期刊论文详细信息
BioMedical Engineering OnLine
A geometric scaling model for assessing the impact of aneurysm size ratio on hemodynamic characteristics
Yunling Long2  Hongyu Yu2  Zhizheng Zhuo2  Ying Zhang1  Yang Wang1  Xinjian Yang1  Haiyun Li2 
[1] Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Beijing 100050, China
[2] School of Biomedical Engineering, Capital Medical University, Beijing 100069, China
关键词: Hemodynamics;    Aneurysm Size Ratio;    Scaled models;    Intracranial aneurysm;   
Others  :  797178
DOI  :  10.1186/1475-925X-13-17
 received in 2013-10-10, accepted in 2014-02-11,  发布年份 2014
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【 摘 要 】

Background

The intracranial aneurysm (IA) size has been proved to have impacts on the hemodynamics and can be applied for the prediction of IA rupture risk. Although the relationship between aspect ratio and hemodynamic parameters was investigated using real patients and virtual models, few studies focused on longitudinal experiments of IAs based on patient-specific aneurysm models. We attempted to do longitudinal simulation experiments of IAs by developing a series of scaled models.

Methods

In this work, a novel scaling approach was proposed to create IA models with different aneurysm size ratios (ASRs) defined as IA height divided by average neck diameter from a patient-specific aneurysm model and the relationship between the ASR and hemodynamics was explored based on a simulated longitudinal experiment. Wall shear stress, flow patterns and vessel wall displacement were computed from these models. Pearson correlation analysis was performed to elucidate the relationship between the ASR and wall shear stress. The correlation of the ASR and flow velocity was also computed and analyzed.

Results

The experiment results showed that there was a significant increase in IA area exposed to low WSS once the ASR > 0.7, and the flow became slower and the blood was more difficult to flow into the aneurysm as the ASR increased. Meanwhile, the results also indicated that average blood flow velocity and WSS had strongly negative correlations with the ASR (r = −0.938 and −0.925, respectively). A narrower impingement region and a more concentrated inflow jet appeared as the ASR increased, and the large local deformation at aneurysm apex could be found as the ASR >1.7 or 0.7 < the ASR <1.0.

Conclusion

Hemodynamic characteristics varied with the ASR. Besides, it is helpful to further explore the relationship between morphologies and hemodynamics based on a longitudinal simulation by building a series of patient-specific aneurysm scaled models applying our proposed IA scaling algorithm.

