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Mitchel J. Colebank

Publications and source records attributed to Mitchel J. Colebank.

15 recordsLinked to original sources

A Sensitivity-based Framework for Calibrating Coupled Ordinary Differential Equations under Model Discrepancy

Coupled systems of ordinary differential equations (ODEs) are widely used to model complex physical and biological processes. In these applications, ODE model parameters must be calibrated to field data to enable prediction and parameter inference. In practice, the governing ODEs are an imperfect approximation to the true system, leading to non-negligible model discrepancy that must be incorporated to avoid biased parameter estimates. However, it is well known that highly flexible discrepancy models can confound discrepancy and simulator parameters, leading to poor identifiability. As a result, practitioners often must impose problem-specific prior constraints to adequately regularize the discrepancy, which can be challenging and cumbersome. In this work, we propose a novel calibration framework for coupled, multi-output ODE systems that enforces automatic, model-structural constraints on the discrepancy, improving identifiability without requiring application-specific discrepancy priors. Forward-model gradients are computed via sensitivity equations, solved jointly with the ODE system as a coupled initial value problem. Posterior inference is performed using an adaptive Metropolis-within-Gibbs sampler tailored to the resulting constrained posterior. We demonstrate the approach on three model systems: a mass-spring oscillator, a model of infectious disease spread, and a neuron firing model. We show that our method leads to improved parameter inference and predictive accuracy compared to standard calibration approaches.

stat.AP↗

Parameter identifiability of a neuroendocrine-inflammatory model across experimental designs

Mathematical modeling helps us identify and investigate complex mechanisms of function. This is especially useful for understanding inflammation, which is a complex, multiscale process that interacts nonlinearly with other physiological systems. The full potential of these models can only be realized when combined with experimental data through parameter estimation. However, uniquely determining model parameters requires that they are practically identifiable, which can be assessed by multiple, possibly inconsistent, methods. Identifiability can also vary with experimental designs and observation operators. This study investigates this issue by assessing parameter identifiability in a coupled model of the neuroendocrine-inflammatory system. We compare three workflows following a global sensitivity analysis: Fisher-information matrix based identifiability, global optimization with frequentist confidence intervals, and the profile-likelihood. We compare results across six observation operators with and without measurement noise, all of which are experimentally feasible given prior literature. Our results show that Fisher-information-based methods typically lead to larger sets of identifiable parameters while profile-likelihood analyses lead to a smaller number of identifiable parameters. This suggests that, while computationally expensive, the profile-likelihood is necessary for accurately assessing identifiability, and must be recalculated when the experimental design is altered.

q-bio.QM↗

Uncertainty-aware classification and triage of structural heart disease using electrocardiography and echocardiography metrics

Machine learning methods provide a methodological innovation that can help screen for cardiovascular disease through noninvasive and readily available measurement modalities. Recent investments in using electrocardiogram (ECG) data to screen for structural heart disease (SHD) are one example, where ECGs provide a low-cost, available modality for screening. This has led to the EchoNext dataset, a paired ECG-echocardiogram data repository for testing new methods of SHD detection. However, relatively few studies have investigated how more probabilistic classification through Bayesian inference may improve uncertainty quantification in this setting. Moreover, few studies have considered how triage systems can be developed to alleviate healthcare bottlenecks, such as the review of data from underserved, rural clinics by expert sonographers for SHD assessment. In this study, we leverage existing ECG-echocardiogram data to compare frequentist and Bayesian neural network classifiers. We show that the Bayesian approach is comparable or better than frequentist methods in SHD classification, and that they have a more robust uncertainty quantification attached to them. We provide an example of how this uncertainty-aware classification scheme can be used for screening SHD, providing a proof-of-concept for how machine learning can help with triage in getting individuals expert sonographer input when SHD is highly likely or measurements are highly uncertain.

q-bio.QM↗

Mathematical simulations of pediatric hemodynamics in isolated ventricular septal defect

Computer modeling of the cardiovascular system has potential to revolutionize personalized medical care. This is especially promising for congenital heart defects, such as ventricular septal defect (VSD), a hole between the two ventricles of the heart. However, relatively few studies have built computer models for VSD, nor have they considered how natural adaptation to the cardiovascular system with age might interact with the presence of a small, medium, or large size VSD. Here, we combine a lumped parameter model of the cardiovascular system with two key modeling components: a size-dependent resistance dictating shunt flow between the two ventricles and age-dependent scaling relationships for the systemic and pulmonary circulations. Our results provide insight into changes in hemodynamic conditions with various VSD sizes. We investigate the combined effects of VSD size, vascular parameters, and age, showing distinct differences with these three factors. This study lays the necessary foundation for studying VSD and towards building digital shadows and digital twins for managing VSD in pediatrics.

q-bio.TO↗

Bayesian Parameter Inference and Uncertainty Quantification for a Computational Pulmonary Hemodynamics Model Using Gaussian Processes

