Fast simulations of patient-specific haemodynamics of coronary artery bypass grafts based on a POD-Galerkin method and a vascular shape parametrization

In this work a reduced-order computational framework for the study of haemodynamics in three-dimensional patient-specific configurations of coronary artery bypass grafts dealing with a wide range of scenarios is proposed. We combine several efficient algorithms to face at the same time both the geometrical complexity involved in the description of the vascular network and the huge computational cost entailed by time dependent patient-specific flow simulations. Medical imaging procedures allow to reconstruct patient-specific configurations from clinical data. A centerlines-based parametrization is proposed to efficiently handle geometrical variations. POD-Galerkin reduced-order models are employed to cut down large computational costs. This computational framework allows to characterize blood flows for different physical and geometrical variations relevant in the clinical practice, such as stenosis factors and anastomosis variations, in a rapid and reliable way. Several numerical results are discussed, highlighting the computational performance of the proposed framework, as well as its capability to carry out sensitivity analysis studies, so far out of reach. In particular, a reduced-order simulation takes only a few minutes to run, resulting in computational savings of 99% of CPU time with respect to the full-order discretization. Moreover, the error between full-order and reduced-order solutions is also studied, and it is numerically found to be less than 1% for reduced-order solutions obtained with just O(100) online degrees of freedom. (C) 2016 Elsevier Inc. All rights reserved

Reduced order methods for parametric optimal flow control in coronary bypass grafts, toward patient-specific data assimilation

Coronary artery bypass grafts (CABG) surgery is an invasive procedure performed to circumvent partial or complete blood flow blockage in coronary artery disease. In this work, we apply a numerical optimal flow control model to patient-specific geometries of CABG, reconstructed from clinical images of real-life surgical cases, in parameterized settings. The aim of these applications is to match known physiological data with numerical hemodynamics corresponding to different scenarios, arisen by tuning some parameters. Such applications are an initial step toward matching patient-specific physiological data in patient-specific vascular geometries as best as possible. Two critical challenges that reportedly arise in such problems are: (a) lack of robust quantification of meaningful boundary conditions required to match known data as best as possible and (b) high computational cost. In this work, we utilize unknown control variables in the optimal flow control problems to take care of the first challenge. Moreover, to address the second challenge, we propose a time-efficient and reliable computational environment for such parameterized problems by projecting them onto a low-dimensional solution manifold through proper orthogonal decomposition-Galerkin

Computational methods in cardiovascular mechanics

The introduction of computational models in cardiovascular sciences has been progressively bringing new and unique tools for the investigation of the physiopathology. Together with the dramatic improvement of imaging and measuring devices on one side, and of computational architectures on the other one, mathematical and numerical models have provided a new, clearly noninvasive, approach for understanding not only basic mechanisms but also patient-specific conditions, and for supporting the design and the development of new therapeutic options. The terminology in silico is, nowadays, commonly accepted for indicating this new source of knowledge added to traditional in vitro and in vivo investigations. The advantages of in silico methodologies are basically the low cost in terms of infrastructures and facilities, the reduced invasiveness and, in general, the intrinsic predictive capabilities based on the use of mathematical models. The disadvantages are generally identified in the distance between the real cases and their virtual counterpart required by the conceptual modeling that can be detrimental for the reliability of numerical simulations.Comment: 54 pages, Book Chapte

Advances in geometrical parametrization and reduced order models and methods for computational fluid dynamics problems in applied sciences and engineering: Overview and perspectives

Several problems in applied sciences and engineering require reduction techniques in order to allow computational tools to be employed in the daily practice, especially in iterative procedures such as optimization or sensitivity analysis. Reduced order methods need to face increasingly complex problems in computational mechanics, especially into a multiphysics setting. Several issues should be faced: stability of the approximation, efficient treatment of nonlinearities, uniqueness or possible bifurcations of the state solutions, proper coupling between fields, as well as offline-online computing, computational savings and certification of errors as measure of accuracy. Moreover, efficient geometrical parametrization techniques should be devised to efficiently face shape optimization problems, as well as shape reconstruction and shape assimilation problems. A related aspect deals with the management of parametrized interfaces in multiphysics problems, such as fluid-structure interaction problems, and also a domain decomposition based approach for complex parametrized networks. We present some illustrative industrial and biomedical problems as examples of recent advances on methodological developments

Advances in geometrical parametrization and reduced order models and methods for computational fluid dynamics problems in applied sciences and engineering: overview and perspectives

Several problems in applied sciences and engineering require reduction techniques in order to allow computational tools to be employed in the daily practice, especially in iterative procedures such as optimization or sensitivity analysis. Reduced order methods need to face increasingly complex problems in computational mechanics, especially into a multiphysics setting. Several issues should be faced: stability of the approximation, efficient treatment of nonlinearities, uniqueness or possible bifurcations of the state solutions, proper coupling between fields, as well as offline-online computing, computational savings and certification of errors as measure of accuracy. Moreover, efficient geometrical parametrization techniques should be devised to efficiently face shape optimization problems, as well as shape reconstruction and shape assimilation problems. A related aspect deals with the management of parametrized interfaces in multiphysics problems, such as fluid-structure interaction problems, and also a domain decomposition based approach for complex parametrized networks. We present some illustrative industrial and biomedical problems as examples of recent advances on methodological developments. \ua9 The author

Reduced order parameterized viscous optimal flow control problems and applications in coronary artery bypass grafts with patient-specific geometrical reconstruction and data assimilation

Coronary artery bypass graft surgery is an invasive procedure performed to circumvent partial or complete blood flow blockage in coronary artery disease (CAD). In this thesis, we will construct a numerical framework combining parametrized optimal flow control and reduced order methods and will apply to real-life clinical case of triple coronary artery bypass grafts surgery. In this mathematical framework, we will propose patient-specific physiological data assimilation in the optimal flow control part, with the aim to minimize the discrepancies between the patient-specific physiological data and the computational hemodynamics. The optimal flow control paradigm proves to be a handy tool for the purpose and is being commonly used in the scientific community. However, the discrepancies between clinical measurements and computational hemodynamics modeling are usually due to unrealistic quantification of hard-to-quantify outflow conditions and computational inefficiency. In this work, we will utilize the unknown control in the optimal flow control pipeline to automatically quantify the boundary flux, specifically the outflux, required to minimize the data misfit, subject to different parametrized scenarios. Furthermore, the challenge of attaining reliable solutions in a time-efficient manner for such many-query parameter dependent problems will be addressed by reduced order methods

Accelerated Simulation Methodologies for Computational Vascular Flow Modelling

Vascular flow modelling can improve our understanding of vascular pathologies and aid in developing safe and effective medical devices. Vascular flow models typically involve solving the nonlinear Navier-Stokes equations in complex anatomies and using physiological boundary conditions, often presenting a multi-physics and multi-scale computational problem to be solved. This leads to highly complex and expensive models that require excessive computational time. This review explores accelerated simulation methodologies, specifically focusing on computational vascular flow modelling. We review reduced order modelling (ROM) techniques like zero-/one-dimensional and modal decomposition-based ROMs and machine learning (ML) methods including ML-augmented ROMs, ML-based ROMs and physics-informed ML models. We discuss the applicability of each method to vascular flow acceleration and the effectiveness of the method in addressing domain-specific challenges. When available, we provide statistics on accuracy and speed-up factors for various applications related to vascular flow simulation acceleration. Our findings indicate that each type of model has strengths and limitations depending on the context. To accelerate real-world vascular flow problems, we propose future research on developing multi-scale acceleration methods capable of handling the significant geometric variability inherent to such problems.</p