| 1. |
- Åstrand, Håkan, et al.
(författare)
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In vivo estimation of the contribution of elastin and collagen on the mechanical properties in the abdominal aorta of man : effect of age and gender
- 2011
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Ingår i: Journal of applied physiology. - : AMER PHYSIOLOGICAL SOC. - 8750-7587 .- 1522-1601. ; 110:1, s. 8750-8757
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Tidskriftsartikel (refereegranskat)abstract
- The mechanical properties of the aorta affect cardiac function and are related to cardiovascular morbidity/mortality. This study was designed to evaluate the isotropic (mainly elastin, elastiniso) and anisotropic (mainly collagen, collagenani) material parameters within the human aorta in vivo. Thirty healthy men and women in three different age categories (23–30, 41–54, and 67–72 yr) were included. A novel mechanical model was used to identify the mechanical properties and the strain field with aid of simultaneously recorded pressure and radius in the abdominal aorta. The magnitudes of the material parameters relating to both the stiffness of elastiniso and collagenani were in agreement with earlier in vitro studies. The load-bearing fraction attributed to collagenani oscillated from 10 to 30% between diastolic and systolic pressures during the cardiac cycle. With age, stiffness of elastiniso increased in men, despite the decrease in elastin content that has been found due to elastolysis. Furthermore, an increase in stiffness of collagenani at high physiological pressure was found. This might be due to increased glycation, as well as changed isoforms of collagen in the aortic wall with age. A marked sex difference was observed, with a much less age-related effect, both on elastiniso and collagenani stiffness in women. Possible factors of importance could be the effect of sex hormones, as well as differing collagen isoforms, between the sexes.
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| 2. |
- Andersson, Magnus, et al.
(författare)
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Characterization and estimation of turbulence-related wall shear stress in patient-specific pulsatile blood flow
- 2019
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Ingår i: Journal of Biomechanics. - : ELSEVIER SCI LTD. - 0021-9290 .- 1873-2380. ; 85, s. 108-117
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Tidskriftsartikel (refereegranskat)abstract
- Disturbed, turbulent-like blood flow promotes chaotic wall shear stress (WSS) environments, impairing essential endothelial functions and increasing the susceptibility and progression of vascular diseases. These flow characteristics are today frequently detected at various anatomical, lesion and intervention-related sites, while their role as a pathological determinant is less understood. To present-day, numerous WSS-based descriptors have been proposed to characterize the spatiotemporal nature of the WSS disturbances, however, without differentiation between physiological laminar oscillations and turbulence-related WSS (tWSS) fluctuations. Also, much attention has been focused on magnetic resonance (MR) WSS estimations, so far with limited success; promoting the need of a near-wall surrogate marker. In this study, a new approach is explored to characterize the tWSS, by taking advantage of the tensor characteristics of the fluctuating WSS correlations, providing both a magnitude and an anisotropy measure of the disturbances. These parameters were studied in two patient-specific coarctation models (sever and mild), using large eddy simulations, and correlated against near-wall reciprocal Reynolds stress parameters. Collectively, results showed distinct regions of differing tWSS characteristics, features which were sensitive to changes in flow conditions. Generally, the post-stenotic tWSS was governed by near axisymmetric fluctuations, findings that where not consistent with conventional WSS disturbance predictors. At the 2-3 mm wall-offset range, a strong linear correlation was found between tWSS magnitude and near-wall turbulence kinetic energy (TKE), in contrast to the anisotropy indices, suggesting that MR-measured TKE can be used to assess elevated tWSS regions while tWSS anisotropy estimates request well-resolved simulation methods. (C) 2019 Elsevier Ltd. All rights reserved.
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| 3. |
- Andersson, Magnus, et al.
(författare)
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Characterization of anisotropic turbulence behavior in pulsatile blood flow
- 2021
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Ingår i: Biomechanics and Modeling in Mechanobiology. - : SPRINGER HEIDELBERG. - 1617-7959 .- 1617-7940. ; 20, s. 491-506
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Tidskriftsartikel (refereegranskat)abstract
- Turbulent-like hemodynamics with prominent cycle-to-cycle flow variations have received increased attention as a potential stimulus for cardiovascular diseases. These turbulent conditions are typically evaluated in a statistical sense from single scalars extracted from ensemble-averaged tensors (such as the Reynolds stress tensor), limiting the amount of information that can be used for physical interpretations and quality assessments of numerical models. In this study, barycentric anisotropy invariant mapping was used to demonstrate an efficient and comprehensive approach to characterize turbulence-related tensor fields in patient-specific cardiovascular flows, obtained from scale-resolving large eddy simulations. These techniques were also used to analyze some common modeling compromises as well as MRI turbulence measurements through an idealized constriction. The proposed method found explicit sites of elevated turbulence anisotropy, including a broad but time-varying spectrum of characteristics over the flow deceleration phase, which was different for both the steady inflow and Reynolds-averaged Navier-Stokes modeling assumptions. Qualitatively, the MRI results showed overall expected post-stenotic turbulence characteristics, however, also with apparent regions of unrealizable or conceivably physically unrealistic conditions, including the highest turbulence intensity ranges. These findings suggest that more detailed studies of MRI-measured turbulence fields are needed, which hopefully can be assisted by more comprehensive evaluation tools such as the once described herein.
