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Alfio Quarteroni

Publications and source records attributed to Alfio Quarteroni.

At least 55 records · Page 3Linked to original sources

Efficient and certified solution of parametrized one-way coupled problems through DEIM-based data projection across non-conforming interfaces

One of the major challenges of coupled problems is to manage nonconforming meshes at the interface between two models and/or domains, due to different numerical schemes or domains discretizations employed. Moreover, very often complex submodels depend on (e.g., physical or geometrical) parameters. Understanding how outputs of interest are affected by parameter variations thus plays a key role to gain useful insights on the problem's physics; however, expensive repeated solutions of the problem using high-fidelity, full-order models are often unaffordable. In this paper, we propose a parametric reduced order modeling (ROM) technique for parametrized one-way coupled problems made by a first independent model, the master model, and a second model, the slave model, that depends on the master model through Dirichlet interface conditions. We combine a reduced basis (RB) method, applied to each subproblems, with the discretized empirical interpolation method (DEIM) to efficiently interpolate or project Dirichlet data across conforming and non-conforming meshes at the domains interface, building a low-dimensional representation of the overall coupled problem. The proposed technique is then numerically verified by considering a series of test cases involving both steady and unsteady problems, and deriving a-posteriori error estimates on the solution of the coupled problem in both cases. This work arises from the need to solve staggered cardiac electrophysiological models and represents the first step towards the setting of ROM techniques for the more general two-way Dirichlet-Neumann coupled problems solved with domain decomposition sub-structuring methods, when interface non-conformity is involved.

math.NA↗

Efficient approximation of cardiac mechanics through reduced order modeling with deep learning-based operator approximation

Reducing the computational time required by high-fidelity, full order models (FOMs) for the solution of problems in cardiac mechanics is crucial to allow the translation of patient-specific simulations into clinical practice. While FOMs, such as those based on the finite element method, provide valuable information of the cardiac mechanical function, up to hundreds of thousands degrees of freedom may be needed to obtain accurate numerical results. As a matter of fact, simulating even just a few heartbeats can require hours to days of CPU time even on powerful supercomputers. In addition, cardiac models depend on a set of input parameters that we could let vary in order to explore multiple virtual scenarios. To compute reliable solutions at a greatly reduced computational cost, we rely on a reduced basis method empowered with a new deep-learning based operator approximation, which we refer to as Deep-HyROMnet technique. Our strategy combines a projection-based POD-Galerkin method with deep neural networks for the approximation of (reduced) nonlinear operators, overcoming the typical computational bottleneck associated with standard hyper-reduction techniques. This method is shown to provide reliable approximations to cardiac mechanics problems outperforming classical projection-based ROMs in terms of computational speed-up of orders of magnitude, and enhancing forward uncertainty quantification analysis otherwise unaffordable.

math.NA↗

Modelling the COVID-19 epidemic and the vaccination campaign in Italy by the SUIHTER model

Several epidemiological models have been proposed to study the evolution of COVID-19 pandemic. In this paper, we propose an extension of the SUIHTER model, first introduced in [Parolini et al, Proc R. Soc. A., 2021] to analyse the COVID-19 spreading in Italy, which accounts for the vaccination campaign and the presence of new variants when they become dominant. In particular, the specific features of the variants (e.g. their increased transmission rate) and vaccines (e.g. their efficacy to prevent transmission, hospitalization and death) are modeled, based on clinical evidence. The new model is validated comparing its near-future forecast capabilities with other epidemiological models and exploring different scenario analyses.

q-bio.PE↗

The role of mechano-electric feedbacks and hemodynamic coupling in scar-related ventricular tachycardia

Mechano-electric feedbacks (MEFs), which model how mechanical stimuli are transduced into electrical signals, have received sparse investigation by considering electromechanical simulations in simplified scenarios. In this paper, we study the effects of different MEFs modeling choices for myocardial deformation and nonselective stretch-activated channels (SACs) in the monodomain equation. We perform numerical simulations during ventricular tachycardia (VT) by employing a biophysically detailed and anatomically accurate 3D electromechanical model for the left ventricle (LV) coupled with a 0D closed-loop model of the cardiocirculatory system. We model the electromechanical substrate responsible for scar-related VT with a distribution of infarct and peri-infarct zones. Our mathematical framework takes into account the hemodynamic effects of VT due to myocardial impairment and allows for the classification of their hemodynamic nature, which can be either stable or unstable. By combining electrophysiological, mechanical and hemodynamic models, we observe that all MEFs may alter the propagation of the action potential and the morphology of the VT. In particular, we notice that the presence of myocardial deformation in the monodomain equation may change the VT basis cycle length and the conduction velocity but do not affect the hemodynamic nature of the VT. Finally, nonselective SACs may affect wavefront stability, by possibly turning a hemodynamically stable VT into a hemodynamically unstable one and vice versa.

