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Patient-Specific Modeling of the Cardiovascular System - Technology-Driven Personalized Medicine (Hardcover, Edition.)
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Patient-Specific Modeling of the Cardiovascular System - Technology-Driven Personalized Medicine (Hardcover, Edition.)
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Peter Hunter Computational physiology for the cardiovascular system
is entering a new and exciting phase of clinical application.
Biophysically based models of the human heart and circulation,
based on patient-specific anatomy but also informed by po- lation
atlases and incorporating a great deal of mechanistic understanding
at the cell, tissue, and organ levels, offer the prospect of
evidence-based diagnosis and treatment of cardiovascular disease.
The clinical value of patient-specific modeling is well illustrated
in application areas where model-based interpretation of clinical
images allows a more precise analysis of disease processes than can
otherwise be achieved. For example, Chap. 6 in this volume, by
Speelman et al. , deals with the very difficult problem of trying
to predict whether and when an abdominal aortic aneurysm might
burst. This requires automated segmentation of the vascular
geometry from magnetic re- nance images and finite element analysis
of wall stress using large deformation elasticity theory applied to
the geometric model created from the segmentation. The time-varying
normal and shear stress acting on the arterial wall is estimated
from the arterial pressure and flow distributions. Thrombus
formation is identified as a potentially important contributor to
changed material properties of the arterial wall. Understanding how
the wall adapts and remodels its material properties in the face of
changes in both the stress loading and blood constituents
associated with infl- matory processes (IL6, CRP, MMPs, etc.
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