Marina Fandaros, Chloe Kwok, Zachary Wolf, Michael Shearer, Johnathan Scheiner, Yulee Li, J Jane Cao, Wei Yin
{"title":"左冠状动脉生物力学:流体结构相互作用模拟的表征研究。","authors":"Marina Fandaros, Chloe Kwok, Zachary Wolf, Michael Shearer, Johnathan Scheiner, Yulee Li, J Jane Cao, Wei Yin","doi":"10.1007/s10237-025-01974-3","DOIUrl":null,"url":null,"abstract":"<p><p>Patient-specific coronary artery biomechanics studies often have limited sample size. The goals of this study were: (1) To develop more patient-specific FSI models to expand current research effort in characterizing hemodynamic and biomechanical conditions within the coronary arteries; (2) to compare some of our model outputs, especially FSI model-generated vFFR values, to those provided by HeartFlow, to evaluate the clinical relevance of our model results. Ten healthy LCA geometries were used to develop patient-specific FSI models using COMSOL Multiphysics. The hemodynamic and biomechanical environment in the arterial wall were assessed, along the proximal, mid, and distal portions of the left anterior descending coronary artery (LAD). The FSI model-calculated vFFR was compared to the matched HeartFlow reports. All FSI models indicated healthy perfusion. There was a good agreement with the HeartFlow calculation in the proximal LAD. The FSI model results indicated that the wall stresses were below the rupture thresholds. However, variations were observed along the arterial length in the von-Mises stress and strains. The FSI models offered improved physiological relevance for LCA simulation by including a large field of view. The biomechanical parameters were minimally related to geometric features, necessitating this procedure. This FSI modeling approach presented a few limitations. More work is needed to address these limitations and improve the physiological relevance of FSI modeling, so it can serve as a non-invasive method to assess the biomechanics of the coronary arteries, to support clinician's decision making.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":"1385-1400"},"PeriodicalIF":3.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Left coronary artery biomechanics: a characterization study using fluid structure interaction simulations.\",\"authors\":\"Marina Fandaros, Chloe Kwok, Zachary Wolf, Michael Shearer, Johnathan Scheiner, Yulee Li, J Jane Cao, Wei Yin\",\"doi\":\"10.1007/s10237-025-01974-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Patient-specific coronary artery biomechanics studies often have limited sample size. The goals of this study were: (1) To develop more patient-specific FSI models to expand current research effort in characterizing hemodynamic and biomechanical conditions within the coronary arteries; (2) to compare some of our model outputs, especially FSI model-generated vFFR values, to those provided by HeartFlow, to evaluate the clinical relevance of our model results. Ten healthy LCA geometries were used to develop patient-specific FSI models using COMSOL Multiphysics. The hemodynamic and biomechanical environment in the arterial wall were assessed, along the proximal, mid, and distal portions of the left anterior descending coronary artery (LAD). The FSI model-calculated vFFR was compared to the matched HeartFlow reports. All FSI models indicated healthy perfusion. There was a good agreement with the HeartFlow calculation in the proximal LAD. The FSI model results indicated that the wall stresses were below the rupture thresholds. However, variations were observed along the arterial length in the von-Mises stress and strains. The FSI models offered improved physiological relevance for LCA simulation by including a large field of view. The biomechanical parameters were minimally related to geometric features, necessitating this procedure. This FSI modeling approach presented a few limitations. More work is needed to address these limitations and improve the physiological relevance of FSI modeling, so it can serve as a non-invasive method to assess the biomechanics of the coronary arteries, to support clinician's decision making.</p>\",\"PeriodicalId\":489,\"journal\":{\"name\":\"Biomechanics and Modeling in Mechanobiology\",\"volume\":\" \",\"pages\":\"1385-1400\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Biomechanics and Modeling in Mechanobiology\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.1007/s10237-025-01974-3\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/12 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"BIOPHYSICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biomechanics and Modeling in Mechanobiology","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1007/s10237-025-01974-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/12 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"BIOPHYSICS","Score":null,"Total":0}
Left coronary artery biomechanics: a characterization study using fluid structure interaction simulations.
Patient-specific coronary artery biomechanics studies often have limited sample size. The goals of this study were: (1) To develop more patient-specific FSI models to expand current research effort in characterizing hemodynamic and biomechanical conditions within the coronary arteries; (2) to compare some of our model outputs, especially FSI model-generated vFFR values, to those provided by HeartFlow, to evaluate the clinical relevance of our model results. Ten healthy LCA geometries were used to develop patient-specific FSI models using COMSOL Multiphysics. The hemodynamic and biomechanical environment in the arterial wall were assessed, along the proximal, mid, and distal portions of the left anterior descending coronary artery (LAD). The FSI model-calculated vFFR was compared to the matched HeartFlow reports. All FSI models indicated healthy perfusion. There was a good agreement with the HeartFlow calculation in the proximal LAD. The FSI model results indicated that the wall stresses were below the rupture thresholds. However, variations were observed along the arterial length in the von-Mises stress and strains. The FSI models offered improved physiological relevance for LCA simulation by including a large field of view. The biomechanical parameters were minimally related to geometric features, necessitating this procedure. This FSI modeling approach presented a few limitations. More work is needed to address these limitations and improve the physiological relevance of FSI modeling, so it can serve as a non-invasive method to assess the biomechanics of the coronary arteries, to support clinician's decision making.
期刊介绍:
Mechanics regulates biological processes at the molecular, cellular, tissue, organ, and organism levels. A goal of this journal is to promote basic and applied research that integrates the expanding knowledge-bases in the allied fields of biomechanics and mechanobiology. Approaches may be experimental, theoretical, or computational; they may address phenomena at the nano, micro, or macrolevels. Of particular interest are investigations that
(1) quantify the mechanical environment in which cells and matrix function in health, disease, or injury,
(2) identify and quantify mechanosensitive responses and their mechanisms,
(3) detail inter-relations between mechanics and biological processes such as growth, remodeling, adaptation, and repair, and
(4) report discoveries that advance therapeutic and diagnostic procedures.
Especially encouraged are analytical and computational models based on solid mechanics, fluid mechanics, or thermomechanics, and their interactions; also encouraged are reports of new experimental methods that expand measurement capabilities and new mathematical methods that facilitate analysis.