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BackgroundThis study characterizes the distribution and components of plaque structure by presenting a three-dimensional blood-vessel modelling with the aim of determining mechanical properties due to the effect of lipid core and calcification within a plaque. Numerical simulation has been used to answer how cap thickness and calcium distribution in lipids influence the biomechanical stress on the plaque.MethodModelling atherosclerotic plaque based on structural analysis confirms the rationale for plaque mechanical examination and the feasibility of our simulation model. Meaningful validation of predictions from modelled atherosclerotic plaque model typically requires examination of bona fide atherosclerotic lesions. To analyze a more accurate plaque rupture, fluid-structure interaction is applied to three-dimensional blood-vessel carotid bifurcation modelling. A patient-specific pressure variation is applied onto the plaque to influence its vulnerability.ResultsModelling of the human atherosclerotic artery with varying degrees of lipid core elasticity, fibrous cap thickness and calcification gap, which is defined as the distance between the fibrous cap and calcification agglomerate, form the basis of our rupture analysis. Finite element analysis shows that the calcification gap should be conservatively smaller than its threshold to maintain plaque stability. The results add new mechanistic insights and methodologically sound data to investigate plaque rupture mechanics.ConclusionStructural analysis using a three-dimensional calcified model represents a more realistic simulation of late-stage atherosclerotic plaque. We also demonstrate that increases of calcium content that is coupled with a decrease in lipid core volume can stabilize plaque structurally.

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Two population balance approaches based on the MUltiple-SIze-Group (MUSIG) model and one-group Average Bubble Number Density (ABND) model for handling the bubble size distribution of gas-liquid bubbly flows under isothermal conditions are assessed. Three forms of coalescence and breakage mechanisms by Wu et al. (1998), Hibiki and Ishii (2002) and Yao and Morel (2004) are incorporated in the ABND model. To examine the relative merits of both approaches, local radial distributions of five primitive variables in bubbly flows: void fraction, Sauter mean bubble diameter, interfacial area concentration, and gas and liquid velocities, are compared against the experimental data of Liu and Bankoff (1993a,b) and Hibiki et al. (2001). In general, both of the ABND model and MUSIG model predictions yield close agreement with experimental results. To account for the range of different bubble sizes in the gas-liquid bubbly flows, the resolution required is achieved through the application of the MUSIG model. Nevertheless, computational times increase by a factor of two when compared to applying the simpler ABND model. To further exploit the models' capabilities, investigations are carried out by extending the two population approaches beyond the bubbly flow regime of higher void fraction, particularly in the transition regime. The numerical results are found to be grossly over-predicted, which expose the inherent limitations of the models. It is known that bubbles in this regime are generally highly distorted and closely packed instead of spherically shape and allowed to move freely in bubbly flow regime.

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