Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methods

Simulations of cardiac electrophysiology and mechanics have been reported to be sensitive to the microstructural anisotropy of the myocardium. Consequently, a personalized representation of cardiac microstructure is a crucial component of accurate, personalized cardiac biomechanical models. In-vivo...

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Main Authors: Johanna Stimm, David A. Nordsletten, Javiera Jilberto, Renee Miller, Ezgi Berberoğlu, Sebastian Kozerke, Christian T. Stoeck
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.1042537/full
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author Johanna Stimm
David A. Nordsletten
David A. Nordsletten
Javiera Jilberto
Renee Miller
Ezgi Berberoğlu
Sebastian Kozerke
Christian T. Stoeck
Christian T. Stoeck
author_facet Johanna Stimm
David A. Nordsletten
David A. Nordsletten
Javiera Jilberto
Renee Miller
Ezgi Berberoğlu
Sebastian Kozerke
Christian T. Stoeck
Christian T. Stoeck
author_sort Johanna Stimm
collection DOAJ
description Simulations of cardiac electrophysiology and mechanics have been reported to be sensitive to the microstructural anisotropy of the myocardium. Consequently, a personalized representation of cardiac microstructure is a crucial component of accurate, personalized cardiac biomechanical models. In-vivo cardiac Diffusion Tensor Imaging (cDTI) is a non-invasive magnetic resonance imaging technique capable of probing the heart’s microstructure. Being a rather novel technique, issues such as low resolution, signal-to noise ratio, and spatial coverage are currently limiting factors. We outline four interpolation techniques with varying degrees of data fidelity, different amounts of smoothing strength, and varying representation error to bridge the gap between the sparse in-vivo data and the model, requiring a 3D representation of microstructure across the myocardium. We provide a workflow to incorporate in-vivo myofiber orientation into a left ventricular model and demonstrate that personalized modelling based on fiber orientations from in-vivo cDTI data is feasible. The interpolation error is correlated with a trend in personalized parameters and simulated physiological parameters, strains, and ventricular twist. This trend in simulation results is consistent across material parameter settings and therefore corresponds to a bias introduced by the interpolation method. This study suggests that using a tensor interpolation approach to personalize microstructure with in-vivo cDTI data, reduces the fiber uncertainty and thereby the bias in the simulation results.
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spelling doaj.art-6c58668e4d2645109026ea311e52b1542023-03-01T09:59:54ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-11-011310.3389/fphys.2022.10425371042537Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methodsJohanna Stimm0David A. Nordsletten1David A. Nordsletten2Javiera Jilberto3Renee Miller4Ezgi Berberoğlu5Sebastian Kozerke6Christian T. Stoeck7Christian T. Stoeck8Institute for Biomedical Engineering, University and ETH Zurich, Zurich, SwitzerlandDepartment of Biomedical Engineering and Cardiac Surgery, University of Michigan, Ann Arbor, MI, United StatesSchool of Biomedical Engineering and Imaging Sciences, King’s College London, London, United KingdomDepartment of Biomedical Engineering and Cardiac Surgery, University of Michigan, Ann Arbor, MI, United StatesSchool of Biomedical Engineering and Imaging Sciences, King’s College London, London, United KingdomInstitute for Biomedical Engineering, University and ETH Zurich, Zurich, SwitzerlandInstitute for Biomedical Engineering, University and ETH Zurich, Zurich, SwitzerlandInstitute for Biomedical Engineering, University and ETH Zurich, Zurich, SwitzerlandDivision of Surgical Research, University Hospital Zurich, University Zurich, Zurich, SwitzerlandSimulations of cardiac electrophysiology and mechanics have been reported to be sensitive to the microstructural anisotropy of the myocardium. Consequently, a personalized representation of cardiac microstructure is a crucial component of accurate, personalized cardiac biomechanical models. In-vivo cardiac Diffusion Tensor Imaging (cDTI) is a non-invasive magnetic resonance imaging technique capable of probing the heart’s microstructure. Being a rather novel technique, issues such as low resolution, signal-to noise ratio, and spatial coverage are currently limiting factors. We outline four interpolation techniques with varying degrees of data fidelity, different amounts of smoothing strength, and varying representation error to bridge the gap between the sparse in-vivo data and the model, requiring a 3D representation of microstructure across the myocardium. We provide a workflow to incorporate in-vivo myofiber orientation into a left ventricular model and demonstrate that personalized modelling based on fiber orientations from in-vivo cDTI data is feasible. The interpolation error is correlated with a trend in personalized parameters and simulated physiological parameters, strains, and ventricular twist. This trend in simulation results is consistent across material parameter settings and therefore corresponds to a bias introduced by the interpolation method. This study suggests that using a tensor interpolation approach to personalize microstructure with in-vivo cDTI data, reduces the fiber uncertainty and thereby the bias in the simulation results.https://www.frontiersin.org/articles/10.3389/fphys.2022.1042537/fullin vivo cDTIpatient-specific modellingcardiac microstructurefiber interpolationcardiac simualtionin vivo microstructure
spellingShingle Johanna Stimm
David A. Nordsletten
David A. Nordsletten
Javiera Jilberto
Renee Miller
Ezgi Berberoğlu
Sebastian Kozerke
Christian T. Stoeck
Christian T. Stoeck
Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methods
Frontiers in Physiology
in vivo cDTI
patient-specific modelling
cardiac microstructure
fiber interpolation
cardiac simualtion
in vivo microstructure
title Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methods
title_full Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methods
title_fullStr Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methods
title_full_unstemmed Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methods
title_short Personalization of biomechanical simulations of the left ventricle by in-vivo cardiac DTI data: Impact of fiber interpolation methods
title_sort personalization of biomechanical simulations of the left ventricle by in vivo cardiac dti data impact of fiber interpolation methods
topic in vivo cDTI
patient-specific modelling
cardiac microstructure
fiber interpolation
cardiac simualtion
in vivo microstructure
url https://www.frontiersin.org/articles/10.3389/fphys.2022.1042537/full
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