math.NA↗

A machine learning method for real-time numerical simulations of cardiac electromechanics

We propose a machine learning-based method to build a system of differential equations that approximates the dynamics of 3D electromechanical models for the human heart, accounting for the dependence on a set of parameters. Specifically, our method permits to create a reduced-order model (ROM), written as a system of Ordinary Differential Equations (ODEs) wherein the forcing term, given by the right-hand side, consists of an Artificial Neural Network (ANN), that possibly depends on a set of parameters associated with the electromechanical model to be surrogated. This method is non-intrusive, as it only requires a collection of pressure and volume transients obtained from the full-order model (FOM) of cardiac electromechanics. Once trained, the ANN-based ROM can be coupled with hemodynamic models for the blood circulation external to the heart, in the same manner as the original electromechanical model, but at a dramatically lower computational cost. Indeed, our method allows for real-time numerical simulations of the cardiac function. We demonstrate the effectiveness of the proposed method on two relevant contexts in cardiac modeling. First, we employ the ANN-based ROM to perform a global sensitivity analysis on both the electromechanical and hemodynamic models. Second, we perform a Bayesian estimation of two parameters starting from noisy measurements of two scalar outputs. In both these cases, replacing the FOM of cardiac electromechanics with the ANN-based ROM makes it possible to perform in a few hours of computational time all the numerical simulations that would be otherwise unaffordable, because of their overwhelming computational cost, if carried out with the FOM. As a matter of fact, our ANN-based ROM is able to speedup the numerical simulations by more than three orders of magnitude.

math.NA↗

3D-0D closed-loop model for the simulation of cardiac biventricular electromechanics

Two crucial factors for accurate numerical simulations of cardiac electromechanics, which are also essential to reproduce the synchronous activity of the heart, are: i) accounting for the interaction between the heart and the circulatory system that determines pressures and volumes loads in the heart chambers; ii) reconstructing the muscular fiber architecture that drives the electrophysiology signal and the myocardium contraction. In this work, we present a 3D biventricular electromechanical model coupled with a 0D closed-loop model of the whole cardiovascular system that addresses the two former crucial factors. With this aim, we introduce a boundary condition for the mechanical problem that accounts for the neglected part of the domain located on top of the biventricular basal plane and that is consistent with the principles of momentum and energy conservation. We also discuss in detail the coupling conditions that stand behind the 3D and the 0D models. We perform electromechanical simulations in physiological conditions using the 3D-0D model and we show that our results match the experimental data of relevant mechanical biomarkers available in literature. Furthermore, we investigate different arrangements in cross-fibers active contraction. We prove that an active tension along the sheet direction counteracts the myofiber contraction, while the one along the sheet-normal direction enhances the cardiac work. Finally, several myofiber architectures are analysed. We show that a different fiber field in the septal area and in the transmural wall effect the pumping functionality of the left ventricle.

math.NA↗

Electromechanical modeling of human ventricles with ischemic cardiomyopathy: numerical simulations in sinus rhythm and under arrhythmia

We developed a novel patient-specific computational model for the numerical simulation of ventricular electromechanics in patients with ischemic cardiomyopathy (ICM). This model reproduces the activity both in sinus rhythm (SR) and in ventricular tachycardia (VT). The presence of scars, grey zones and non-remodeled regions of the myocardium is accounted for by the introduction of a spatially heterogeneous coefficient in the 3D electromechanics model. This 3D electromechanics model is firstly coupled with a 2-element Windkessel afterload model to fit the pressure-volume (PV) loop of a patient-specific left ventricle (LV) with ICM in SR. Then, we employ the coupling with a 0D closed-loop circulation model to analyze a VT circuit over multiple heartbeats on the same LV. We highlight similarities and differences on the solutions obtained by the electrophysiology model and those of the electromechanics model, while considering different scenarios for the circulatory system. We observe that very different parametrizations of the circulation model induce the same hemodynamical considerations for the patient at hand. Specifically, we classify this VT as unstable. We conclude by stressing the importance of combining electrophysiological, mechanical and hemodynamical models to provide relevant clinical indicators in how arrhythmias evolve and can potentially lead to sudden cardiac death.

