A patient-specific study of blood flow in a cerebral aneurysm using medical images

Background: Cerebral aneurysm disease causes intracranial hemorrhage by rupturing, which can eventually, lead to organ failure or death. For this reason, it is important to anticipate the reasons for rupturing of a cerebral aneurysm from biomechanical point of view. Investigating this disease may ev...

Full description

Bibliographic Details
Main Authors: Reza Abdollahi, Bahman Vahidi, Mohammad Karimi
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2019-12-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/article-1-10125-en.html
_version_ 1818283058125602816
author Reza Abdollahi
Bahman Vahidi
Mohammad Karimi
author_facet Reza Abdollahi
Bahman Vahidi
Mohammad Karimi
author_sort Reza Abdollahi
collection DOAJ
description Background: Cerebral aneurysm disease causes intracranial hemorrhage by rupturing, which can eventually, lead to organ failure or death. For this reason, it is important to anticipate the reasons for rupturing of a cerebral aneurysm from biomechanical point of view. Investigating this disease may even help the physicians to find treatments and predict the patient’s situation. This research was conducted to understand risks of development and rupture of a patient-specific cerebral aneurysm. Methods: In a computational simulation, fluid-structure interaction method has been used for a patient-specific case. Also, considering the speed of the systole as the initial condition of the problem, the blood fluid domain has been solved in three types of fluid mathematical models (Newtonian, non-Newtonian Carreau, and non-Newtonian power-law). Then, the pressure results on the wall have been transmitted to ANSYS software, version 15.0 (ANSYS Inc., Canonsburg, PA, USA) and the structure has been solved based on three material models (linear elastic, hyperplastic Neo-Hookean and hyperplastic Mooney-Rivlin, with 5 parameters). The study was done in University of Tehran, Iran, from October 2016 to September 2018. Results: Shear stress, pressure, flow velocity, wall displacement and von-Mises stress have been extracted from the simulations. The average wall displacement of the aneurysm was 1.8 mm. Also, no significant difference was found in the amount of arterial wall displacement, with constant wall material model and different blood models. However, a significant difference has been observed in the case of considering constant blood model and different wall material models in the value of displacement. Conclusion: With regard to the amount of displacement of the aneurysm wall in this particular patient, with the geometry and location of the specific aneurysm, the brain nerves 3 and 6 were under stress and exposed to damage. The minimum shear stress was in the aneurysm neck, which stimulates the endothelial cells in the area of aneurysm. In addition, the blood model didn’t had a significant effect on the displacement calculations, while the wall material model played a more decisive role.
first_indexed 2024-12-13T00:30:52Z
format Article
id doaj.art-643a7a3dd9bf4fea9b38f4041f5a1eba
institution Directory Open Access Journal
issn 1683-1764
1735-7322
language fas
last_indexed 2024-12-13T00:30:52Z
publishDate 2019-12-01
publisher Tehran University of Medical Sciences
record_format Article
series Tehran University Medical Journal
spelling doaj.art-643a7a3dd9bf4fea9b38f4041f5a1eba2022-12-22T00:05:20ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222019-12-01779553560A patient-specific study of blood flow in a cerebral aneurysm using medical imagesReza Abdollahi0Bahman Vahidi1Mohammad Karimi2 Department of Life Science Engineering, Faculty of New Sciences and Technologies, University of Tehran, Tehran, Iran. Department of Biomedical Engineering, Montreal University Hospital Center (CHUM), Montreal University, Montreal, Canada. Department of Life Science Engineering, Faculty of New Sciences and Technologies, University of Tehran, Tehran, Iran. Department of Neurosurgery, Milad Hospital, Iran University of Medical Sciences, Tehran, Iran. Background: Cerebral aneurysm disease causes intracranial hemorrhage by rupturing, which can eventually, lead to organ failure or death. For this reason, it is important to anticipate the reasons for rupturing of a cerebral aneurysm from biomechanical point of view. Investigating this disease may even help the physicians to find treatments and predict the patient’s situation. This research was conducted to understand risks of development and rupture of a patient-specific cerebral aneurysm. Methods: In a computational simulation, fluid-structure interaction method has been used for a patient-specific case. Also, considering the speed of the systole as the initial condition of the problem, the blood fluid domain has been solved in three types of fluid mathematical models (Newtonian, non-Newtonian Carreau, and non-Newtonian power-law). Then, the pressure results on the wall have been transmitted to ANSYS software, version 15.0 (ANSYS Inc., Canonsburg, PA, USA) and the structure has been solved based on three material models (linear elastic, hyperplastic Neo-Hookean and hyperplastic Mooney-Rivlin, with 5 parameters). The study was done in University of Tehran, Iran, from October 2016 to September 2018. Results: Shear stress, pressure, flow velocity, wall displacement and von-Mises stress have been extracted from the simulations. The average wall displacement of the aneurysm was 1.8 mm. Also, no significant difference was found in the amount of arterial wall displacement, with constant wall material model and different blood models. However, a significant difference has been observed in the case of considering constant blood model and different wall material models in the value of displacement. Conclusion: With regard to the amount of displacement of the aneurysm wall in this particular patient, with the geometry and location of the specific aneurysm, the brain nerves 3 and 6 were under stress and exposed to damage. The minimum shear stress was in the aneurysm neck, which stimulates the endothelial cells in the area of aneurysm. In addition, the blood model didn’t had a significant effect on the displacement calculations, while the wall material model played a more decisive role.http://tumj.tums.ac.ir/article-1-10125-en.htmlcerebrovascular circulationcomputer simulationearly diagnosishemodynamicsintracranial aneurysm
spellingShingle Reza Abdollahi
Bahman Vahidi
Mohammad Karimi
A patient-specific study of blood flow in a cerebral aneurysm using medical images
Tehran University Medical Journal
cerebrovascular circulation
computer simulation
early diagnosis
hemodynamics
intracranial aneurysm
title A patient-specific study of blood flow in a cerebral aneurysm using medical images
title_full A patient-specific study of blood flow in a cerebral aneurysm using medical images
title_fullStr A patient-specific study of blood flow in a cerebral aneurysm using medical images
title_full_unstemmed A patient-specific study of blood flow in a cerebral aneurysm using medical images
title_short A patient-specific study of blood flow in a cerebral aneurysm using medical images
title_sort patient specific study of blood flow in a cerebral aneurysm using medical images
topic cerebrovascular circulation
computer simulation
early diagnosis
hemodynamics
intracranial aneurysm
url http://tumj.tums.ac.ir/article-1-10125-en.html
work_keys_str_mv AT rezaabdollahi apatientspecificstudyofbloodflowinacerebralaneurysmusingmedicalimages
AT bahmanvahidi apatientspecificstudyofbloodflowinacerebralaneurysmusingmedicalimages
AT mohammadkarimi apatientspecificstudyofbloodflowinacerebralaneurysmusingmedicalimages
AT rezaabdollahi patientspecificstudyofbloodflowinacerebralaneurysmusingmedicalimages
AT bahmanvahidi patientspecificstudyofbloodflowinacerebralaneurysmusingmedicalimages
AT mohammadkarimi patientspecificstudyofbloodflowinacerebralaneurysmusingmedicalimages