Subject-specific modeling is a powerful tool in cardiovascular research, providing insights beyond the reach of current clinical diagnostics. Limitations in available clinical data require the incorporation of uncertainty into models to improve guidance for personalized treatments. However, for clinical relevance, such modeling must be computationally efficient. In this study, we used a one-dimensional (1D) fluid dynamics model informed by experimental data from a dog model of chronic thromboembolic pulmonary hypertension (CTEPH), incorporating measurements from multiple subjects under both baseline and CTEPH conditions. Surgical intervention can alleviate CTEPH, yet patients with microvascular disease (e.g., remodeling and narrowing of small vessels) often exhibit persistent pulmonary hypertension, highlighting the importance of assessing microvascular disease severity. Thus, each lung was modeled separately to account for the heterogeneous nature of CTEPH, allowing us to explore lung-specific microvascular narrowing and resistance. We compared inferred parameters between baseline and CTEPH and examined their correlation with clinical markers of disease severity. To accelerate model calibration, we employed Gaussian process (GP) emulators, enabling the estimation of microvascular parameters and their uncertainties within a clinically feasible timeframe. Our results demonstrated that CTEPH leads to heterogeneous microvascular adaptation, reflected in distinct parameter shifts. Notably, the changes in model parameters strongly correlated with disease severity, especially in the lung previously reported to have more advanced disease. This framework provides a rapid, uncertainty-aware method for evaluating microvascular dysfunction in CTEPH and may support more targeted treatment strategies within a timeframe suitable for clinical application.

stat.AP↗

Assessing parameter identifiability of a hemodynamics PDE model using spectral surrogates and dimension reduction

Computational inverse problems for biomedical simulators suffer from limited data and relatively high parameter dimensionality. This often requires sensitivity analysis, where parameters of the model are ranked based on their influence on the specific quantities of interest. This is especially important for simulators used to build medical digital twins, as the amount of data is typically limited. For expensive models, such as blood flow models, emulation is employed to expedite the simulation time. Parameter ranking and fixing using sensitivity analysis are often heuristic, though, and vary with the specific application or simulator used. The present study provides an innovative solution to this problem by leveraging polynomial chaos expansions (PCEs) for both multioutput global sensitivity analysis and formal parameter identifiability. For the former, we use dimension reduction to efficiently quantify time-series sensitivity of a one-dimensional pulmonary hemodynamics model. We consider both Windkessel and structured tree boundary conditions. We then use PCEs to construct profile-likelihood confidence intervals to formally assess parameter identifiability, and show how changes in experimental design improve identifiability. Our work presents a novel approach to determining parameter identifiability and leverages a common emulation strategy for enabling profile-likelihood analysis in problems governed by partial differential equations.

q-bio.TO↗

Markov Chain Monte Carlo with Gaussian Process Emulation for a 1D Hemodynamics Model of CTEPH

Microvascular disease is a contributor to persistent pulmonary hypertension in those with chronic thromboembolic pulmonary hypertension (CTEPH). The heterogenous nature of the micro and macrovascular defects motivates the use of personalized computational models, which can predict flow dynamics within multiple generations of the arterial tree and into the microvasculature. Our study uses computational hemodynamics models and Gaussian processes for rapid, subject-specific calibration using retrospective data from a large animal model of CTEPH. Our subject-specific predictions shed light on microvascular dysfunction and arterial wall shear stress changes in CTEPH.

q-bio.QM↗

Efficient Uncertainty Quantification in a Multiscale Model of Pulmonary Arterial and Venous Hemodynamics

Computational hemodynamics models are becoming increasingly useful in the management and prognosis of complex, multiscale pathologies, including those attributed to the development of pulmonary vascular disease. However, diseases like pulmonary hypertension are heterogeneous, and affect both the proximal arteries and veins as well as the microcirculation. Simulation tools and the data used for model calibration are also inherently uncertain, requiring a full analysis of the sensitivity and uncertainty attributed to model inputs and outputs. Thus, this study quantifies model sensitivity and output uncertainty in a multiscale, pulse-wave propagation model of pulmonary hemodynamics. Our pulmonary circuit model consists of fifteen proximal arteries and twelve proximal veins, connected by a two-sided, structured tree model of the distal vasculature. We use polynomial chaos expansions to expedite the sensitivity and uncertainty quantification analyses and provide results for both the proximal and distal vasculature. Our analyses provide uncertainty in blood pressure, flow, and wave propagation phenomenon, as well as wall shear stress and cyclic stretch, both of which are important stimuli for endothelial cell mechanotransduction. We conclude that, while nearly all the parameters in our system have some influence on model predictions, the parameters describing the density of the microvascular beds have the largest effects on all simulated quantities in both the proximal and distal circulation.

