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Michele Bucelli

Publications and source records attributed to Michele Bucelli.

14 recordsLinked to original sources

svMultiPhysics: a finite element-based solver for cardiovascular simulations

Heart disease remains the leading cause of death in the United States, motivating extensive efforts to improve its diagnosis, treatment, and prevention. Over the past decade, computational modeling has emerged as a powerful tool to advance cardiovascular research by enabling detailed, patient-specific studies of cardiac physiology and pathology. svMultiPhysics is an open-source, parallel finite element solver written in C++ specifically designed for multiphysics cardiovascular problems. It provides a unified framework for simulating the partial differential equations that govern solid mechanics, fluid dynamics, diffusion, and cardiac electrophysiology. These equations can be solved independently or in a coupled fashion, allowing researchers to investigate interactions between physical processes in a modular yet integrated way. The solver's main strength lies in its ability to seamlessly couple multiple physics modules, enabling the study of complex, highly nonlinear systems. For example, svMultiPhysics can capture the interplay between cardiac electrophysiology, myocardial tissue mechanics, and blood flow dynamics, processes that are essential to understanding vascular and cardiac physiology and function in health and disease. Preliminary GPU-enabled simulations show up to approximately $30\times$ wall-clock speedup for selected linear solver configurations over CPU-based simulations. By offering a robust, extensible, and freely available platform, svMultiPhysics empowers researchers to explore multiphysics problems in cardiovascular science. As the primary 3D solver in the SimVascular open source project, it forms a key component of an end-to-end open source software ecosystem for image based patient specific modeling in the cardiovascular system. It is maintained and openly developed on GitHub, fostering transparency, reproducibility, and collaboration.

physics.flu-dyn

Coupling models of resistive valves to muscle mechanics in cardiac fluid-structure interaction simulations

To accurately simulate all phases of the cardiac cycle, computational models of hemodynamics in heart chambers need to include a sufficiently faithful model of cardiac valves. This can be achieved efficiently through resistive methods, and the resistive immersed implicit surface (RIIS) model in particular [Fedele et al., BMMB, 2017]. However, the conventional RIIS model is not suited to fluid-structure interaction (FSI) simulations, since it neglects the reaction forces by which valves are attached to the cardiac walls, leading to models that are not consistent with Newton's laws. In this paper, we propose an improvement to RIIS to overcome this limitation, by adding distributed forces acting on the structure to model the attachment of valves to the cardiac walls. The modification has a minimal computational overhead thanks to an explicit numerical discretization scheme. Numerical experiments in both idealized and realistic settings demonstrate the effectiveness of the proposed modification in ensuring the physical consistency of the model, thus allowing to apply RIIS and other resistive valve models in the context of FSI simulations.

math.NA

Influence of cellular mechano-calcium feedback in numerical models of cardiac electromechanics

Multiphysics and multiscale mathematical models enable the non-invasive study of cardiac function. These models often rely on simplifying assumptions that neglect certain biophysical processes to balance fidelity and computational cost. In this work, we propose an eikonal-based framework that incorporates mechano-calcium feedback -- the effect of mechanical deformation on calcium-troponin buffering -- while introducing only negligible computational overhead. To assess the impact of mechano-calcium feedback at the organ level, we develop a bidirectionally coupled cellular electromechanical model and integrate it into two cardiac multiscale frameworks: a monodomain-driven model that accounts for geometric feedback on electrophysiology and the proposed eikonal-based approach, which instead neglects geometric feedback. By ensuring consistent cellular model calibration across all scenarios, we isolate the role of mechano-calcium feedback and systematically compare its effects against models without it. Our results indicate that, under baseline conditions, mechano-calcium feedback has minimal influence on overall cardiac function. However, its effects become more pronounced in altered force generation scenarios, such as inotropic modulation. Furthermore, we demonstrate that the eikonal-based framework, despite omitting other types of mechano-electric feedback, effectively captures the role of mechano-calcium feedback at significantly lower computational costs than the monodomain-driven model, reinforcing its utility in computational cardiology.

math.NA

Coupled Eikonal problems to model cardiac reentries in Purkinje network and myocardium

