Repository logo

Infoscience

  • English
  • French
Log In
Logo EPFL, École polytechnique fédérale de Lausanne

Infoscience

  • English
  • French
Log In
  1. Home
  2. Academic and Research Output
  3. Journal articles
  4. An image-based computational hemodynamics study of the Systolic Anterior Motion of the mitral valve
 
research article

An image-based computational hemodynamics study of the Systolic Anterior Motion of the mitral valve

Fumagalli, Ivan
•
Fedele, Marco
•
Vergara, Christian
Show more
August 1, 2020
Computers In Biology And Medicine

Systolic Anterior Motion (SAM) of the mitral valve - often associated with Hypertrophic Obstructive Cardiomyopathy (HOCM) - is a cardiac pathology in which a functional subaortic stenosis is induced during systole by the mitral leaflets partially obstructing the outflow tract of the left ventricle. Its assessment by diagnostic tests is often difficult, possibly underestimating its severity and thus increasing the risk of heart failure. In this paper, we propose a new computational pipeline, based on cardiac cine Magnetic Resonance Imaging (cine-MRI) data, for the assessment of SAM. The pipeline encompasses image processing of the left ventricle and the mitral valve, and numerical investigation of cardiac hemodynamics by means of Computational Fluid Dynamics (CFD) in a moving domain with image-based prescribed displacement. Patient-specific geometry and motion of the left ventricle are considered in view of an Arbitrary Lagrangian-Eulerian approach for CFD, while the reconstructed mitral valve is immersed in the computational domain by means of a resistive method. We assess clinically relevant flow and pressure indicators in a parametric study for different degrees of SAM severity, in order to provide a better quantitative evaluation of the pathological condition. Moreover, we provide specific indications for its possible surgical treatment, i.e. septal myectomy.

  • Details
  • Metrics
Type
research article
DOI
10.1016/j.compbiomed.2020.103922
Web of Science ID

WOS:000558010800040

Author(s)
Fumagalli, Ivan
•
Fedele, Marco
•
Vergara, Christian
•
Dede', Luca
•
Ippolito, Sonia
•
Nicolo, Francesca
•
Antona, Carlo
•
Scrofani, Roberto
•
Quarteroni, Alfio  
Date Issued

2020-08-01

Publisher

PERGAMON-ELSEVIER SCIENCE LTD

Published in
Computers In Biology And Medicine
Volume

123

Article Number

103922

Subjects

Biology

•

Computer Science, Interdisciplinary Applications

•

Engineering, Biomedical

•

Mathematical & Computational Biology

•

Life Sciences & Biomedicine - Other Topics

•

Computer Science

•

Engineering

•

Mathematical & Computational Biology

•

mitral valve

•

hypertrophic cardiomyopathy

•

septal myectomy

•

patient-specific simulations

•

computational fluid dynamics

•

image-based cfd

•

cardiac cine-mri

•

fluid-structure interaction

•

finite-element-method

•

of-the-art

•

left-ventricle segmentation

•

cardiac magnetic-resonance

•

surgical septal myectomy

•

prosthetic heart-valves

•

hypertrophic cardiomyopathy

•

numerical-simulation

•

incompressible fluid

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
SB  
Available on Infoscience
August 27, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/171165
Logo EPFL, École polytechnique fédérale de Lausanne
  • Contact
  • infoscience@epfl.ch

  • Follow us on Facebook
  • Follow us on Instagram
  • Follow us on LinkedIn
  • Follow us on X
  • Follow us on Youtube
AccessibilityLegal noticePrivacy policyCookie settingsEnd User AgreementGet helpFeedback

Infoscience is a service managed and provided by the Library and IT Services of EPFL. © EPFL, tous droits réservés