math.NA↗

A Mathematical Dashboard for the Analysis of Italian COVID-19 Epidemic Data

An analysis of the COVID-19 epidemic is proposed on the basis of the epiMOX dashboard (publicly accessible at https://www.epimox.polimi.it) that deals with data of the epidemic trends and outbreaks in Italy from late February 2020. Our analysis provides an immediate appreciation of the past epidemic development, together with its current trends by fostering a deeper interpretation of available data through several critical epidemic indicators. In addition, we complement the epiMOX dashboard with a predictive tool based on an epidemiological compartmental model, named SUIHTER, for the forecast on the near future epidemic evolution.

q-bio.PE↗

SUIHTER: A new mathematical model for COVID-19. Application to the analysis of the second epidemic outbreak in Italy

The COVID-19 epidemic is the last of a long list of pandemics that have affected humankind in the last century. In this paper, we propose a novel mathematical epidemiological model named SUIHTER from the names of the seven compartments that it comprises: susceptible uninfected individuals (S), undetected (both asymptomatic and symptomatic) infected (U), isolated (I), hospitalized (H), threatened (T), extinct (E), and recovered (R). A suitable parameter calibration that is based on the combined use of least squares method and Markov Chain Monte Carlo (MCMC) method is proposed with the aim of reproducing the past history of the epidemic in Italy, surfaced in late February and still ongoing to date, and of validating SUIHTER in terms of its predicting capabilities. A distinctive feature of the new model is that it allows a one-to-one calibration strategy between the model compartments and the data that are daily made available from the Italian Civil Protection. The new model is then applied to the analysis of the Italian epidemic with emphasis on the second outbreak emerged in Fall 2020. In particular, we show that the epidemiological model SUIHTER can be suitably used in a predictive manner to perform scenario analysis at national level.

q-bio.PE↗

Integration of activation maps of epicardial veins in computational cardiac electrophysiology

In this work we address the issue of validating the monodomain equation used in combination with the Bueno-Orovio ionic model for the prediction of the activation times in cardiac electro-physiology of the left ventricle. To this aim, we consider our patients who suffered from Left Bundle Branch Block (LBBB). We use activation maps performed at the septum as input data for the model and maps at the epicardial veins for the validation. In particular, a first set (half) of the latter are used to estimate the conductivities of the patient and a second set (the remaining half) to compute the errors of the numerical simulations. We find an excellent agreement between measures and numerical results. Our validated computational tool could be used to accurately predict activation times at the epicardial veins with a short mapping, i.e. by using only a part (the most proximal) of the standard acquisition points, thus reducing the invasive procedure and exposure to radiation.

math.NA↗

Modeling cardiac muscle fibers in ventricular and atrial electrophysiology simulations

Since myocardial fibers drive the electric signal propagation throughout the myocardium, accurately modeling their arrangement is essential for simulating heart electrophysiology (EP). Rule-Based-Methods (RBMs) represent a commonly used strategy to include cardiac fibers in computational models. A particular class of such methods is known as Laplace-Dirichlet-Rule-Based-Methods (LDRBMs) since they rely on the solution of Laplace problems. In this work we provide a unified framework, based on LDRBMs, for generating full heart muscle fibers. First, we review existing ventricular LDRBMs providing a communal mathematical description and introducing also some modeling improvements with respect to the existing literature. We then carry out a systematic comparison of LDRBMs based on meaningful biomarkers produced by numerical EP simulations. Next we propose, for the first time, a LDRBM to be used for generating atrial fibers. The new method, tested both on idealized and realistic atrial models, can be applied to any arbitrary geometries. Finally, we present numerical results obtained in a realistic whole heart where fibers are included for all the four chambers using the discussed LDRBMs.

math.NA↗

A cardiac electromechanics model coupled with a lumped parameters model for closed-loop blood circulation. Part I: model derivation