We propose a novel partitioned scheme based on Eikonal equations to model the coupled propagation of the electrical signal in the His-Purkinje system and in the myocardium for cardiac electrophysiology. This scheme allows, for the first time in Eikonal-based modeling, to capture all possible signal reentries between the Purkinje network and the cardiac muscle that may occur under pathological conditions. As part of the proposed scheme, we introduce a new pseudo-time method for the Eikonal-diffusion problem in the myocardium, to correctly enforce electrical stimuli coming from the Purkinje network. We test our approach by performing numerical simulations of cardiac electrophysiology in a real biventricular geometry, under both pathological and therapeutic conditions, to demonstrate its flexibility, robustness, and accuracy.

math.NA

The lifex library version 2.0

This article presents updates to lifex [Africa, SoftwareX (2022)], a C++ library for high-performance finite element simulations of multiphysics, multiscale and multidomain problems. In this release, we introduce an additional intergrid transfer method for non-matching multiphysics coupling on the same domain, significantly optimize nearest-neighbor point searches and interface coupling utilities, extend the support for 2D and mixed-dimensional problems, and provide improved facilities for input/output and simulation serialization and restart. These advancements also propagate to the previously released modules of lifex specifically designed for cardiac modeling and simulation, namely lifex-fiber [Africa et al., BMC Bioinformatics (2023)], lifex-ep [Africa et al., BMC Bioinformatics (2023)] and lifex-cfd [Africa et al., Computer Physics Communications (2024)]. The changes introduced in this release aim at consolidating lifex's position as a valuable and versatile tool for the simulation of multiphysics systems.

math.NA

Robust radial basis function interpolation based on geodesic distance for the numerical coupling of multiphysics problems

Multiphysics simulations frequently require transferring solution fields between subproblems with non-matching spatial discretizations, typically using interpolation techniques. Standard methods are usually based on measuring the closeness between points by means of the Euclidean distance, which does not account for curvature, cuts, cavities or other non-trivial geometrical or topological features of the domain. This may lead to spurious oscillations in the interpolant in proximity to these features. To overcome this issue, we propose a modification to rescaled localized radial basis function (RL-RBF) interpolation to account for the geometry of the interpolation domain, by yielding conformity and fidelity to geometrical and topological features. The proposed method, referred to as RL-RBF-G, relies on measuring the geodesic distance between data points. RL-RBF-G removes spurious oscillations appearing in the RL-RBF interpolant, resulting in increased accuracy in domains with complex geometries. We demonstrate the effectiveness of RL-RBF-G interpolation through a convergence study in an idealized setting. Furthermore, we discuss the algorithmic aspects and the implementation of RL-RBF-G interpolation in a distributed-memory parallel framework, and present the results of a strong scalability test yielding nearly ideal results. Finally, we show the effectiveness of RL-RBF-G interpolation in multiphysics simulations by considering an application to a whole-heart cardiac electromecanics model.

math.NA

An electromechanics-driven fluid dynamics model for the simulation of the whole human heart

We introduce a multiphysics and geometric multiscale computational model, suitable to describe the hemodynamics of the whole human heart, driven by a four-chamber electromechanical model. We first present a study on the calibration of the biophysically detailed RDQ20 activation model (Regazzoni et al., 2020) that is able to reproduce the physiological range of hemodynamic biomarkers. Then, we demonstrate that the ability of the force generation model to reproduce certain microscale mechanisms, such as the dependence of force on fiber shortening velocity, is crucial to capture the overall physiological mechanical and fluid dynamics macroscale behavior. This motivates the need for using multiscale models with high biophysical fidelity, even when the outputs of interest are relative to the macroscale. We show that the use of a high-fidelity electromechanical model, combined with a detailed calibration process, allows us to achieve remarkable biophysical fidelity in terms of both mechanical and hemodynamic quantities. Indeed, our electromechanical-driven CFD simulations - carried out on an anatomically accurate geometry of the whole heart - provide results that match the cardiac physiology both qualitatively (in terms of flow patterns) and quantitatively (when comparing in silico results with biomarkers acquired in vivo). We consider the pathological case of left bundle branch block, and we investigate the consequences that an electrical abnormality has on cardiac hemodynamics thanks to our multiphysics integrated model. The computational model that we propose can faithfully predict a delay and an increasing wall shear stress in the left ventricle in the pathological condition. The interaction of different physical processes in an integrated framework allows us to faithfully describe and model this pathology, by capturing and reproducing the intrinsic multiphysics nature of the human heart.

math.NA

lifex-cfd: an open-source computational fluid dynamics solver for cardiovascular applications

