[1]王 亮,冯 睿,陆清声,等.采用CT断层扫描图像构建DeBakey Ⅲ型主动脉夹层三维血流动力学数值模拟分析模型[J].介入放射学杂志,2010,(10):767-771.
 WANG Liang,FENG Rui,LU Qing-sheng,et al.The construction of realistic 3D hemodynamic models of DeBakey Ⅲ aortic dissection by using CT images and its application in computational mimic analysis[J].journal interventional radiology,2010,(10):767-771.
点击复制

采用CT断层扫描图像构建DeBakey Ⅲ型主动脉夹层三维血流动力学数值模拟分析模型()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年10期
页码:
767-771
栏目:
血管介入
出版日期:
2010-10-30

文章信息/Info

Title:
The construction of realistic 3D hemodynamic models of DeBakey Ⅲ aortic dissection by using CT images and its application in computational mimic analysis
作者:
王 亮冯 睿陆清声
200433  上海 第二军医大学长海医院血管外科
Author(s):
WANG Liang FENG Rui LU Qing-sheng LIAO Ming-fang JING Zai-ping.
Department of Vascular Surgery, Changhai Hospital, the Second Military Medical University, Shanghai, 200433, China
关键词:
主动脉 主动脉夹层 血流动力学 计算机断层扫描血管造影 计算流体力学分析
分类号:
R543.16
文献标志码:
摘要:
目的 探索简便、精确的方法构建仿真的DeBakey Ⅲ型主动脉夹层血流动力学计算机模拟分析三维模型的方法。方法 利用Siemens Sensation Cardiac 64层螺旋CT薄层扫描技术,基于1 mm层厚获取4种临床常见典型形态的DeBakey Ⅲ型主动脉夹层连续断层DICOM格式图像,导入医学图像处理软件Materialise MIMICS v12.11,界定目标区域后生成三维动脉模型,经网格优化处理去除低质量及相交面网格,保存结果输出,导入TGrid 5.0软件,对主动脉面网格模型进行几何修复,使面网格扭曲率 < 0.75,采用非结构化四面体网格生成DeBakey Ⅲ型主动脉夹层血流动力学分析计算机模拟体网格模型,并对所构建模型进行血流属性、流场边界等界定,初步验证模型的有效性。结果 通过初步计算求解,确定所构建的DeBakey Ⅲ型主动脉模型分别包含1857030,1820501,1844181及1814914 4个四面体单元。结论 利用64层螺旋CT薄层扫描技术获取DICOM格式连续断层CT图像,可快速、准确地构建DeBakey Ⅲ型主动脉夹层血流动力学分析计算机模型,为进一步的计算流体力学分析奠定了良好的基础。

参考文献/References:

[1] Auer J, Berent R, Eber B. Aortic dissection: incidence, natural history and impact of surgery[J]. J Clin Basic Cardiol, 2000, 3: 151 - 154.
[2] Elefteriades JA. Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks[J]. Ann Thorac Surg, 2002, 74: s1877 - 1880.
[3] Dailey PO, Trueblood HW, Stinson EB. Management of acute aortic dissection[J]. Ann Thorac Surg, 1970, 10: 237 - 247.
[4] Rutherford RB. Vascular Surgery [M], 6th ed. ELSVIER SAUNDERS, Inc, Philadelphia, 2005: 1512.
[5] Kouchoukos NT, Dougenis D. Surgery of the thoracic aorta[J]. N Engl J Med, 1997, 336: 1876 - 1888.
[6] Spitell PC, Spitell J, Joyce JW. Clinical features and differential diagnosis of aortic dissection: experience with 236 cases(1980 through 1990)[J]. Mayo Clin Proc, 1993, 68: 642 - 651.
[7] Hagan PG, Nienaber CA, Isselbacher EM, et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease[J]. JAMA 2000, 283: 897 - 903.
[8] Tsai TT, Evangelista A, Nienaber CA, et al. Partial thrombosis of the false lumen in patients with acute type B aortic dissection[J]. N Engl J Med, 2007, 357: 349 - 359.
[9] Zeng P. Finite element analysis and applications[M], 1st ed. Tsinghua University Press & Springer, Beijing, 2004: 06.
[10] Raghavan ML, Vorp DA, Federle MP, et al. Wall stress distribution on three-dimensionally reconstructed models of human abdominal aortic aneurysm[J]. J Vasc Surg, 2000, 31: 760 - 769.
[11] Li Z, Kleinstreuer C. Blood flow and structure interactions in a stented abdominal aortic aneurysm model[J]. Med Eng Phys, 2005, 27: 369 - 382.
[12] Howell BA, Kim T, Cheer A, et al. Computational fluid dynamics within bifurcated abdominal aortic stent-grafts[J], J Endovasc Ther, 2007, 14: 138 - 143.
[13] Fung GS, Lam SK, Cheng SW, et al. On stent-graft models in thoracic aortic endovascular repair: A computational inves-tigation of the hemodynamic factors[J]. Comput Biol Med, 2008, 38: 484 - 489.
[14] Fung YC. Biomechanics Circulation[M]. Second Edition, Springer, New York, 1997, Chap 3.
[15] Pedley TJ. The fluid mechanics of large blood vessels[M], Cambridge University Press, Cambridge, 1980, Chap 4.

