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Craig G. Rusin

Publications and source records attributed to Craig G. Rusin.

7 recordsLinked to original sources

Deformable Registration of MRA and 4D Flow Images to Facilitate Accurate Estimation of Flow Properties within Blood Vessels

A method is presented for the registration of MRA and 4D Flow images, with the goal of calculating blood flow properties using both modalities simultaneously. In particular, the method produces an alignment of segmentations of vessel networks, from MRA images, with the blood velocity field within those networks, from the corresponding 4D Flow images. The alignment procedure is driven by the registration of centerlines of vessels extracted from the two modalities. Our approach is robust to noise, small deformations, and partial omissions of vessel surfaces and/or blood velocities. The alignment procedure is tested on 7 patient data sets acquired at Texas Children's Hospital. The quality of the resulting alignment is assessed by (i) an illustration of the aligned and unaligned surface segmentations for a sample patient, (ii) histograms of distances between centerline networks, and (iii) graphs of estimated blood flow. For each of the 7 analyzed data sets, medians of the distance histograms decreased an average of 83.5%, and the estimated blood flow increased significantly as a result of the alignment procedure.

q-bio.QM

Fluid-structure interaction simulations for the prediction of fractional flow reserve in pediatric patients with anomalous aortic origin of a coronary artery

Computer simulations of blood flow in patients with anomalous aortic origin of a coronary artery (AAOCA) have the promise to provide insight into this complex disease. They provide an in-silico experimental platform to explore possible mechanisms of myocardial ischemia, a potentially deadly complication for patients with this defect. This paper focuses on the question of model calibration for fluid-structure interaction models of pediatric AAOCA patients. Imaging and cardiac catheterization data provide partial information for model construction and calibration. However, parameters for downstream boundary conditions needed for these models are difficult to estimate. Further, important model predictions, like fractional flow reserve (FFR), are sensitive to these parameters. We describe an approach to calibrate downstream boundary condition parameters to clinical measurements of resting FFR. The calibrated models are then used to predict FFR at stress, an invasively measured quantity that can be used in the clinical evaluation of these patients. We find reasonable agreement between the model predicted and clinically measured FFR at stress, indicating the credibility of this modeling framework for predicting hemodynamics of pediatric AAOCA patients. This approach could lead to important clinical applications since it may serve as a tool for risk stratifying children with AAOCA.

q-bio.TO

Optimal fenestration of the Fontan circulation

In this paper, we develop a pulsatile compartmental model of the Fontan circulation and use it to explore the effects of a fenestration added to this physiology. A fenestration is a shunt between the systemic and pulmonary veins that is added either at the time of Fontan conversion or at a later time for the treatment of complications. This shunt increases cardiac output and decreases systemic venous pressure. However, these hemodynamic benefits are achieved at the expense of a decrease in the arterial oxygen saturation. The model developed this paper incorporates fenestration size as a parameter and describes both blood flow and oxygen transport. It is calibrated to clinical data from Fontan patients, and we use it to study the impact of a fenestration on several hemodynamic variables. In certain scenarios corresponding to high-risk Fontan physiology, we demonstrate the existence of an optimal fenestration size that maximizes oxygen delivery to the systemic tissues.

q-bio.TO

Computer simulation of surgical interventions for the treatment of refractory pulmonary hypertension

This paper describes computer models of three interventions used for treating refractory pulmonary hypertension (RPH). These procedures create either an atrial septal defect, a ventricular septal defect, or, in the case of a Potts shunt, a patent ductus arteriosus. The aim in all three cases is to generate a right-to-left shunt, allowing for either pressure or volume unloading of the right side of the heart in the setting of right ventricular failure, while maintaining cardiac output. These shunts are created, however, at the expense of introducing de-oxygenated blood into the systemic circulation, thereby lowering the systemic arterial oxygen saturation. The models developed in this paper are based on compartmental descriptions of human hemodynamics and oxygen transport. An important parameter included in our models is the cross-sectional area of the surgically created defect. Numerical simulations are performed to compare different interventions and various shunt sizes and to assess their impact on hemodynamic variables and oxygen saturations. We also create a model for exercise and use it to study exercise tolerance in simulated pre-intervention and post-intervention RPH patients.

q-bio.TO

Comparison of reduced models for blood flow using Runge-Kutta discontinuous Galerkin methods

One-dimensional blood flow models take the general form of nonlinear hyperbolic systems but differ greatly in their formulation. One class of models considers the physically conserved quantities of mass and momentum, while another class describes mass and velocity. Further, the averaging process employed in the model derivation requires the specification of the axial velocity profile; this choice differentiates models within each class. Discrepancies among differing models have yet to be investigated. In this paper, we systematically compare several reduced models of blood flow for physiologically relevant vessel parameters, network topology, and boundary data. The models are discretized by a class of Runge-Kutta discontinuous Galerkin methods.

physics.flu-dyn

Numerical method of characteristics for one-dimensional blood flow

Mathematical modeling at the level of the full cardiovascular system requires the numerical approximation of solutions to a one-dimensional nonlinear hyperbolic system describing flow in a single vessel. This model is often simulated by computationally intensive methods like finite elements and discontinuous Galerkin, while some recent applications require more efficient approaches (e.g. for real-time clinical decision support, phenomena occurring over multiple cardiac cycles, iterative solutions to optimization/inverse problems, and uncertainty quantification). Further, the high speed of pressure waves in blood vessels greatly restricts the time step needed for stability in explicit schemes. We address both cost and stability by presenting an efficient and unconditionally stable method for approximating solutions to diagonal nonlinear hyperbolic systems. Theoretical analysis of the algorithm is given along with a comparison of our method to a discontinuous Galerkin implementation. Lastly, we demonstrate the utility of the proposed method by implementing it on small and large arterial networks of vessels whose elastic and geometrical parameters are physiologically relevant.

physics.comp-ph

Synchronization Engineering: Theoretical Framework and Application to Dynamical Clustering

A method for engineering the behavior of populations of rhythmic elements is presented. The framework, which is based on phase models, allows a nonlinear time-delayed global feedback signal to be constructed which produces an interaction function corresponding to the desired behavior of the system. It is shown theoretically and confirmed in numerical simulations that a polynomial, delayed feedback is a versatile tool to tune synchronization patterns. Dynamical states consisting of one to four clusters were engineered to demonstrate the application of synchronization engineering in an experimental electrochemical system.

nlin.AO