We propose an integrated electromechanical model of the human heart, with focus on the left ventricle, wherein biophysically detailed models describe the different physical phenomena concurring to the cardiac function. We model the subcellular generation of active force by means of an Artificial Neural Network, which is trained by a suitable Machine Learning algorithm from a collection of pre-computed numerical simulations of a biophysically detailed, yet computational demanding, high-fidelity model. To provide physiologically meaningful results, we couple the 3D electromechanical model with a closed-loop 0D (lumped parameters) model describing the blood circulation in the whole cardiovascular network. We prove that the 3D-0D coupling of the two models is compliant with the principle of energy conservation, which is achieved in virtue of energy-consistent boundary conditions that account for the interaction among cardiac chambers within the computational domain, pericardium and surrounding tissue. We thus derive an overall balance of mechanical energy for the 3D-0D model. This provides a quantitative insight into the energy utilization, dissipation and transfer among the different compartments of the cardiovascular network and during different stages of the heartbeat. In virtue of this new model and the energy balance, we propose a new validation tool of heart energy usage against relationships used in the daily clinical practice. Finally, we provide a mathematical formulation of an inverse problem aimed at recovering the reference configuration of one or multiple cardiac chambers, starting from the stressed configuration acquired from medical imaging. This is fundamental to correctly initialize electromechanical simulations. Numerical methods and simulations of the 3D-0D model will be detailed in Part II.

math.NA↗

A cardiac electromechanics model coupled with a lumped parameters model for closed-loop blood circulation. Part II: numerical approximation

In the framework of accurate and efficient segregated schemes for 3D cardiac electromechanics and 0D cardiovascular models, we propose here a novel numerical approach to address the coupled 3D-0D problem introduced in Part I of this two-part series of papers. We combine implicit-explicit schemes to solve the different cardiac models in a multiphysics setting. We properly separate and manage the different time and space scales related to cardiac electromechanics and blood circulation. We employ a flexible and scalable intergrid transfer operator that enables to interpolate Finite Element functions among different meshes and, possibly, among different Finite Element spaces. We propose a numerical method to couple the 3D electromechanical model and the 0D circulation model in a numerically stable manner within a fully segregated fashion. No adaptations are required through the different phases of the heartbeat. We also propose a robust algorithm to reconstruct the stress-free reference configuration. Due to the computational cost associated with the numerical solution of this inverse problem, the reference configuration recovery algorithm comes along with a novel projection technique to precisely recover the unloaded geometry from a coarser representation of the computational domain. We show the convergence property of our numerical schemes by performing an accuracy study through grid refinement. To prove the biophysical accuracy of our computational model, we also address different scenarios of clinical interest in our numerical simulations by varying preload, afterload and contractility. Indeed, we simulate physiologically relevant behaviors and we reproduce meaningful results in the context of cardiac function.

math.NA↗

Iterative splitting schemes for a soft material poromechanics model

We address numerical solvers for a poromechanics model particularly adapted for soft materials, as it generally respects thermodynamics principles and energy balance. Considering the multi-physics nature of the problem, which involves solid and fluid species, interacting on the basis of mass balance and momentum conservation, we decide to adopt a solution strategy of the discrete problem based on iterative splitting schemes. As the model is similar (but not equivalent to) the Biot poromechanics problem, we follow the abundant literature for solvers of the latter equations, developing two approaches that resemble the well known undrained and fixed-stress splits for the Biot model. A thorough convergence analysis of the proposed schemes is performed. In particular, the undrained-like split is developed and analyzed in the framework of generalized gradient flows, whereas the fixed-stress-like split is understood as block-diagonal $L^2$-type stabilization and analyzed by means of a relative stability analysis. In addition, the application of Anderson acceleration is suggested, improving the robustness of the split schemes. Finally, we test these methods on different benchmark tests, and we also compare their performance with respect to a monolithic approach. Together with the theoretical analysis, the numerical examples provide guidelines to appropriately choose what split scheme shall be used to address realistic applications of the soft material poromechanics model.

math.NA↗

Morphomechanical model of the torsional c-looping in the embryonic heart

Before septation processes shape its four chambers, the embryonic heart is a straight tube that spontaneously bends and twists breaking the left-right symmetry. In particular, the heart tube is subjected to a cell remodelling inducing ventral bending and dextral torsion during the c-looping phase. In this work we propose a morphomechanical model for the torsion of the heart tube, that behaves as a nonlinear elastic body. We hypothesize that this spontaneous looping can be modeled as a mechanical instability due to accumulation of residual stresses induced by the geometrical frustration of tissue remodelling, which mimics the cellular rearrangement within the heart tube. Thus, we perform a linear stability analysis of the resulting nonlinear elastic boundary value problem to determine the onset of c-looping as a function of the aspect ratios of the tube and of the internal remodelling rate. We perform numerical simulations to study the fully nonlinear morphological transition, showing that the soft tube develops a realistic self-contacting looped shape in the physiological range of geometrical parameters.