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| 4. |
- Andersson, Magnus, et al.
(författare)
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Correction: Quantitative Assessment of Turbulence and Flow Eccentricity in an Aortic Coarctation: Impact of Virtual Interventions (vol 6, pg 281, 2015)
- 2015
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Ingår i: Cardiovascular Engineering and Technology. - : SPRINGER. - 1869-408X .- 1869-4098. ; 6:4, s. 577-589
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Tidskriftsartikel (refereegranskat)abstract
- Turbulence and flow eccentricity can be measured by magnetic resonance imaging (MRI) and may play an important role in the pathogenesis of numerous cardiovascular diseases. In the present study, we propose quantitative techniques to assess turbulent kinetic energy (TKE) and flow eccentricity that could assist in the evaluation and treatment of stenotic severities. These hemodynamic parameters were studied in a pre-treated aortic coarctation (CoA) and after several virtual interventions using computational fluid dynamics (CFD), to demonstrate the effect of different dilatation options on the flow field. Patient-specific geometry and flow conditions were derived from MRI data. The unsteady pulsatile flow was resolved by large eddy simulation (LES) including non-Newtonian blood rheology. Results showed an inverse asymptotic relationship between the total amount of TKE and degree of dilatation of the stenosis, where the pre-stenotic hypoplastic segment may limit the possible improvement by treating the CoA alone. Spatiotem-poral maps of TKE and flow eccentricity could be linked to the characteristics of the post-stenotic jet, showing a versatile response between the CoA dilatations. By including these flow markers into a combined MRI-CFD intervention framework, CoA therapy has not only the possibility to produce predictions via simulation, but can also be validated pre-and immediate post treatment, as well as during follow-up studies.
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| 5. |
- Andersson, Magnus, et al.
(författare)
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Model Verification and Error Sensitivity of Turbulence-Related Tensor Characteristics in Pulsatile Blood Flow Simulations
- 2021
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Ingår i: Fluids. - : MDPI. - 2311-5521. ; 6:1
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Tidskriftsartikel (refereegranskat)abstract
- Model verification, validation, and uncertainty quantification are essential procedures to estimate errors within cardiovascular flow modeling, where acceptable confidence levels are needed for clinical reliability. While more turbulent-like studies are frequently observed within the biofluid community, practical modeling guidelines are scarce. Verification procedures determine the agreement between the conceptual model and its numerical solution by comparing for example, discretization and phase-averaging-related errors of specific output parameters. This computational fluid dynamics (CFD) study presents a comprehensive and practical verification approach for pulsatile turbulent-like blood flow predictions by considering the amplitude and shape of the turbulence-related tensor field using anisotropic invariant mapping. These procedures were demonstrated by investigating the Reynolds stress tensor characteristics in a patient-specific aortic coarctation model, focusing on modeling-related errors associated with the spatiotemporal resolution and phase-averaging sampling size. Findings in this work suggest that attention should also be put on reducing phase-averaging related errors, as these could easily outweigh the errors associated with the spatiotemporal resolution when including too few cardiac cycles. Also, substantially more cycles are likely needed than typically reported for these flow regimes to sufficiently converge the phase-instant tensor characteristics. Here, higher degrees of active fluctuating directions, especially of lower amplitudes, appeared to be the most sensitive turbulence characteristics.
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| 6. |
- Andersson, Magnus, et al.
