arXiv subjects

Pasquale Claudio Africa

Publications and source records attributed to Pasquale Claudio Africa.

16 recordsLinked to original sources

arXiv2026

An agglomeration-based multigrid solver for the discontinuous Galerkin discretization of cardiac electrophysiology

This work presents a novel agglomeration-based multilevel preconditioner designed to accelerate the convergence of iterative solvers for linear systems arising from the discontinuous Galerkin discretization of the monodomain model in cardiac electrophysiology. The proposed approach exploits general polytopic grids at coarser levels, obtained through the agglomeration of elements from an initial, potentially fine, mesh. By leveraging a robust and efficient agglomeration strategy, we construct a nested hierarchy of grids suitable for multilevel solver frameworks. The effectiveness and performance of the methodology are assessed through a series of numerical experiments on two- and three-dimensional domains, involving different ionic models and realistic unstructured geometries. The results demonstrate strong solver effectiveness and favorable scalability with respect to both the polynomial degree of the discretization and the number of levels selected in the multigrid preconditioner.

math.NA↗

arXiv2025

On an adjoint-based numerical approach for time-dependent optimal control problems of biomedical interest

This work develops a rigorous numerical framework for solving time-dependent Optimal Control Problems (OCPs) governed by partial differential equations, with a particular focus on biomedical applications. The approach deals with adjoint-based Lagrangian methodology, which enables efficient gradient computation and systematic derivation of optimality conditions for both distributed and concentrated control formulations. The proposed framework is first verified using a time-dependent advection-diffusion problem endowed with a manufactured solution to assess accuracy and convergence properties. Subsequently, two representative applications involving drug delivery are investigated: (i) a light-triggered drug delivery system for targeted cancer therapy and (ii) a catheter-based drug delivery system in a patient-specific coronary artery. Numerical experiments not only demonstrate the accuracy of the approach, but also its flexibility and robustness in handling complex geometries, heterogeneous parameters, and realistic boundary conditions, highlighting its potential for the optimal design and control of complex biomedical systems.

math.OC↗

arXiv2025

A Review of Equation-Based and Data-Driven Reduced Order Models featuring a Hybrid cardiovascular application

Cardiovascular diseases are a leading cause of death in the world, driving the development of patient-specific and benchmark models for blood flow analysis. This chapter provides a theoretical overview of the main categories of Reduced Order Models (ROMs), focusing on both projection-based and data-driven approaches within a classical setup. We then present a hybrid ROM tailored for simulating blood flow in a patient-specific aortic geometry. The proposed methodology integrates projection-based techniques with neural network-enhanced data-driven components, incorporating a lifting function strategy to enforce physiologically realistic outflow pressure conditions. This hybrid methodology enables a substantial reduction in computational cost while mantaining high fidelity in reconstructing both velocity and pressure fields. We compare the full- and reduced-order solutions in details and critically assess the advantages and limitations of ROMs in patient-specific cardiovascular modeling.

math.NA↗

arXiv2025

Projection-based Reduced Order Modelling for Unsteady Parametrized Optimal Control Problems in 3D Cardiovascular Flows

This paper presents a projection-based reduced order modelling (ROM) framework for unsteady parametrized optimal control problems (OCP$_{(μ)}$s) arising from cardiovascular (CV) applications. In real-life scenarios, accurately defining outflow boundary conditions in patient-specific models poses significant challenges due to complex vascular morphologies, physiological conditions, and high computational demands. These challenges make it difficult to compute realistic and reliable CV hemodynamics by incorporating clinical data such as 4D magnetic resonance imaging. To address these challenges, we focus on controlling the outflow boundary conditions to optimize CV flow dynamics and minimize the discrepancy between target and computed flow velocity profiles. The fluid flow is governed by unsteady Navier--Stokes equations with physical parametric dependence, i.e. the Reynolds number. Numerical solutions of OCP$_{(μ)}$s require substantial computational resources, highlighting the need for robust and efficient ROMs to perform real-time and many-query simulations. Here, we aim at investigating the performance of a projection-based reduction technique that relies on the offline-online paradigm, enabling significant computational cost savings. The Galerkin finite element method is used to compute the high-fidelity solutions in the offline phase. We implemented a nested-proper orthogonal decomposition (nested-POD) for fast simulation of OCP$_{(μ)}$s that encompasses two stages: temporal compression for reducing dimensionality in time, followed by parametric-space compression on the precomputed POD modes. We tested the efficacy of the methodology on vascular models, namely an idealized bifurcation geometry and a patient-specific coronary artery bypass graft, incorporating stress control at the outflow boundary, observing consistent speed-up with respect to high-fidelity strategies.

math.NA↗

arXiv2025

Mesh-Informed Reduced Order Models for Aneurysm Rupture Risk Prediction

The complexity of the cardiovascular system needs to be accurately reproduced in order to promptly acknowledge health conditions; to this aim, advanced multifidelity and multiphysics numerical models are crucial. On one side, Full Order Models (FOMs) deliver accurate hemodynamic assessments, but their high computational demands hinder their real-time clinical application. In contrast, Reduced Order Models (ROMs) provide more efficient yet accurate solutions, essential for personalized healthcare and timely clinical decision-making. In this work, we explore the application of computational fluid dynamics (CFD) in cardiovascular medicine by integrating FOMs with ROMs for predicting the risk of aortic aneurysm growth and rupture. Wall Shear Stress (WSS) and the Oscillatory Shear Index (OSI), sampled at different growth stages of the thoracic aortic aneurysm, are predicted by means of Graph Neural Networks (GNNs). GNNs exploit the natural graph structure of the mesh obtained by the Finite Volume (FV) discretization, taking into account the spatial local information, regardless of the dimension of the input graph. Our experimental validation framework yields promising results, confirming our method as a valid alternative that overcomes the curse of dimensionality.

