An efficient procedure for the blood flow computer simulation of patient-specific aortic dissections

被引:1
|
作者
Zorrilla R. [1 ,3 ]
Soudah E. [2 ,3 ,4 ]
机构
[1] Departament d'Enginyeria Civil i Ambiental, Universitat Politècnica de Catalunya (UPC), Barcelona
[2] Departament de Resistència de Materials i Estructures a l'Enginyeria, Universitat Politècnica de Catalunya (UPC), Barcelona
[3] International Center for Numerical Methods in Engineering (CIMNE), Barcelona
[4] Departamento de Ciencia de los Materiales e Ingeniería Metalúrgica, Expresión Gráfica en la Ingeniería, Ingeniería Cartográfica, Geodésica y Fotogrametría, Ingeniería Mecánica e Ingeniería de los Procesos de Fabricación, Universidad de Valladolid (UVA), Va
关键词
Aortic dissection; Cardiovascular diseases; Computational fluid dynamics (CFD); CutFEM; Level set methods; Unfitted mesh methods;
D O I
10.1016/j.compbiomed.2024.108832
中图分类号
学科分类号
摘要
In this work we present a novel methodology for the numerical simulation of patient-specific aortic dissections. Our proposal, which targets the seamless virtual prototyping of customized scenarios, combines an innovative two-step segmentation procedure with a CutFEM technique capable of dealing with thin-walled bodies such as the intimal flap. First, we generate the fluid mesh from the outer aortic wall disregarding the intimal flap, similarly to what would be done in a healthy aorta. Second, we create a surface mesh from the approximate midline of the intimal flap. This approach allows us to decouple the segmentation of the fluid volume from that of the intimal flap, thereby bypassing the need to create a volumetric mesh around a thin-walled body, an operation widely known to be complex and error-prone. Once the two meshes are obtained, the original configuration of the dissection into true and false lumen is recovered by embedding the surface mesh into the volumetric one and calculating a level set function that implicitly represents the intimal flap in terms of the volumetric mesh entities. We then leverage the capabilities of unfitted mesh methods, specifically relying on a CutFEM technique tailored for thin-walled bodies, to impose the wall boundary conditions over the embedded intimal flap. We tested the method by simulating the flow in four patient-specific aortic dissections, all involving intricate geometrical patterns. In all cases, the preprocess is greatly simplified with no impact on the computational times. Additionally, the obtained results are consistent with clinical evidence and previous research. © 2024 The Author(s)
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