q-bio.TO↗

Parameter inference in a computational model of hemodynamics in pulmonary hypertension

Pulmonary hypertension (PH), defined by a mean pulmonary arterial pressure (mPAP) $>$ 20 mmHg, is characterized by increased pulmonary vascular resistance and decreased pulmonary arterial compliance. There are few measurable biomarkers of PH progression, but a conclusive diagnosis of the disease requires invasive right heart catheterization (RHC). Patient-specific computational models of the cardiovascular system are a potential noninvasive tool for determining additional indicators of disease severity. Using computational modeling, this study quantifies physiological parameters indicative of disease severity in nine PH patients. The model includes all four heart chambers and the pulmonary and systemic circulations. We consider two sets of calibration data: static (systolic \& diastolic values) RHC data and a combination of static and continuous, time-series waveform data. We determine a subset of identifiable parameters for model calibration using sensitivity analyses and multistart inference, and carry out uncertainty quantification post-inference. Results show that additional waveform data enables accurate calibration of the right atrial reservoir and pump function across the PH cohort. Model outcomes, including stroke work and pulmonary resistance-compliance relations, reflect typical right heart dynamics in PH phenotypes. Lastly, we show that estimated parameters agree with previous, non-modeling studies, supporting this type of analysis in translational PH research.

q-bio.QM↗

A computational study of aortic reconstruction in single ventricle patients

Patients with hypoplastic left heart syndrome (HLHS) are born with an underdeveloped left heart. They typically receive a sequence of surgeries that result in a single ventricle physiology called the Fontan circulation. While these patients usually survive into early adulthood, they are at risk for medical complications, partially due to their lower than normal cardiac output, which leads to insufficient cerebral and gut perfusion. While clinical imaging data can provide detailed insight into cardiovascular function within the imaged region, it is difficult to use this data for assessing deficiencies in the rest of the body and for deriving blood pressure dynamics. Data from patients used in this paper include three dimensional, magnetic resonance angiograms (MRA), time-resolved phase contrast cardiac magnetic resonance images (4D-MRI) and sphygmomanometer blood pressure measurements. The 4D-MRI images provide detailed insight into velocity and flow in vessels within the imaged region, but they cannot predict flow in the rest of the body, nor do they provide values of blood pressure. To remedy these limitations, this study combines the MRA, 4D-MRI, and pressure data with 1D fluid dynamics models to predict hemodynamics in the major systemic arteries, including the cerebral and gut vasculature. To study effects post-surgery we compare simulations for an HLHS patient with simulations for a matched control patient that has double outlet right ventricle (DORV) physiology with a native aorta. Our results show that the HLHS patient has hypertensive pressures in the brain as well as reduced flow to the gut. Wave-intensity analysis suggests that the HLHS patient has irregular circulatory function during light upright exercise conditions and that predicted wall-shear stresses are lower than normal, suggesting the HLHS patient may have hypertension.

math.DS↗

A multiscale model of vascular function in chronic thromboembolic pulmonary hypertension

Chronic thromboembolic pulmonary hypertension (CTEPH) is caused by recurrent or unresolved pulmonary thromboemboli, leading to perfusion defects and increased arterial wave reflections. CTEPH treatment aims to reduce pulmonary arterial pressure and reestablish adequate lung perfusion, yet patients with distal lesions are inoperable by standard surgical intervention. Instead, these patients undergo balloon pulmonary angioplasty (BPA), a multi-session, minimally invasive surgery that disrupts the thromboembolic material within the vessel lumen using a catheter balloon. However, there still lacks an integrative, holistic tool for identifying optimal target lesions for treatment. To address this insufficiency, we simulate CTEPH hemodynamics and BPA therapy using a multiscale fluid dynamics model. The large pulmonary arterial geometry is derived from a computed tomography (CT) image, whereas a fractal tree represents the small vessels. We model ring- and web-like lesions, common in CTEPH, and simulate normotensive conditions and four CTEPH disease scenarios; the latter includes both large artery lesions and vascular remodeling. BPA therapy is simulated by simultaneously reducing lesion severity in three locations. Our predictions mimic severe CTEPH, manifested by an increase in mean proximal pulmonary arterial pressure above 20 mmHg and prominent wave reflections. Both flow and pressure decrease in vessels distal to the lesions and increase in unobstructed vascular regions. We use the main pulmonary artery (MPA) pressure, a wave reflection index, and a measure of flow heterogeneity to select optimal target lesions for BPA. In summary, this study provides a multiscale, image-to-hemodynamics pipeline for BPA therapy planning for inoperable CTEPH patients.

q-bio.TO↗

Numerical predictions of shear stress and cyclic stretch in the healthy pulmonary vasculature

