Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy

Abstract Background Patient-specific active fluid–structure interactions (FSI) model is a useful approach to non-invasively investigate the hemodynamics in the heart. However, it takes a lot of effort to obtain the proper external force boundary conditions for active models, which heavily restrained...

Full description

Bibliographic Details
Main Authors: Xueying Huang, Long Deng, Heng Zuo, Chun Yang, Yunhu Song, Mary Lesperance, Dalin Tang
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:https://doi.org/10.1186/s12938-020-00838-4
_version_ 1818668371662602240
author Xueying Huang
Long Deng
Heng Zuo
Chun Yang
Yunhu Song
Mary Lesperance
Dalin Tang
author_facet Xueying Huang
Long Deng
Heng Zuo
Chun Yang
Yunhu Song
Mary Lesperance
Dalin Tang
author_sort Xueying Huang
collection DOAJ
description Abstract Background Patient-specific active fluid–structure interactions (FSI) model is a useful approach to non-invasively investigate the hemodynamics in the heart. However, it takes a lot of effort to obtain the proper external force boundary conditions for active models, which heavily restrained the time-sensitive clinical applications of active computational models. Methods The simulation results of 12 passive FSI models based on 6 patients’ pre-operative and post-operative CT images were compared with corresponding active models to investigate the differences in hemodynamics and cardiac mechanics between these models. Results In comparing the passive and active models, it was found that there was no significant difference in pressure difference and shear stress on mitral valve leaflet (MVL) at the pre-SAM time point, but a significant difference was found in wall stress on the inner boundary of left ventricle (endocardium). It was also found that pressure difference on the coapted MVL and the shear stress on MVL were significantly decreased after successful surgery in both active and passive models. Conclusion Our results suggested that the passive models may provide good approximated hemodynamic results at 5% RR interval, which is crucial for analyzing the initiation of systolic anterior motion (SAM). Comparing to active models, the passive models decrease the complexity of the modeling construction and the difficulty of convergence significantly. These findings suggest that, with proper boundary conditions and sufficient clinical data, the passive computational model may be a good substitution model for the active model to perform hemodynamic analysis of the initiation of SAM.
first_indexed 2024-12-17T06:35:16Z
format Article
id doaj.art-df60703c4f0f46d49591b2364deb8289
institution Directory Open Access Journal
issn 1475-925X
language English
last_indexed 2024-12-17T06:35:16Z
publishDate 2021-01-01
publisher BMC
record_format Article
series BioMedical Engineering OnLine
spelling doaj.art-df60703c4f0f46d49591b2364deb82892022-12-21T22:00:01ZengBMCBioMedical Engineering OnLine1475-925X2021-01-0120111510.1186/s12938-020-00838-4Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathyXueying Huang0Long Deng1Heng Zuo2Chun Yang3Yunhu Song4Mary Lesperance5Dalin Tang6School of Mathematical Sciences, Xiamen UniversityDepartment of Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical SciencesSchool of Mathematical Sciences, Sichuan Normal UniversityMathematical Sciences Department, Worcester Polytechnic InstituteDepartment of Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical SciencesDepartment of Mathematics and Statistics, University of VictoriaMathematical Sciences Department, Worcester Polytechnic InstituteAbstract Background Patient-specific active fluid–structure interactions (FSI) model is a useful approach to non-invasively investigate the hemodynamics in the heart. However, it takes a lot of effort to obtain the proper external force boundary conditions for active models, which heavily restrained the time-sensitive clinical applications of active computational models. Methods The simulation results of 12 passive FSI models based on 6 patients’ pre-operative and post-operative CT images were compared with corresponding active models to investigate the differences in hemodynamics and cardiac mechanics between these models. Results In comparing the passive and active models, it was found that there was no significant difference in pressure difference and shear stress on mitral valve leaflet (MVL) at the pre-SAM time point, but a significant difference was found in wall stress on the inner boundary of left ventricle (endocardium). It was also found that pressure difference on the coapted MVL and the shear stress on MVL were significantly decreased after successful surgery in both active and passive models. Conclusion Our results suggested that the passive models may provide good approximated hemodynamic results at 5% RR interval, which is crucial for analyzing the initiation of systolic anterior motion (SAM). Comparing to active models, the passive models decrease the complexity of the modeling construction and the difficulty of convergence significantly. These findings suggest that, with proper boundary conditions and sufficient clinical data, the passive computational model may be a good substitution model for the active model to perform hemodynamic analysis of the initiation of SAM.https://doi.org/10.1186/s12938-020-00838-4Fluid–structure interactionsLeft ventricleMitral valveSystolic anterior motionPassive computational modelActive computational model
spellingShingle Xueying Huang
Long Deng
Heng Zuo
Chun Yang
Yunhu Song
Mary Lesperance
Dalin Tang
Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy
BioMedical Engineering OnLine
Fluid–structure interactions
Left ventricle
Mitral valve
Systolic anterior motion
Passive computational model
Active computational model
title Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy
title_full Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy
title_fullStr Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy
title_full_unstemmed Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy
title_short Comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy
title_sort comparisons of simulation results between passive and active fluid structure interaction models for left ventricle in hypertrophic obstructive cardiomyopathy
topic Fluid–structure interactions
Left ventricle
Mitral valve
Systolic anterior motion
Passive computational model
Active computational model
url https://doi.org/10.1186/s12938-020-00838-4
work_keys_str_mv AT xueyinghuang comparisonsofsimulationresultsbetweenpassiveandactivefluidstructureinteractionmodelsforleftventricleinhypertrophicobstructivecardiomyopathy
AT longdeng comparisonsofsimulationresultsbetweenpassiveandactivefluidstructureinteractionmodelsforleftventricleinhypertrophicobstructivecardiomyopathy
AT hengzuo comparisonsofsimulationresultsbetweenpassiveandactivefluidstructureinteractionmodelsforleftventricleinhypertrophicobstructivecardiomyopathy
AT chunyang comparisonsofsimulationresultsbetweenpassiveandactivefluidstructureinteractionmodelsforleftventricleinhypertrophicobstructivecardiomyopathy
AT yunhusong comparisonsofsimulationresultsbetweenpassiveandactivefluidstructureinteractionmodelsforleftventricleinhypertrophicobstructivecardiomyopathy
AT marylesperance comparisonsofsimulationresultsbetweenpassiveandactivefluidstructureinteractionmodelsforleftventricleinhypertrophicobstructivecardiomyopathy
AT dalintang comparisonsofsimulationresultsbetweenpassiveandactivefluidstructureinteractionmodelsforleftventricleinhypertrophicobstructivecardiomyopathy