bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Dec. 5, 2023
Abstract
Purpose
This
study
explores
the
relationship
between
microvascular
parameters
as
delineated
by
optical
coherence
tomography
angiography
(OCTA)
and
retinal
perfusion.
We
introduce
a
versatile
framework
to
examine
interplay
vasculature
structure
function,
generating
virtual
vasculatures
from
central
vessels
macular
capillaries.
Alongside
this,
we
develop
haemodynamics
model
which
tests
associations
vascular
morphology
Methods
The
generation
of
is
based
on
distribution
four
clinical
pertaining
dimension
blood
pressure
vessels,
constructive
constrained
optimisation
Voronoi
diagram.
Arterial
venous
trees
are
generated
in
temporal
retina
connected
through
three
layers
capillaries
at
different
depths
macula.
correlations
total
flow
fraction
derived
Spearman
rank
coefficients
uncertainty
input
quantified.
Results
A
cohort
200
healthy
were
generated.
Mean
standard
deviation
for
ratio
19.15
±
7.34
μL
/
min
4.52
1.19
%.
Retinal
was
correlated
with
vessel
area
density,
diameter
index,
fractal
calibre
index.
not
any
morphological
metrics.
Conclusions
proposed
able
reproduce
networks
macula
that
morphologically
functionally
similar
real
vasculature.
provides
quantitative
insights
into
how
perfusion
can
be
affected
changes
OCTA.
Physics of Life Reviews,
Journal Year:
2022,
Volume and Issue:
41, P. 1 - 21
Published: March 10, 2022
Technological
advances
in
imaging
techniques
and
biometric
data
acquisition
have
enabled
us
to
apply
methods
of
network
science
study
the
morphology
structural
design
organelles,
organs,
tissues,
as
well
coordinated
interactions
among
them
that
yield
a
healthy
physiology
at
level
whole
organisms.
We
here
review
research
dedicated
these
advances,
particular
focusing
on
networks
between
cells,
topology
multicellular
structures,
neural
interactions,
fluid
transportation
networks,
anatomical
networks.
The
percolation
blood
vessels,
connectivity
within
brain,
porous
structure
bones,
relations
different
parts
human
body
are
just
some
examples
we
explore
detail.
argue
show
models,
methods,
algorithms
developed
realm
ushering
new
era
network-based
inquiry
into
living
systems
broadest
possible
terms.
also
emphasize
need
applicability
this
is
likely
increase
significantly
years
come
due
rapid
progress
made
development
bioartificial
substitutes
tissue
engineering.
Aging and Disease,
Journal Year:
2023,
Volume and Issue:
14(6), P. 2096 - 2096
Published: Jan. 1, 2023
Endovascular
therapy
is
the
first-line
treatment
for
acute
ischemic
stroke.
However,
studies
have
shown
that,
even
with
timely
opening
of
occluded
blood
vessels,
nearly
half
all
patients
treated
endovascular
stroke
still
poor
functional
recovery,
a
phenomenon
called
“futile
recanalization.”.
The
pathophysiology
futile
recanalization
complex
and
may
include
tissue
no-reflow
(microcirculation
reperfusion
failure
despite
large
artery),
early
arterial
reocclusion
(reocclusion
recanalized
artery
24-48
hours
post
therapy),
collateral
circulation,
hemorrhagic
transformation
(cerebral
bleeding
following
primary
stroke),
impaired
cerebrovascular
autoregulation,
hypoperfusion
volume.
Therapeutic
strategies
targeting
these
mechanisms
been
attempted
in
preclinical
research;
however,
translation
to
bedside
remains
be
explored.
This
review
summarizes
risk
factors,
pathophysiological
mechanisms,
targeted
recanalization,
focusing
on
deepen
understanding
this
provide
new
translational
research
ideas
potential
intervention
targets
improving
efficacy
Royal Society Open Science,
Journal Year:
2025,
Volume and Issue:
12(1)
Published: Jan. 1, 2025
The
flow
network
model
is
an
established
approach
to
approximate
pressure–flow
relationships
in
a
bifurcating
network,
and
has
been
widely
used
many
contexts.
Existing
models
typically
assume
unidirectional
exploit
Poiseuille’s
law,
thus
neglect
the
impact
of
bifurcation
geometry
finite-sized
objects
on
flow.
We
determine
by
computing
Stokes
flows
two-dimensional
(2D)
using
Lightning-AAA
Rational
algorithm,
novel
mesh-free
algorithm
for
solving
2D
problems
utilizing
applied
complex
analysis
based
rational
approximation
Goursat
functions.
compute
conductances
bifurcations
with
different
channel
widths,
angles,
curved
boundary
geometries
fixed
circular
objects.
quantify
difference
between
computed
their
Poiseuille
law
approximations
demonstrate
importance
incorporating
detailed
into
existing
models.
parametrize
as
functions
dimensionless
parameters
object
machine
learning
approach,
which
simple
use
provides
more
accurate
than
law.
