Hemodynamics in healthy and pathological thoracic aorta: integration of in-vivo data in CFD simulations and in in-vitro experiments

Summary

A comparison between the results of the CFD simulations and the in-vitro experiments carried out on a circulatory mock loop is presented. Both approaches integrate in-vivo measurements obtained from a patient-specific clinical data set. Three thoracic-aorta geometries are analyzed: a healthy aorta, an aneurysmatic aorta, and a coarctated aorta. The healthy geometry is obtained from Magnetic Resonance Imaging (MRI) acquisitions, together with the patient-specific flow-rate waveform, whereas the diseased ones are derived from the former geometry by locally morphing the vessel's wall. The open-source code Simvascular is used for simulations. The in-vitro results are measured in a fully controlled and sensorized circulatory mock loop for 3D-printed aortic models. Differently from in-vivo acquisitions, the experimental set-up eliminates some of the uncontrollable uncertainties that characterize MRI data. Indeed, perfect control of the flow rate and full knowledge of the wall model characteristics (rigid walls in the present case) is allowed in experiments and, thus, clear indications can be obtained to validate and improve the accuracy of numerical models. The numerical and experimental results are in good agreements for the three analyzed geometries and the flow-rate conditions. In-vivo data from the healthy case are in a satisfactory agreement with numerical/in-vitro results, and they can be ascribed to possible differences between MRI and numerical/in-vitro set-ups. The velocity fields obtained through CFD are consistent with the echographic results in in-vitro experiments, showing the same flow patterns in healthy and pathological cases.

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