physics.med-ph↗

arXiv2025

A hybrid Reduced Order Model to enforce outflow pressure boundary conditions in computational haemodynamics

This paper deals with the development of a Reduced-Order Model (ROM) to investigate haemodynamics in cardiovascular applications. It employs the use of Proper Orthogonal Decomposition (POD) for the computation of the basis functions and the Galerkin projection for the computation of the reduced coefficients. The main novelty of this work lies in the extension of the lifting function method, which typically is adopted for treating nonhomogeneous inlet velocity boundary conditions, to the handling of nonhomogeneous outlet boundary conditions for the pressure, representing a very delicate point in the numerical simulations of the cardiovascular system. Moreover, we incorporate a properly trained neural network in the ROM framework to approximate the mapping from the time parameter to the outflow pressure, which in the most general case is not available in closed form. We define our approach as "hybrid", because it merges physics-based elements with data-driven ones. At full order level, a Finite Volume method is employed for the discretization of the unsteady Navier-Stokes equations while a two-element Windkessel model is adopted to enforce a valuable estimation of the outflow pressure. Numerical results, firstly related to a 2D idealized blood vessel and then to a 3D patient-specific aortic arch, demonstrate that our ROM is able to accurately approximate the FOM with a significant reduction in the computational cost.

math.NA↗

arXiv2023

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↗

arXiv2023

A matrix-free high-order solver for the numerical solution of cardiac electrophysiology

We propose a matrix-free solver for the numerical solution of the cardiac electrophysiology model consisting of the monodomain nonlinear reaction-diffusion equation coupled with a system of ordinary differential equations for the ionic species. Our numerical approximation is based on the high-order Spectral Element Method (SEM) to achieve accurate numerical discretization while employing a much smaller number of Degrees of Freedom than first-order Finite Elements. We combine vectorization with sum-factorization, thus allowing for a very efficient use of high-order polynomials in a high performance computing framework. We validate the effectiveness of our matrix-free solver in a variety of applications and perform different electrophysiological simulations ranging from a simple slab of cardiac tissue to a realistic four-chamber heart geometry. We compare SEM to SEM with Numerical Integration (SEM-NI), showing that they provide comparable results in terms of accuracy and efficiency. In both cases, increasing the local polynomial degree $p$ leads to better numerical results and smaller computational times than reducing the mesh size $h$. We also implement a matrix-free Geometric Multigrid preconditioner that results in a comparable number of linear solver iterations with respect to a state-of-the-art matrix-based Algebraic Multigrid preconditioner. As a matter of fact, the matrix-free solver proposed here yields up to 45$\times$ speed-up with respect to a conventional matrix-based solver.

math.NA↗

arXiv2022

Scalable Recovery-based Adaptation on Quadtree Meshes for Advection-Diffusion-Reaction Problems

We propose a mesh adaptation procedure for Cartesian quadtree meshes, to discretize scalar advection-diffusion-reaction problems. The adaptation process is driven by a recovery-based a posteriori estimator for the $L^2(Ω)$-norm of the discretization error, based on suitable higher order approximations of both the solution and the associated gradient. In particular, a metric-based approach exploits the information furnished by the estimator to iteratively predict the new adapted mesh. The new mesh adaptation algorithm is successfully assessed on different configurations, and turns out to perform well also when dealing with discontinuities in the data as well as in the presence of internal layers not aligned with the Cartesian directions. A cross-comparison with a standard estimate--mark--refine approach and with other adaptive strategies available in the literature shows the remarkable accuracy and parallel scalability of the proposed approach.

math.NA↗

arXiv2022

lifex: a flexible, high performance library for the numerical solution of complex finite element problems

Numerical simulations are ubiquitous in mathematics and computational science. Several industrial and clinical applications entail modeling complex multiphysics systems that evolve over a variety of spatial and temporal scales. This study introduces the design and capabilities of lifex, an open source C++ library for high performance finite element simulations of multiphysics, multiscale, and multidomain problems. lifex meets the emerging need for versatile, efficient computational tools that are easily accessed by users and developers. We showcase its flexibility and effectiveness on a number of illustrative examples and advanced applications of use and demonstrate its parallel performance up to thousands of cores.

cs.MS↗

arXiv2022

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↗

arXiv2022

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↗

arXiv2022

A geometric multiscale model for the numerical simulation of blood flow in the human left heart

We present a new computational model for the numerical simulation of blood flow in the human left heart. To this aim, we use the Navier-Stokes equations in an Arbitrary Lagrangian Eulerian formulation to account for the endocardium motion and we model the cardiac valves by means of the Resistive Immersed Implicit Surface method. To impose a physiological displacement of the domain boundary, we use a 3D cardiac electromechanical model of the left ventricle coupled to a lumped-parameter (0D) closed-loop model of the remaining circulation. We thus obtain a one-way coupled electromechanics-fluid dynamics model in the left ventricle. To extend the left ventricle motion to the endocardium of the left atrium and to that of the ascending aorta, we introduce a preprocessing procedure according to which an harmonic extension of the left ventricle displacement is combined with the motion of the left atrium based on the 0D model. To better match the 3D cardiac fluid flow with the external blood circulation, we couple the 3D Navier-Stokes equations to the 0D circulation model, obtaining a multiscale coupled 3D-0D fluid dynamics model that we solve via a segregated numerical scheme. We carry out numerical simulations for a healthy left heart and we validate our model by showing that meaningful hemodynamic indicators are correctly reproduced.

math.NA↗

arXiv2021

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↗

arXiv2020

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↗

arXiv2020

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↗