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Errors in power-law estimations of inflow rates for intracranial aneurysm CFD

机译:颅内动脉瘤CFD流入率的幂律估算误差

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摘要

Patient-specific inflow rates are rarely available for computational fluid dynamics (CFD) studies of intracranial aneurysms. Instead, inflow rates are often estimated from parent artery diameters via power laws, i.e. Q?∝?Dn, reflecting adaptation of conduit arteries to demanded flow. The present study aimed to validate the accuracy of these power laws. Internal carotid artery (ICA) flow rates were measured from 25 ICA aneurysm patients via 2D phase contrast MRI. ICA diameters, derived from 3D segmentation of rotational angiograms, were used to estimate inflow rates via power laws from the aneurysm CFD literature assuming the same inlet wall shear stress (WSS) (n?=?3), velocity (n?=?2) or flow rate (n?=?0) for all cases. To illustrate the potential impact of errors in flow rate estimates, pulsatile CFD was carried out for four cases having large errors for at least one power law. Flow rates estimated by n?=?3 and n?=?0 power laws had significant (p?
机译:患者特异性流入率很少可用于颅内动脉瘤的计算流体动力学(CFD)研究。相反,通过动力法,即Q?α≤DN,反映导管动脉的改编流动,通常从母动术直径估计流入速率。本研究旨在验证这些权力法的准确性。内部颈动脉(ICA)流量从25例ICA动脉瘤患者通过2D相位对比MRI测量。 ICA直径来自旋转血管造影的三维分割,用于通过来自动脉瘤CFD文献的动力法估算流入速率,假设相同的入口壁剪切应力(WSS)(N?= 3),速度(n?=?2所有情况的)或流量(n?=?0)。为了说明误差在流速估计中的潜在影响,对至少一个电力法具有大误差的四个案例进行了脉动CFD。 n?= 3和n?=?0动力定律分别具有显着的(p?<0.01)的偏差,分别为22%至+ 32%,但随着单独的误差为78%到+ 120%。 n?=?2个权力法没有明显的偏见,但不可忽略的单独误差?58%至+ 71%。 CFD显示了时间平均SAC WSS的同样大的误差;然而,通过父母动脉WSS标准化后,这些减少。在2/4动脉瘤中的高频WSS波动是对流入速率误差也敏感。因此,应在依赖流入率的权力法估计的动力法估算的动力瘤CFD研究中进行护理,特别是如果绝对(VS.标准化)WSS或WSS稳定性均为兴趣。

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