(författare)
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Modeling of Subject Arterial Segments Using 3D Fluid Structure Interaction and 1D-0D Arterial Tree Network Boundary Condition
- 2011
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Konferensbidrag (refereegranskat)abstract
- Modeling of Subject Specific Arterial Segments Using 3D Fluid Structure Interaction and a 1D-0D Arterial Tree Network Boundary Condition Magnus Andersson, Jonas Lantz , Matts Karlsson Department of Management and Engineering, Linköping University, SE-581 83 Linköping, Sweden Introduction In recent years it has been possible to simulate 3D blood flow through CFD including the dilatation effect in elastic arteries using Fluid-Structure Interaction (FSI) to better match in vivo data. Patient specific imposed boundary condition (BC) is often used as the velocity profiles at the inlets. However, for the outlet BC a time-resolved pressure is required and often lacking as it is obtained by an invasive procedure. Numerous models have been developed for capturing the main effects of the vascular bed at these sites, which have been shown crucial and difficult to implement accurately. This work focus on a full scaled FSI simulation at an arterial section including the abdominal aorta, renal arteries and iliac bifurcations, obtained from MRI of an healthy individual. The outlet BC at the iliac arteries is connected with a 1D systemic arterial tree which is truncated with a 0D lumped model. This 3D-(0D-1D) connection can provide the essential features of the peripheral flow and, in contrast to the imposed BC, the 1D-0D coupling allow for investigation of cardiovascular diseases including stenoses and/or hypertension. Methods The MRI images were segmented using an in-house software to obtain a 3D surface of the vessel lumen, Figure 1. The surfaces were meshed with high quality hexahedral element using ANSYS ICEM CFD 12.0 (ANSYS Inc, Canonsburg, PA, USA). A PC-MRI time-resolved massflow at the descending aorta were used as inlet BC, where 22% of the flow was forced into the renal bifurcations assuming negligible pressure wave reflection. The wall was modelled with an isotropic elastic model with addition of an elastic support mimicking the damping effect of the surrounding tissue. The 1D model is based on transmission-line theory which involves an impedance model for the pressure-flow relationship. The arterial topology was extracted from literature and only the central arteries after the iliacs was considered. At the truncation sites a 3-element Windkessel model (known as RRC) was implemented and is the most common model of choice for describing the main effects of all the distal vessels. The 1D system solves the Fourier frequency impedance coefficients over one heart cycle accounting for wave reflection by using the 15 first harmonics to obtain the corresponding pressure. The 3D-1D connection is done offline, which allows for an independent and more stable 3D simulation. This step is iteratively repeated until convergence is reach between the present 3D outlet flow and previous implemented 1D outlet flow. The simulation was utilized in ANSYS CFX, ANSYS Mechanical, and coupled by ANSYS Multi-Field. Results The (0D-1D)-3D model showed convergence of pressure/flow at the iliac outlets, Figure 2. The method provides realistic pressure and flow responses based on the input parameters and even capture the relative difference in flow/pressure distribution between the right and left illiac artery due to subject specific geometric variability. Parameters such as velocity profiles and WSS can be extracted in the 3D domain. Conclusions This method allows for a better insight of large scale vascular networks effect of the local 3D flow features and also gives a better representation of the peripheral flow compared to a pure 0D (lumped parameter/Windkessel) model. PC-MRI will provide data for validation of velocity profiles in the 3D model. Future work includes a subject specific 1D vascular topology to be combined with the 3D model.
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| 7. |
- Andersson, Magnus, et al.
(författare)
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Multidirectional WSS disturbances in stenotic turbulent flows: A pre- and post-intervention study in an aortic coarctation
- 2017
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Ingår i: Journal of Biomechanics. - : ELSEVIER SCI LTD. - 0021-9290 .- 1873-2380. ; 51
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Tidskriftsartikel (refereegranskat)abstract
- Wall shear stress (WSS) disturbances are commonly expressed at sites of abnormal flow obstructions and may play an essential role in the pathogenesis of various vascular diseases. In laminar flows these disturbances have recently been assessed by the transverse wall shear stress (transWSS), which accounts for the WSS multidirectionality. Site-specific estimations of WSS disturbances in pulsatile transitional and turbulent type of flows are more challenging due to continuous and unpredictable changes in WSS behavior. In these complex flow settings, the transWSS may serve as a more comprehensive descriptor for assessing WSS disturbances of general nature compared to commonly used parameters. In this study large eddy simulations (LES) were used to investigate the transWSS properties in flows subjected to different pathological turbulent flow conditions, governed by a patient-specific model of an aortic coarctation pre and post balloon angioplasty. Results showed that regions of strong near-wall turbulence were collocated with regions of elevated transWSS and turbulent WSS, while in more transitional-like near-wall flow regions a closer resemblance was found between transWSS and low, and oscillatory WSS. Within the frame of this study, the transWSS parameter demonstrated a more multi-featured picture of WSS disturbances when exposed to different types of flow regimes, characteristics which were not depicted by the other parameters alone. (C) 2016 Published by Elsevier Ltd.
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| 8. |
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| 9. |
- Andersson, Magnus, 1983-, et al.
