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Author:

Li, Na (Li, Na.) | Li, Bao (Li, Bao.) | Feng, Yili (Feng, Yili.) | Ma, Junling (Ma, Junling.) | Zhang, Liyuan (Zhang, Liyuan.) | Liu, Jian (Liu, Jian.) | Liu, Youjun (Liu, Youjun.) (Scholars:刘有军)

Indexed by:

EI Scopus SCIE

Abstract:

Objective: To explore the influence of the blood flow-diameter scaling laws of Q alpha D-3, Q alpha D-2.7 and Q alpha D-7/3 on the numerical simulation of fraction flow reserve based on CTA images and to find the optimal exponents. Methods: 1) 26 patients with coronary artery disease were screened according to the inclusion criteria; 2) Microcirculation resistance (R-m) was calculated under the 3, 2.7 and 7/3 power of the flow-diameter scaling law, which were recorded as 3R(m), 2.7R(m) and 7/3R(m), respectively; 3) 3R(m), 2.7R(m) and 7/3R(m) were used as exit boundary conditions to simulate FFRCT, quoted as 3FFRCT, 2.7FFRCT and 7/3FFRCT, respectively; 4) The correlation and diagnostic performance between three kinds of FFRCT and FFR were analyzed. Results: The p-values of comparing 3Rm, 2.7Rm and 7/3Rm with FFR were 0.004, 0.005 and 0.010, respectively; the r value between 7/3FFRCT and FFR (0.96) was better than that of 3FFRCT (0.95) and 2.7FFRCT (0.95); the 95% LoA between 7/3FFRCT and FFR (-0.08 similar to 0.11) was smaller than that of 3FFRCT (-0.10 similar to 0.12) and 2.7FFRCT (-0.09 similar to 0.11); the AUC and accuracy of 7/3FFRCT [0.962 (0.805-0.999), 96.15%] were the same as those of 2.7FFRCT [0.962 (0.805-0.999), 96.15%] and better than those of 3FFRCT [0.944 (0.777-0.996), 92.3%]. The prediction threshold of 7/3FFRCT (0.791) was closer to 0.8 than that of 3FFRCT (0.816) and 2.7FFRCT (0.787). Conclusion: The blood flow-diameter scaling law affects the FFRCT simulation by influencing the exit boundary condition R-m of the calculation. With Q alpha D-7/3, FFRCT had the highest diagnostic performance. The blood flow-diameter scaling law provides theoretical support for the blood flow distribution in the bifurcated vessel and improves the FFRCT model.

Keyword:

0D/3D geometric multi-scale model blood flow-diameter scaling law microcirculation resistance FFRCT numerical calculation

Author Community:

  • [ 1 ] [Li, Na]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 2 ] [Li, Bao]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 3 ] [Feng, Yili]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 4 ] [Ma, Junling]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 5 ] [Zhang, Liyuan]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 6 ] [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Chem, Fac Environm & Life, Beijing, Peoples R China
  • [ 7 ] [Liu, Jian]Peking Univ, Peoples Hosp, Beijing, Peoples R China

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Source :

MATHEMATICAL BIOSCIENCES AND ENGINEERING

ISSN: 1547-1063

Year: 2022

Issue: 3

Volume: 19

Page: 3127-3146

2 . 6

JCR@2022

2 . 6 0 0

JCR@2022

ESI Discipline: MATHEMATICS;

ESI HC Threshold:20

JCR Journal Grade:2

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 2

SCOPUS Cited Count: 2

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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