Isolated post-capillary pulmonary hypertension (Ipc-PH) occurs due to left heart failure, which contributes to 1 out of every 9 deaths in the United States. In some patients, through unknown mechanisms, Ipc-PH transitions to combined pre-/post-capillary PH (Cpc-PH), diagnosed by an increase in pulmonary vascular resistance and associated with a dramatic increase in mortality. We hypothesize that altered mechanical forces and subsequent vasoactive signaling in the pulmonary capillary bed drive the transition from Ipc-PH to Cpc-PH. However, even in a healthy pulmonary circulation, the mechanical forces in the smallest vessels (the arterioles, venules, and capillary bed) have not been quantitatively defined. This study is the first to examine this question via a computational fluid dynamics model of the human pulmonary arteries, veins, arterioles, and venules. Using this model we predict temporal and spatial dynamics of cyclic stretch and wall shear stress. In the large vessels, numerical simulations show that shear stress increases coincides with larger flow and pressure. In the microvasculature, we found that as vessel radius decreases, shear stress increases and flow decreases. In arterioles, this corresponds with lower pressures; however, the venules and smaller veins have higher pressure than larger veins. Our model provides predictions for pressure, flow, shear stress, and cyclic stretch that provides a way to analyze and investigate hypotheses related to disease progression in the pulmonary circulation.

q-bio.TO↗

Structural and hemodynamic properties in murine pulmonary arterial networks under hypoxia-induced pulmonary hypertension

Detection and monitoring of patients with pulmonary hypertension, defined as mean blood pressure in the main pulmonary artery above 25 mmHg, requires a combination of imaging and hemodynamic measurements. This study demonstrates how to combine imaging data from microcomputed tomography (micro-CT) images with hemodynamic pressure and flow waveforms from control and hypertensive mice. Specific attention is devoted to developing a tool that processes CT images, generating subject-specific arterial networks in which 1D fluid dynamics modeling is used to predict blood pressure and flow. Each arterial network is modeled as a directed graph representing vessels along the principal pathway to ensure perfusion of all lobes. The 1D model couples these networks with structured tree boundary conditions informed by the image data. Fluid dynamics equations are solved in this network and compared to measurements of pressure in the main pulmonary artery. Analysis of micro-CT images reveals that the branching ratio is the same in the control and hypertensive animals, but that the vessel length to radius ratio is significantly lower in the hypertensive animals. Fluid dynamics predictions show that in addition to changed network geometry, vessel stiffness is higher in the hypertensive animal models than in the control models.

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Influence of image segmentation on one-dimensional fluid dynamics predictions in the mouse pulmonary arteries

Computational fluid dynamics (CFD) models are emerging as tools for assisting in diagnostic assessment of cardiovascular disease. Recent advances in image segmentation has made subject-specific modelling of the cardiovascular system a feasible task, which is particularly important in the case of pulmonary hypertension (PH), which requires a combination of invasive and non-invasive procedures for diagnosis. Uncertainty in image segmentation can easily propagate to CFD model predictions, making uncertainty quantification crucial for subject-specific models. This study quantifies the variability of one-dimensional (1D) CFD predictions by propagating the uncertainty of network geometry and connectivity to blood pressure and flow predictions. We analyse multiple segmentations of an image of an excised mouse lung using different pre-segmentation parameters. A custom algorithm extracts vessel length, vessel radii, and network connectivity for each segmented pulmonary network. We quantify uncertainty in geometric features by constructing probability densities for vessel radius and length, and then sample from these distributions and propagate uncertainties of haemodynamic predictions using a 1D CFD model. Results show that variation in network connectivity is a larger contributor to haemodynamic uncertainty than vessel radius and length.

q-bio.QM↗

Sensitivity analysis and uncertainty quantification of 1D models of the pulmonary circulation

This study combines a one-dimensional (1D) model with micro-CT imaging and hemodynamic data to quantify uncertainty of flow and pressure predictions in the pulmonary arteries in a control and hypoxia induced hypertensive mouse. We use local and global sensitivity and correlation analysis to determine parameters that can be inferred from the model and available data. Least squares optimization is used to estimate mouse specific parameters, and Bayesian as well as asymptotic uncertainty quantification techniques are employed to determine confidence, credible, and prediction intervals for the model parameters and response. These techniques are used to examine the effects of network size and to understand how parameters change with disease (hypertension). Results showed that the peripheral vascular resistance is the most sensitive, and as the network size increases the parameter behavior changes. Correlation analysis revealed that in hypertension large vessel stiffness is correlated with proximal resistance in the boundary. We were able to estimate identifiable parameters using both deterministic and Bayesian techniques (the maxima of the parameter distributions determined using Bayesian analysis aligned with local optima). From these estimates we determined confidence and prediction intervals, which all were within physiological expectation. Analysis of estimated parameter values for the representative mice studied here showed that the hypertensive mouse has stiffer (but larger) vessels and that compliance is decreased both in the proximal and peripheral vasculature.

physics.flu-dyn↗