cond-mat.soft↗

Biophysically detailed mathematical models of multiscale cardiac active mechanics

We propose four novel mathematical models, describing the microscopic mechanisms of force generation in the cardiac muscle tissue, which are suitable for multiscale numerical simulations of cardiac electromechanics. Such models are based on a biophysically accurate representation of the regulatory and contractile proteins in the sarcomeres. Our models, unlike most of the sarcomere dynamics models that are available in the literature and that feature a comparable richness of detail, do not require the time-consuming Monte Carlo method for their numerical approximation. Conversely, the models that we propose only require the solution of a system of PDEs and/or ODEs (the most reduced of the four only involving 20 ODEs), thus entailing a significant computational efficiency. By focusing on the two models that feature the best trade-off between detail of description and identifiability of parameters, we propose a pipeline to calibrate such parameters starting from experimental measurements available in literature. Thanks to this pipeline, we calibrate these models for room-temperature rat and for body-temperature human cells. We show, by means of numerical simulations, that the proposed models correctly predict the main features of force generation, including the steady-state force-calcium and force-length relationships, the length-dependent prolongation of twitches and increase of peak force, the force-velocity relationship. Moreover, they correctly reproduce the Frank-Starling effect, when employed in multiscale 3D numerical simulation of cardiac electromechanics.

q-bio.SC↗

An oscillation-free fully partitioned scheme for the numerical modeling of cardiac active mechanics

In silico models of cardiac electromechanics couple together mathematical models describing different physics. One instance is represented by the model describing the generation of active force, coupled with the one of tissue mechanics. For the numerical solution of the coupled model, partitioned schemes, that foresee the sequential solution of the two subproblems, are often used. However, this approach may be unstable. For this reason, the coupled model is commonly solved as a unique system using Newton type algorithms, at the price, however, of high computational costs. In light of this motivation, in this paper we propose a new numerical scheme, that is numerically stable and accurate, yet within a fully partitioned (i.e. segregated) framework. Specifically, we introduce, with respect to standard segregated scheme, a numerically consistent stabilization term, capable of removing the nonphysical oscillations otherwise present in the numerical solution of the commonly used segregated scheme. Our new method is derived moving from a physics-based analysis on the microscale energetics of the force generation dynamics. By considering a model problem of active mechanics we prove that the proposed scheme is unconditionally absolutely stable (i.e. it is stable for any time step size), unlike the standard segregated scheme, and we also provide an interpretation of the scheme as a fractional step method. We show, by means of several numerical tests, that the proposed stabilization term successfully removes the nonphysical numerical oscillations characterizing the non stabilized segregated scheme solution. Our numerical tests are carried out for several force generation models available in the literature, namely the Niederer-Hunter-Smith model, the model by Land and coworkers, and the mean-field force generation model that we have recently proposed. Finally, we apply the proposed scheme [...]

math.NA↗

Deep learning-based reduced order models in cardiac electrophysiology

Predicting the electrical behavior of the heart, from the cellular scale to the tissue level, relies on the formulation and numerical approximation of coupled nonlinear dynamical systems. These systems describe the cardiac action potential, that is the polarization/depolarization cycle occurring at every heart beat that models the time evolution of the electrical potential across the cell membrane, as well as a set of ionic variables. Multiple solutions of these systems, corresponding to different model inputs, are required to evaluate outputs of clinical interest, such as activation maps and action potential duration. More importantly, these models feature coherent structures that propagate over time, such as wavefronts. These systems can hardly be reduced to lower dimensional problems by conventional reduced order models (ROMs) such as, e.g., the reduced basis (RB) method. This is primarily due to the low regularity of the solution manifold (with respect to the problem parameters) as well as to the nonlinear nature of the input-output maps that we intend to reconstruct numerically. To overcome this difficulty, in this paper we propose a new, nonlinear approach which exploits deep learning (DL) algorithms to obtain accurate and efficient ROMs, whose dimensionality matches the number of system parameters. Our DL approach combines deep feedforward neural networks (NNs) and convolutional autoencoders (AEs). We show that the proposed DL-ROM framework can efficiently provide solutions to parametrized electrophysiology problems, thus enabling multi-scenario analysis in pathological cases. We investigate three challenging test cases in cardiac electrophysiology and prove that DL-ROM outperforms classical projection-based ROMs.

physics.comp-ph↗