(författare)
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Quantitative Assessment of Turbulence and Flow Eccentricity in an Aortic Coarctation - Impact of Virtual Interventions
- 2015
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Ingår i: Cardiovascular Engineering and Technology. - : Springer. - 1869-408X .- 1869-4098. ; 6:6, s. 281-293
-
Tidskriftsartikel (refereegranskat)abstract
- Turbulence and flow eccentricity can be measured by magnetic resonance imaging (MRI) and may play an important role in the pathogenesis of numerous cardiovascular diseases. In the present study, we propose quantitative techniques to assess turbulent kinetic energy (TKE) and flow eccentricity that could assist in the evaluation and treatment of stenotic severities. These hemodynamic parameters were studied in a pre-treated aortic coarctation (CoA) and after several virtual interventions using computational fluid dynamics (CFD), to demonstrate the effect of different dilatation options on the flow field. Patient-specific geometry and flow conditions were derived from MRI data. The unsteady pulsatile flow was resolved by large eddy simulation (LES) including non-Newtonian blood rheology. Results showed an inverse asymptotic relationship between the total amount of TKE and degree of dilatation of the stenosis, where turbulent flow proximal the constriction limits the possible improvement by treating the CoA alone. Spatiotemporal maps of TKE and flow eccentricity could be linked to the characteristics of the jet, where improved flow conditions were favored by an eccentric dilatation of the CoA. By including these flow markers into a combined MRI-CFD intervention framework, CoA therapy has not only the possibility to produce predictions via simulation, but can also be validated pre- and immediate post treatment, as well as during follow-up studies.
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| 10. |
- Andersson, Magnus, 1983-
(författare)
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Turbulence Descriptors in Arterial Flows : Patient-Specific Computational Hemodynamics
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- At this very moment, there are literally millions of people who suffer from various types of cardiovascular diseases (CVDs), many of whom will experience reduced quality of life or premature lift expectancy. The detailed underlying pathogenic processes behind many of these disorders are not well understood, but were abnormal dynamics of the blood flow (hemodynamics) are believed to play an important role, especially atypical flow-mediated frictional forces on the intraluminal wall (i.e. the wall shear stress, WSS). Under normal physiological conditions, the flow is relatively stable and regular (smooth and laminar), which helps to maintain critical vascular functions. When these flows encounter various unfavorable anatomical obstructions, the flow can become highly unstable and irregular (turbulent), giving rise to abnormal fluctuating hemodynamic forces, which increase the bloodstream pressure losses, can damage the cells within the blood, as well as impair essential structural and functional regulatory mechanisms. Over a prolonged time, these disturbed flow conditions may promote severe pathological responses and are therefore essential to foresee as early as possible.Clinical measurements of blood flow characteristics are often performed non-invasively by modalities such as ultrasound and magnetic resonance imaging (MRI). High-fidelity MRI techniques may be used to attain a general view of the overall large-scale flow features in the heart and larger vessels but cannot be used for estimating small-scale flow variations nor capture the WSS characteristics. Since the era of modern computers, fluid motion can now also be predicted by computational fluid dynamics (CFD)simulations, which can provide discrete mathematical approximations of the flow field with much higher details (resolution) and accuracy compared to other modalities. CFD simulations rely on the same fundamental principles as weather forecasts, the physical laws of fluid motion, and thus can not only be used to assess the current flow state but also to predict (foresee) important outcome scenarios in e.g. intervention planning. To enable blood flow simulations within certain cardiovascular segments, these CFD models are usually reconstructed from MRI-based anatomical and flow image-data. Today, patient-specific computational hemodynamics are essentially only performed within the research field, where much emphasis is dedicated towards understanding normal/abnormal blood flow physiology, developing better individual-based diagnostics/treatments, and evaluating the results reliability/generality in order to approach clinical applicability.In this thesis, advanced CFD methods were adopted to simulate realistic patient-specific turbulent hemodynamics in constricted arteries reconstructed from MRI data. The main focus was to investigate novel, comprehensive ways to characterize these abnormal flow conditions, in the pursuit of better clinical decision-making tools; from more in-depth analyzes of various turbulence-related tensor characteristics to descriptors that evaluate the hemodynamics more globally in the domain. Results from the studies in this thesis suggest that these turbulence descriptors can be useful to: i) target cardiovascular sites prone to specific turbulence characteristics, both in the bulk flow and on the intraluminal wall, ii) provide a more extensive view of the general flow severity within malformed vascular regions, and iii) evaluated and potentially improve cardiovascular modeling strategies and MRI-measured turbulence data.The benefit of these descriptors is that they all, in principle, can be measured by different MRI procedures, making them more accessible from a clinical perspective. Although the significance of these suggested flow-mediated phenotypes has not yet been evaluated clinically, this work opens many doors of opportunities for making more thorough and longitudinal patient-specific studies, including large cohorts of patients with various CVDs susceptible to turbulent-like conditions, as well as performing more in-depth CFD-MRI validation analyzes.
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