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Estimating Passive Mechanical Properties in a Myocardial Infarction using MRI and Finite Element Simulations

机译:使用MRI和有限元模拟估算心肌梗死的被动力学特性

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摘要

Myocardial infarction (MI) triggers a series of maladaptive events that lead to structural and functional changes in the left ventricle. It is crucial to better understand the progression of adverse remodeling, in order develop effective treatment. In addition, being able to assess changes in-vivo would be a powerful tool in the clinic. The goal of the current study is to quantify the in-vivo material properties of infarcted and remote myocardium 1 week after MI, as well as the orientation of collagen fibers in the infarct. This will be accomplished by using a combination of magnetic resonance imaging (MRI), catheterization, finite element modeling, and numerical optimization to analyze a porcine model (N=4) of posterolateral myocardial infarction. Specifically, properties will be determined by minimizing the difference between in-vivo strains and volume calculated from MRI and finite element model predicted strains and volume. The results indicate that the infarct region is stiffer than the remote region, and that the infarct collagen fibers become more circumferentially oriented 1 week post-MI. These findings are consistent with previous studies, which employed ex-vivo techniques. The proposed methodology will ultimately provide a means of predicting remote and infarct mechanical properties in-vivo at any time point post-MI.
机译:心肌梗塞(MI)会引发一系列适应不良的事件,从而导致左心室的结构和功能发生变化。为了开发有效的治疗方法,更好地了解不良重塑的进展至关重要。此外,能够评估体内变化将是临床上的强大工具。本研究的目的是量化心肌梗死后1周的梗塞和远端心肌的体内物质特性,以及梗塞中胶原纤维的方向。这将通过结合磁共振成像(MRI),导管插入术,有限元建模和数值优化来分析后外侧心肌梗塞的猪模型(N = 4)来实现。具体地,将通过最小化根据MRI和有限元模型预测的应变和体积计算的体内应变和体积之间的差异来确定性质。结果表明,梗塞区比远端区更硬,并且梗塞胶原纤维在心梗后1周变得更加周向。这些发现与以前采用体外技术的研究一致。所提出的方法将最终提供一种在心梗后任何时间预测体内远处和梗塞机械特性的方法。

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