Finally,
details
are
presented.
PLoS Computational Biology,
Journal Year:
2024,
Volume and Issue:
20(5), P. e1012145 - e1012145
Published: May 28, 2024
In
ischaemic
stroke,
a
large
reduction
in
blood
supply
can
lead
to
the
breakdown
of
blood-brain
barrier
and
cerebral
oedema
after
reperfusion
therapy.
The
resulting
fluid
accumulation
brain
may
contribute
significant
rise
intracranial
pressure
(ICP)
tissue
deformation.
Changes
level
ICP
are
essential
for
clinical
decision-making
therapeutic
strategies.
However,
measurement
is
constrained
by
techniques
obtaining
exact
values
has
proven
challenging.
this
study,
we
propose
first
computational
model
simulation
following
acute
stroke
investigation
midline
shift
(MLS)
relationship.
consists
three
components
healthy
flow,
occluded
flow
oedema,
respectively.
utilized
obtain
core
geometry
then
imported
into
growth.
results
compared
with
data
from
97
traumatic
injury
patients
validation
major
parameters.
Midline
been
widely
used
diagnosis,
decision-making,
prognosis
patients.
Therefore,
focus
on
quantifying
relationship
between
identify
factors
that
affect
ICP-MLS
Three
investigated,
including
geometry,
damage
severity
types
(including
rare
oedema).
Meanwhile,
two
(stress
tension/compression)
mechanical
also
presented
differences
stress,
tension,
compression
intraparenchymal
periventricular
regions
discussed.
This
work
helps
predict
precisely
therefore
provides
improved
guidance
treatment
oedema.
Annals of Biomedical Engineering,
Journal Year:
2021,
Volume and Issue:
49(12), P. 3647 - 3665
Published: June 21, 2021
Computational
physiological
models
are
promising
tools
to
enhance
the
design
of
clinical
trials
and
assist
in
decision
making.
Organ-scale
haemodynamic
gaining
popularity
evaluate
perfusion
a
virtual
environment
both
healthy
diseased
patients.
Recently,
principles
verification,
validation,
uncertainty
quantification
such
have
been
laid
down
ensure
safe
applications
engineering
software
medical
device
industry.
The
present
study
sets
out
establish
guidelines
for
usage
three-dimensional
steady
state
porous
cerebral
model
human
brain
following
detailed
verification
validation
(V&V
40)
standard
American
Society
Mechanical
Engineers.
relies
on
finite
element
method
has
developed
specifically
estimate
how
is
altered
ischaemic
stroke
patients
before,
during,
after
treatments.
Simulations
compared
with
exact
analytical
solutions
thorough
sensitivity
analysis
presented
covering
every
numerical
parameter.
results
suggest
that
can
approximate
blood
pressure
distributions
reliably
even
coarse
grid
first
order
elements.
On
other
hand,
higher
elements
essential
mitigate
errors
volumetric
flow
rate
estimation
through
cortical
surface
regions.
Matching
corresponding
major
arteries
identified
as
milestone.
It
found
inlet
velocity
boundary
conditions
hard
obtain
constant
feasible
alternatives.
A
one-dimensional
which
serve
computationally
inexpensive
replacement
ease
parameter
optimisation,
analyses
quantification.
findings
be
generalised
organ-scale
models.
increase
applicability
computational
regarding
treatment
development
cerebrovascular
conditions.
Computers in Biology and Medicine,
Journal Year:
2021,
Volume and Issue:
137, P. 104802 - 104802
Published: Aug. 26, 2021
An
in
silico
trial
simulates
a
disease
and
its
corresponding
therapies
on
cohort
of
virtual
patients
to
support
the
development
evaluation
medical
devices,
drugs,
treatment.
In
trials
have
potential
refine,
reduce
cost,
partially
replace
current
vivo
studies,
namely
clinical
animal
testing.
We
present
design
implementation
an
for
treatment
acute
ischemic
stroke.
propose
event-based
modelling
approach
simulation
injury,
where
changes
state
system
(the
events)
are
assumed
be
instantaneous.
Using
this
we
able
combine
diverse
set
models,
spanning
multiple
time
scales,
model
stroke,
treatment,
resulting
brain
tissue
injury.
The
is
designed
modular
aid
reproducibility.
It
provides
comprehensive
framework
application
any
trial.
A
statistical
population
used
generate
cohorts
patients.
Patient
functional
outcomes
also
predicted
with
model,
using
injury
results
patient's
parameters.
demonstrate
functionality
by
running
proof
concept
trials.
simulate
same
twice:
once
successful
(successful
recanalisation)
unsuccessful
(unsuccessful
treatment).
Ways
overcome
some
challenges
difficulties
setting
up
such
discussed,
as
validation
computational
limitations.