【 授权许可】

   
2014 Long et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Cebral JR, Castro MA, Burgess JE, Pergolizzi RS, Sheridan MJ, Putman CM: Characterization of cerebral aneurysms for assessing risk of rupture by using patient-specific computational hemodynamics models. AJNR Am J Neuroradiol 2004, 26:2550-2559.
  • [2]Foutrakis GN, Yonas H, Sclabassi RJ: Saccular aneurysm formation in curved and bifurcation arteries. AJNR Am J Neuroradiol 1999, 20:1309-1317.
  • [3]Weir B: Unruptured intracranial aneurysms: a review. J Neurosurg 2002, 96:3-42.
  • [4]Linn FH, Rinkel GJ, Algra A: Incidence of subarachnoid hemorrhage: role of region, year, and rate of computed tomography: a meta-analysis. Stroke 1996, 27:625-629.
  • [5]Tomasello F, Avella D, Salpietro FM: Asymptomatic aneurysms: literature meta-analysis and indications for treatment. J Neurosurg Sci 1998, 42:47-51.
  • [6]Winn HR, Jane JA, Taylor J: Prevalence of asymptomatic incidental aneurysms: review of 4568 arteriograms. J Neurosurg 2002, 96:43-49.
  • [7]Kaminogo M, Yonekura M, Shibata S: Incidence and outcome of multiple intracranial aneurysms in a defined population. Stroke 2003, 34:16-21.
  • [8]Beck J, Rohde S, Berkefeld J, Seifert V, Raabe A: Size and location of ruptured and unruptured intracranial aneurysms measured by 3-dimensional rotational angiography. Surg Neurol 2006, 65:18-27.
  • [9]Juvela S: Prehemorrhage risk factors for fatal intracranial aneurysm rupture. Stroke 2003, 34:1852-1858.
  • [10]International Study of Unruptured Intracranial Aneurysms Investigators (ISUIA): Unruptured Intracranial Aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 2003, 362:103-110.
  • [11]Bederson JB, Awad IA, Wiebers DO, Piepgras D, Haley EC, et al.: Recommendations for the management of patients with unruptured intracranial aneurysms: a statement for healthcare professionals from the stroke council of the American Heart Association. J Am Heart Association 2000, 102:2300-2308.
  • [12]Komotar JR, Zacharia BE, Otten ML, Mocco J, Lavine SD: Controversies in the endovascular management of cerebral vasospasm after intracranial aneurysm rupture and future directions for therapeutic approaches. Neurosurgery 2008, 62(4):897-905.
  • [13]Juvela S, Porras M, Poussa K: Natural history of unruptured intracranial aneurysms: probability of and risk factors for aneurysm rupture. J Neurosurg 2008, 108(5):1052-1060.
  • [14]Wiebers DO, Whisnant JP, Huston J, Meissner I, Brown RD, Piepgras DG: Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 2003, 362:103-110.
  • [15]Tremmel M, Dhar S, Elad I, Mocco J, Meng H: Influence of intracranial aneurysm to patient vessel size ratio on hemodynamics and implication for rupture: results from a virtual experimental study. Neurosurgery 2009, 64:622-631.
  • [16]Tateshima S, Tanishita K, Omura H, Villablanca JP, Vinuela F: Intra-Aneurysmal hemodynamics during the growth of an unruptured aneurysm: in vitro study using longitudinal CT angiogram database. AJNR Am J Neuroradiol 2007, 28:622-627.
  • [17]Brent U, Rossmann JS: Numerical simulation of saccular aneurysm hemodynamics: influence of morphology on rupture risk. J Biomechanics 2007, 40:2716-2722.
  • [18]Millan RD, Pompeu FU, Dempere ML, Pozo JM, Cebral JR: Morphological characterization of intracranial aneurysms using 3-D moment invariants. J magazines 2007, 26(9):1270-1282. Barcelona
  • [19]Tateshima S, Chien A, Sayre J, Cebral JR, Viñuela F: The effect of aneurysm geometry on the intra-aneurysmal flow condition. Neuroradiology 2010, 52:1135-1141.
  • [20]Dhar S, Tremmel M, Mocco J, Kim M, Yamamoto J, Siddiqui AH, Hopkins LN, Meng H: Morphology parameters for intracranial aneurysm rupture risk assessment. Neurosurgery 2008, 63(2):185-197.
  • [21]Avolio A, Farnoush A, Morgan M, Qian Y: Hemodynamic models of cerebral aneurysms for assessment of effect of vessel geometry on risk of rupture. In Proceedings of 31st Annual International Conference of the IEEE EMBS: 3-6 Sept. Minneapolis, Minnesota, USA: IEEE Xplore; 2009:2351-2353.
  • [22]Rohini R: Hemodynamics and natural history outcome in unruptured intracranial aneurysms. PhD thesis. Iowa Research Online: University of Iowa, Biomedical Engineering department; 2012.
  • [23]Kroon M: Simulation of cerebral aneurysm growth and prediction of evolving rupture risk. Model Simul Eng 2011, 10:1155-1165.
  • [24]Perktold K, Peter R, Resch M: Pulsatile non-Newtonian blood flow simulation through a bifurcation with an aneurysm. Biorheology 1989, 26:1011-1030.
  • [25]Aenis M, Stancampiano AP, Wakhloo AK, Lieber BB: Modeling of flow in a straight stented and nonstented side wall aneurysm model. J Biomech Eng 1997, 119:206-212.
  • [26]Gao F, Ohta O, Matsuzawa T: Fluid–structure interaction in layered aortic arch aneurysm model: assessing the combined influence of arch aneurysm and wall stiffness. Australas Phys Eng Sci Med 2008, 31(1):32-41.
  • [27]Humphrey JD, Canham PB: Structure, mechanical properties, and mechanics of intracranial saccular aneurysms. J Elasticity 2000, 61:49-81.
  • [28]Gasteiger R, Lehmann DJ, Van Pelt R, Gabor J, Beuing O, Vilanova A, et al.: Member automatic detection and visualization of qualitative hemodynamic characteristics in cerebral aneurysms. IEEE Trans Vis Comput Graph 2012, 18(12):2178-2187.
  • [29]Shojima M, Oshima M, Takagi K, Torii R, Hayakawa M, Katada K, Morita A, Kirino T: Magnitude and role of wall shear stress on cerebral aneurysm computational fluid dynamic study of 20 middle cerebral artery aneurysms. Stroke 2004, 35:2500-2505.
  • [30]Meng H, Wang Z, Hoi Y, Gao L, Metaxa E, Swartz DD, Kolega J: Complex hemodynamics at the apex of an arterial bifurcation induces vascular remodeling resembling cerebral aneurysm initiation. Stroke 2007, 38:1924-1931.
  • [31]Malek AM, Alper SL, Izumo S: Hemodynamic shear stress and its role in atherosclerosis. JAMA 1999, 282:2035-2042.
  • [32]Kaiser D, Freyberg MA, Friedl P: Lack of hemodynamic forces triggers apoptosis in vascular endothelial cells. Biochem Biophys Res Commun 1997, 231:586-590.
  • [33]Nam D, Ni C, Rezvan A, Suo J, Budzyn K, Llanos A, Harrison D, Giddens D: Partial carotid ligation is a model of acutely induced disturbed flow, leading to rapid endothelial dysfunction and atherosclerosis. Am J Physiol Heart Circ Physiol 2009, 297:1535-1543.
  • [34]Barakat AI, Davies PF: Mechanisms of shear stress transmission and transduction in endothelial cells. Chest 1998, 114:58-63.
  • [35]Ma B, Lu J, Harbaugh RE, Raghavan ML: Nonlinear anisotropic stress Analysis of anatomically realistic cerebral aneurysms. J Biomech Eng 2007, 129(1):88-96.
  • [36]Cebral JR, Castro MA, Burgess JE, Pergolizzi R, Sheridan MJ, Putman CM: Characterization of cerebral aneurysm for assessing risk of rupture using patient-specific computational hemodynamics models. AJNR Am J Neuroradiol 2005, 26:2550-2559.
  • [37]Ujiie H, Tamano Y, Sasaki K, Hori T: Is the aspect ratio a reliable index for predicting the rupture of a saccular aneurysm? Neurosurgery 2001, 48:495-503.
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