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Nonaxisymmetric mathematical model of the cardiac left ventricle anatomy

Abstract

We describe a mathematical model of the shape and fibre direction field of the cardiac left ventricle. The ventricle is composed of surfaces which model myocardial sheets. On each surface, we construct a set of curves corresponding to myocardial fibres. Tangents to these curves form the myofibres direction field. The fibres are made as images of semicircle chords parallel to its diameter. To specify the left ventricle shape, we use a special coordinate system where the left ventricle boundaries are coordinate surfaces. We propose an analytic mapping from the semicircle to the special coordinate system. The model is correlated with Torrent-Guasp’s concept of the unique muscular band and with Pettigrew’s idea of nested surfaces. Subsequently, two models of concrete normal canine and human left ventricles are constructed based on experimental Diffusion Tensor Magnetic Resonance Imaging data. The input data for the models is only the left ventricle shape. In a local coordinate system connected with the left ventricle meridional section, we calculate two fibre inclination angles, i.e. true fibre angle and helix angle. We obtained the angles found from the Diffusion Tensor Magnetic Resonance Imaging data and compared them with the model angles. We give the angle plots and show that the model adequately reproduces the fibre architecture in the majority of the left ventricle wall. Based on the mathematical model proposed, one can construct a numerical mesh that makes it possible to solve electrophysiological and mechanical left ventricle activity problems in norm and pathology. In the special coordinate system mentioned, the numerical scheme is written in a rectangular area and the boundary conditions can simply be written. By changing the model parameters, one can set a general or regional ventricular wall thickening or the left ventricle shape change, which is typical for certain cardiac pathologies

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