Computational fluid dynamics (CFD) is an important tool for the simulation of the cardiovascular function and dysfunction. Due to the complexity of the anatomy, the transitional regime of blood flow in the heart, and the strong mutual influence between the flow and the physical processes involved in the heart function, the development of accurate and efficient CFD solvers for cardiovascular flows is still a challenging task. In this paper we present lifex-cfd, an open-source CFD solver for cardiovascular simulations based on the lifex finite element library, written in modern C++ and exploiting distributed memory parallelism. We model blood flow in both physiological and pathological conditions via the incompressible Navier-Stokes equations, accounting for moving cardiac valves, moving domains, and transition-to-turbulence regimes. In this paper, we provide an overview of the underlying mathematical formulation, numerical discretization, implementation details and examples on how to use lifex-cfd. We verify the code through rigorous convergence analyses, and we show its almost ideal parallel speedup. We demonstrate the accuracy and reliability of the numerical methods implemented through a series of idealized and patient-specific vascular and cardiac simulations, in different physiological flow regimes. The lifex-cfd source code is available under the LGPLv3 license, to ensure its accessibility and transparency to the scientific community, and to facilitate collaboration and further developments.

physics.flu-dyn

lifex-ep: a robust and efficient software for cardiac electrophysiology simulations

Simulating the cardiac function requires the numerical solution of multi-physics and multi-scale mathematical models. This underscores the need for streamlined, accurate, and high-performance computational tools. Despite the dedicated endeavors of various research teams, comprehensive and user-friendly software programs for cardiac simulations are still in the process of achieving full maturity within the scientific community. This work introduces lifex-ep, a publicly available software for numerical simulations of the electrophysiology activity of the cardiac muscle, under both physiological and pathological conditions. lifex-ep employs the monodomain equation to model the heart's electrical activity. It incorporates both phenomenological and second-generation ionic models. These models are discretized using the Finite Element method on tetrahedral or hexahedral meshes. Additionally, lifex-ep integrates the generation of myocardial fibers based on Laplace-Dirichlet Rule-Based Methods, previously released in Africa et al., 2023, within lifex-fiber. This paper provides a concise overview of the mathematical models and numerical methods underlying lifex-ep, along with comprehensive implementation details and instructions for users. lifex-ep features exceptional parallel speedup, scaling efficiently when using up to thousands of cores, and its implementation has been verified against an established benchmark problem for computational electrophysiology. We showcase the key features of lifex-ep through various idealized and realistic simulations. lifex-ep offers a user-friendly and flexible interface. lifex-ep provides easy access to cardiac electrophysiology simulations for a wide user community. It offers a computational tool that integrates models and accurate methods for simulating cardiac electrophysiology within a high-performance framework, while maintaining a user-friendly interface.

math.NA

Preserving the positivity of the deformation gradient determinant in intergrid interpolation by combining RBFs and SVD: application to cardiac electromechanics

The accurate robust and efficient transfer of the deformation gradient tensor between meshes of different resolution is crucial in cardiac electromechanics simulations. We present a novel method that combines rescaled localized Radial Basis Function (RBF) interpolation with Singular Value Decomposition (SVD) to preserve the positivity of the determinant of the deformation gradient tensor. The method involves decomposing the evaluations of the tensor at the quadrature nodes of the source mesh into rotation matrices and diagonal matrices of singular values; computing the RBF interpolation of the quaternion representation of rotation matrices and the singular value logarithms; reassembling the deformation gradient tensors at quadrature nodes of the destination mesh, to be used in the assembly of the electrophysiology model equations. The proposed method overcomes limitations of existing interpolation methods, including nested intergrid interpolation and RBF interpolation of the displacement field, that may lead to the loss of physical meaningfulness of the mathematical formulation and then to solver failures at the algebraic level, due to negative determinant values. The proposed method enables the transfer of solution variables between finite element spaces of different degrees and shapes and without stringent conformity requirements between different meshes, enhancing the flexibility and accuracy of electromechanical simulations. Numerical results confirm that the proposed method enables the transfer of the deformation gradient tensor, allowing to successfully run simulations in cases where existing methods fail. This work provides an efficient and robust method for the intergrid transfer of the deformation gradient tensor, enabling independent tailoring of mesh discretizations to the particular characteristics of the physical components concurring to the of the multiphysics model.