相似文献/References:

[1]赵珺 景在平 赵志青 包俊敏 冯翔 曲乐丰 陆清声.腹主动脉复合动脉瘤的腔内隔绝术治疗[J].介入放射学杂志,2003,(01):31.
[2]王亮,陆清声,冯睿,等.DeBakeyⅢ型主动脉夹层血流动力学数值模拟分析初步研究[J].介入放射学杂志,2010,(09):683.
 WANG Liang,LU Qingsheng,FENG Rui,et al.The preliminary hemodynamic study of DeBakeyⅢaortic dissection with patient-specific geometries[J].journal interventional radiology,2010,(10):683.
[3]王豪夫,王曰伟,李 君,等.主动脉瘤腔内修复术一期治愈stanford A型主动脉夹层并腹主动脉瘤一例[J].介入放射学杂志,2011,(01):64.
 WANG Hao-fu,WANG Yue-wei,LI Jun,et al.Endovascular aortic aneurysm repair of Stanford type A aortic dissection accompanied with abdominal aortic aneurysm: report of one case[J].journal interventional radiology,2011,(10):64.
[4]黄连军,蒋世良,赵世华,等.JOSTENT支架在治疗主动脉及外周动脉狭窄疾患中的应用[J].介入放射学杂志,2000,(02):73.
[5]姜海滨,黄新苗,白 元,等.经导管镍钛合金自膨式主动脉人工瓣膜支架植入的实验研究[J].介入放射学杂志,2011,(08):631.
 JIANG Hai-bin,HUANG Xin-miao,BAI Yuan,et al.Transcatheter aortic valve implantation with self-expandable nitinol valved stent: an experimental study in sheep[J].journal interventional radiology,2011,(10):631.
[6]冯 睿,景在平,赵志青,等.主动脉弓上病变的双烟囱法腔内隔绝术[J].介入放射学杂志,2011,(07):510.
 FENG Rui,JING Zai-ping,ZHAO Zhi-qing,et al.Endovascular exclusion with double-chimney technology for treating aortic arch pathologies[J].journal interventional radiology,2011,(10):510.
[7]赵臖,张玉春.封堵器联合覆膜支架和弹簧圈治疗胸腔内锁骨下动脉瘤[J].介入放射学杂志,2008,(04):277.
 ZHAO Jun,ZHANG Yuchun.Occluder combined with covered stent-graft and steel coil for the treatment of intra-thoracic subclavain arterial aneurysm[J].journal interventional radiology,2008,(10):277.
[8]章思梦,陆清声,景在平.Standford B型主动脉夹层腔内修复术后主动脉重塑效果[J].介入放射学杂志,2016,(04):302.
 ZHANG Si- meng,LU Qing- sheng,JING Zai- ping.Outcomes of aortic remodeling after endovascular thoracic aortic repair for type B Standford aortic dissection[J].journal interventional radiology,2016,(10):302.
[9]沈 毓,宋 超,辛世杰,等.远程视频会诊在支架体外开窗腔内治疗主动脉弓夹层中的应用[J].介入放射学杂志,2020,29(11):1080.
 SHEN Yu,SONG Chao,XIN Shijie,et al.Application value of remote video consultation in performing endovascular repair of aortic arch dissection by using in vitro fenestration technique[J].journal interventional radiology,2020,29(10):1080.
[10]林奕城,郭 立,陈娜娜.Stanford B型主动脉夹层计算机仿真研究进展[J].介入放射学杂志,2021,30(12):1296.
 LIN Yicheng,GUO Li,CHEN Nana..Research progress in computer simulation of Stanford B aortic dissection[J].journal interventional radiology,2021,30(10):1296.

备注/Memo

备注/Memo:
收稿日期:20100618
更新日期/Last Update: 2010-10-30