PLoS Computational Biology,
Journal Year:
2022,
Volume and Issue:
18(8), P. e1010166 - e1010166
Published: Aug. 5, 2022
The
microvasculature
plays
a
key
role
in
oxygen
transport
the
mammalian
brain.
Despite
close
coupling
between
cerebral
vascular
geometry
and
local
demand,
recent
experiments
have
reported
that
microvascular
occlusions
can
lead
to
unexpected
distant
tissue
hypoxia
infarction.
To
better
understand
spatial
correlation
hypoxic
regions
occlusion
sites,
we
used
both
vivo
silico
simulations
investigate
effects
of
penetrating
arteriole
trees
on
hypoxia.
In
rat
model
microembolisation,
25
μm
microspheres
were
injected
through
carotid
artery
occlude
arterioles.
representative
models
human
cortical
columns,
arterioles
occluded
by
simulating
same
size
was
simulated
using
Green’s
function
method.
locations
segmented,
two
novel
distance
analyses
implemented
study
their
correlation.
found
be
present
simulations,
mainly
due
hypoperfusion
region
downstream
site.
Furthermore,
reasonable
agreement
for
sites
is
shown
which
indicates
good
applicability
understanding
response
blood
flow
microemboli.
Progress in Biomedical Engineering,
Journal Year:
2023,
Volume and Issue:
5(2), P. 022003 - 022003
Published: April 1, 2023
Abstract
In
this
review,
we
provide
a
summary
of
the
state-of-the-art
in
silico
modelling
cerebral
blood
flow
(CBF)
and
its
application
clinical
trials.
CBF
plays
key
role
transport
nutrients,
including
oxygen
glucose,
to
brain
cells,
vasculature
is
highly
complex,
multi-scale,
dynamic
system
that
acts
ensure
supply
demand
these
nutrients
are
continuously
balanced.
It
also
other
substances,
such
as
recombinant
tissue-plasminogen
activator,
tissue.
Any
dysfunction
can
rapidly
lead
cell
death
permanent
damage
regions,
leading
loss
bodily
functions
death.
The
complexity
difficulty
obtaining
accurate
anatomical
information
combine
make
mathematical
models
understanding
supply,
diagnosis
cerebrovascular
disease,
quantification
effects
thrombi,
selection
optimum
intervention,
neurosurgical
planning.
Similar
have
now
been
widely
applied
variety
body
organs
(most
notably
heart),
but
still
far
behind.
increased
availability
experimental
data
last
15
years
however
has
enabled
develop
more
progress
focus
review.
We
thus
present
brief
review
foundations
underpin
both
microvasculature
macrovasculature.
demonstrate
how
be
context
diseases
show
work
recently
expanded
trials
for
first
time.
Most
date
performed
ischaemic
stroke
or
aneurysms,
in-silico
many
applications
neurodegenerative
where
vital
play
testing
hypotheses
providing
test
beds
interventions.
Computers in Biology and Medicine,
Journal Year:
2023,
Volume and Issue:
166, P. 107543 - 107543
Published: Sept. 30, 2023
Cerebral
perfusion
modelling
is
a
promising
tool
to
predict
the
impact
of
acute
ischaemic
stroke
treatments
on
spatial
distribution
cerebral
blood
flow
(CBF)
in
human
brain.
To
estimate
treatment
efficacy
based
CBF,
simulations
need
become
suitable
for
group-level
investigations
and
thus
account
physiological
variability
between
individuals.
However,
computational
date
has
been
restricted
few
patient-specific
cases.
This
study
set
out
establish
automated
parameter
inference
neuroimaging
data
enable
CBF
groups.
Magnetic
resonance
imaging
(MRI)
from
75
healthy
senior
adults
were
utilised.
Brain
geometries
computed
reference
subjects'
T1-weighted
MRI.
Haemodynamic
model
parameters
determined
maps
measured
by
arterial
spin
labelling
(ASL)
Thereafter,
conducted
cases
followed
150
representing
an
occlusion
cessation
left
right
middle
arteries.
The
anatomical
fitness
brain
was
evaluated
comparing
simulated
grey
(GM)
white
matter
(WM)
volumes
measurements
subjects.
Strong
positive
correlations
found
both
tissue
types
(GM:
Pearson's
r
0.74,
P<0.001;
WM:
0.84,
P<0.001).
tuning
verified
total
volumetric
rate
subjects
(Pearson's
0.89,
In
cases,
infarct
volume
using
perfusion-based
197±25
ml.
Computational
predictions
agreement
with
haemodynamic
values
literature
concerning
T1-weighted,
T2-weighted,
phase-contrast
MRI
scenarios
did
not
capture
small
infarcts
(left
tail
distribution),
which
could
be
explained
neglected
compensatory
mechanisms,
e.g.
collaterals.
proposed
method
provides
foundation
silico
clinical
trials
assist
medical
device
drug
development.