math.NA

A stable loosely-coupled scheme for cardiac electro-fluid-structure interaction

We present a loosely coupled scheme for the numerical simulation of the cardiac electro-fluid-structure interaction problem, whose solution is typically computationally intensive due to the need to suitably treat the coupling of the different submodels. Our scheme relies on a segregated treatment of the subproblems, in particular on an explicit Robin-Neumann algorithm for the fluid-structure interaction, aiming at reducing the computational burden of numerical simulations. The results, both in an ideal and a realistic cardiac setting, show that the proposed scheme is stable at the regimes typical of cardiac simulations. From a comparison with a scheme with implicit fluid-structure interaction, it emerges that, while conservation properties are not fully preserved, computational times significantly benefit from the explicit scheme. Overall, the explicit discretization represents a good trade-off between accuracy and cost, and is a valuable alternative to implicit schemes for fast large-scale simulations.

math.NA

Modeling isovolumetric phases in cardiac flows by an Augmented Resistive Immersed Implicit Surface Method

A major challenge in the computational fluid dynamics modeling of the heart function is the simulation of isovolumetric phases when the hemodynamics problem is driven by a prescribed boundary displacement. During such phases, both atrioventricular and semilunar valves are closed: consequently, the ventricular pressure may not be uniquely defined, and spurious oscillations may arise in numerical simulations. In this paper, we propose a suitable modification of the Resistive Immersed Implicit Surface (RIIS) method (Fedele et al., 2017) by introducing a reaction term to correctly capture the pressure transients during isovolumetric phases. The method, that we call Augmented RIIS (ARIIS) method, extends the previously proposed ARIS method (This et al., 2020) to the case of a mesh which is not body-fitted to the valves. We test the proposed method on two different benchmark problems, including a new simplified problem that retains all the characteristics of a heart cycle. We apply the ARIIS method to a fluid dynamics simulation of a realistic left heart geometry, and we show that ARIIS allows to correctly simulate isovolumetric phases, differently from standard RIIS method.

math.NA

A mathematical model that integrates cardiac electrophysiology, mechanics and fluid dynamics: application to the human left heart

We propose a mathematical and numerical model for the simulation of the heart function that couples cardiac electrophysiology, active and passive mechanics and hemodynamics, and includes reduced models for cardiac valves and the circulatory system. Our model accounts for the major feedback effects among the different processes that characterize the heart function, including electro-mechanical and mechano-electrical feedback as well as force-strain and force-velocity relationships. Moreover, it provides a three-dimensional representation of both the cardiac muscle and the hemodynamics, coupled in a fluid-structure interaction (FSI) model. By leveraging the multiphysics nature of the problem, we discretize it in time with a segregated electrophysiology-force generation-FSI approach, allowing for efficiency and flexibility in the numerical solution. We employ a monolithic approach for the numerical discretization of the FSI problem. We use finite elements for the spatial discretization of those partial differential equations that contribute to the model. We carry out a numerical simulation on a realistic human left heart model, obtaining results that are qualitatively and quantitatively in agreement with physiological ranges and medical images.

math.NA

A comprehensive and biophysically detailed computational model of the whole human heart electromechanics

While ventricular electromechanics is extensively studied, four-chamber heart models have only been addressed recently; most of these works however neglect atrial contraction. Indeed, as atria are characterized by a complex physiology influenced by the ventricular function, developing computational models able to capture the physiological atrial function and atrioventricular interaction is very challenging. In this paper, we propose a biophysically detailed electromechanical model of the whole human heart that considers both atrial and ventricular contraction. Our model includes: i) an anatomically accurate whole-heart geometry; ii) a comprehensive myocardial fiber architecture; iii) a biophysically detailed microscale model for the active force generation; iv) a 0D closed-loop model of the circulatory system; v) the fundamental interactions among the different core models; vi) specific constitutive laws and model parameters for each cardiac region. Concerning the numerical discretization, we propose an efficient segregated-intergrid-staggered scheme and we employ recently developed stabilization techniques that are crucial to obtain a stable formulation in a four-chamber scenario. We are able to reproduce the healthy cardiac function for all the heart chambers, in terms of pressure-volume loops, time evolution of pressures, volumes and fluxes, and three-dimensional cardiac deformation, with unprecedented matching (to the best of our knowledge) with the expected physiology. We also show the importance of considering atrial contraction, fibers-stretch-rate feedback and suitable stabilization techniques, by comparing the results obtained with and without these features in the model. The proposed model represents the state-of-the-art electromechanical model of the iHEART ERC project and is a fundamental step toward the building of physics-based digital twins of the human heart.

math.NA