Consideration of stiffness of wall layers is decisive for patient-specific analysis of carotid artery with atheroma
Autoři
LISICKY, Ondrej (203 Česká republika, garant), Aneta MALA (203 Česká republika), Zdeněk BEDNAŘÍK (203 Česká republika, domácí), Tomáš NOVOTNÝ (203 Česká republika, domácí) a Jiri BURSA (203 Česká republika)
Vydání
Plos one, San Francisco, Public Library of Science, 2020, 1932-6203
The paper deals with the impact of chosen geometric and material factors on maximal stresses in carotid atherosclerotic plaque calculated using patient-specific finite element models. These stresses are believed to be decisive for the plaque vulnerability but all applied models suffer from inaccuracy of input data, especially when obtainedin vivoonly. One hundred computational models based onex vivoMRI are used to investigate the impact of wall thickness, MRI slice thickness, lipid core and fibrous tissue stiffness, and media anisotropy on the calculated peak plaque and peak cap stresses. The investigated factors are taken as continuous in the range based on published experimental results, only the impact of anisotropy is evaluated by comparison with a corresponding isotropic model. Design of Experiment concept is applied to assess the statistical significance of these investigated factors representing uncertainties in the input data of the model. The results show that consideration of realistic properties of arterial wall in the model is decisive for the stress evaluation; assignment of properties of fibrous tissue even to media and adventitia layers as done in some studies may induce up to eightfold overestimation of peak stress. The impact of MRI slice thickness may play a key role when local thin fibrous cap is present. Anisotropy of media layer is insignificant, and the stiffness of fibrous tissue and lipid core may become significant in some combinations.
Návaznosti
LM2015062, projekt VaV
Název: Národní infrastruktura pro biologické a medicínské zobrazování
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, National research infrastructure for biological and medical imaging