occurs in some patients after superficial temporal artery–middle cerebral artery bypass surgery. However, there is uncertainty about cerebral hyperperfusion after bypass for patients with different Circle of Willis (CoW) structures.</p><p>This study established a lumped parameter model coupled with one–dimensional model (0–1D), whilst a deep learning model for predicting pressure drop (DLM–PD) caused by stenosis and a cerebral autoregulation model (CAM) were introduced into the model. Based on this model, 9 CoW structural models before and after bypass was constructed, to investigate the effects of different CoW structures on cerebral hyperperfusion after bypass. The model and the results were further verified by clinical data.</p><p>The MSE of mean flow rates from 0–1D model calculation and from clinically measurement was 1.4%. The patients exhibited hyperperfusion in three CoW structures after bypass: missing right anterior segment of anterior cerebral artery (mRACA1) (13.96% hyperperfusion), mRACA1 and foetal-type right anterior segment of posterior cerebral artery (12.81%), and missing anterior communicating artery and missing left posterior communicating artery (112.41%). The error between the average flow ratio from the model calculations and fromclinical measurement was less than 5%.</p><p>This study demonstrated that the CoW structure had a significant impact on hyperperfusion after bypass. The general 0–1D model coupled with DLM–PD and CAM proposed in this study, could accurately simulate the hemodynamic environment of different CoW structures before and after bypass, which might help physicians identify high–risk patients with hyperperfusion before surgery, and promote the development of non-invasive diagnosis and treatment of cerebrovascular diseases.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 4","pages":"Pages 782-793"},"PeriodicalIF":5.3000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Quantitative evaluation of the effect of circle of willis structures on cerebral hyperperfusion: A multi-scale model analysis\",\"authors\":\"Suqin Huang , Bao Li , Jincheng Liu , Liyuan Zhang , Hao Sun , Huanmei Guo , Yanping Zhang , Fuyou Liang , Yanjun Gong , Youjun Liu\",\"doi\":\"10.1016/j.bbe.2024.08.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Cerebral hyperperfusion occurs in some patients after superficial temporal artery–middle cerebral artery bypass surgery. However, there is uncertainty about cerebral hyperperfusion after bypass for patients with different Circle of Willis (CoW) structures.</p><p>This study established a lumped parameter model coupled with one–dimensional model (0–1D), whilst a deep learning model for predicting pressure drop (DLM–PD) caused by stenosis and a cerebral autoregulation model (CAM) were introduced into the model. Based on this model, 9 CoW structural models before and after bypass was constructed, to investigate the effects of different CoW structures on cerebral hyperperfusion after bypass. The model and the results were further verified by clinical data.</p><p>The MSE of mean flow rates from 0–1D model calculation and from clinically measurement was 1.4%. The patients exhibited hyperperfusion in three CoW structures after bypass: missing right anterior segment of anterior cerebral artery (mRACA1) (13.96% hyperperfusion), mRACA1 and foetal-type right anterior segment of posterior cerebral artery (12.81%), and missing anterior communicating artery and missing left posterior communicating artery (112.41%). The error between the average flow ratio from the model calculations and fromclinical measurement was less than 5%.</p><p>This study demonstrated that the CoW structure had a significant impact on hyperperfusion after bypass. The general 0–1D model coupled with DLM–PD and CAM proposed in this study, could accurately simulate the hemodynamic environment of different CoW structures before and after bypass, which might help physicians identify high–risk patients with hyperperfusion before surgery, and promote the development of non-invasive diagnosis and treatment of cerebrovascular diseases.</p></div>\",\"PeriodicalId\":55381,\"journal\":{\"name\":\"Biocybernetics and Biomedical Engineering\",\"volume\":\"44 4\",\"pages\":\"Pages 782-793\"},\"PeriodicalIF\":5.3000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Biocybernetics and Biomedical Engineering\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0208521624000573\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biocybernetics and Biomedical Engineering","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0208521624000573","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
Quantitative evaluation of the effect of circle of willis structures on cerebral hyperperfusion: A multi-scale model analysis
Cerebral hyperperfusion occurs in some patients after superficial temporal artery–middle cerebral artery bypass surgery. However, there is uncertainty about cerebral hyperperfusion after bypass for patients with different Circle of Willis (CoW) structures.
This study established a lumped parameter model coupled with one–dimensional model (0–1D), whilst a deep learning model for predicting pressure drop (DLM–PD) caused by stenosis and a cerebral autoregulation model (CAM) were introduced into the model. Based on this model, 9 CoW structural models before and after bypass was constructed, to investigate the effects of different CoW structures on cerebral hyperperfusion after bypass. The model and the results were further verified by clinical data.
The MSE of mean flow rates from 0–1D model calculation and from clinically measurement was 1.4%. The patients exhibited hyperperfusion in three CoW structures after bypass: missing right anterior segment of anterior cerebral artery (mRACA1) (13.96% hyperperfusion), mRACA1 and foetal-type right anterior segment of posterior cerebral artery (12.81%), and missing anterior communicating artery and missing left posterior communicating artery (112.41%). The error between the average flow ratio from the model calculations and fromclinical measurement was less than 5%.
This study demonstrated that the CoW structure had a significant impact on hyperperfusion after bypass. The general 0–1D model coupled with DLM–PD and CAM proposed in this study, could accurately simulate the hemodynamic environment of different CoW structures before and after bypass, which might help physicians identify high–risk patients with hyperperfusion before surgery, and promote the development of non-invasive diagnosis and treatment of cerebrovascular diseases.
期刊介绍:
Biocybernetics and Biomedical Engineering is a quarterly journal, founded in 1981, devoted to publishing the results of original, innovative and creative research investigations in the field of Biocybernetics and biomedical engineering, which bridges mathematical, physical, chemical and engineering methods and technology to analyse physiological processes in living organisms as well as to develop methods, devices and systems used in biology and medicine, mainly in medical diagnosis, monitoring systems and therapy. The Journal''s mission is to advance scientific discovery into new or improved standards of care, and promotion a wide-ranging exchange between science and its application to humans.