Advances in computational techniques mitigated by faster computer hardware and improvements in software algorithms have increased interest in exploring their potential value for application in clinical research. Information derived from medical image data can be utilized to create computational models for simulating hemodynamics in cerebral aneurysms. In this chapter, we review the principles of computational fluid dynamics (CFD) aimed at this application and discuss results from selected studies which focused on developing CFD techniques for applications in clinical research. Validation studies comparing measurements with simulation results have demonstrated that this approach is viable and thereby encourage further development and refinement. They have also shown that multidisciplinary collaborative teams involving clinicians and clinical and basic scientists are needed to lead these exciting translational research efforts to fruition.
Glossary of Terms AneurysmA focal balloon-like extension or bulge in a blood vessel. Cerebral aneurysms affect arteries of the brain, while aortic aneurysms are located in the aorta.
Computational fluid dynamicsA subspecialty of the large field of fluid mechanics in which numerical algorithms are developed and used with high-performance computers to solve problems related to fluid flow.
Computed tomography angiographyA medical imaging technology where the computational analysis of X-rays is combined with the administration of a contrast agent to create three-dimensional visualization of blood vessels and the heart. Digital subtraction angiography A medical imaging technique based on fluoroscopy, where images acquired before and after the administration of a contrast agent are subtracted to obtain very accurate visualizations of blood vessels with high spatial resolution. Endothelium A thin layer of cells lining the inner surface of blood vessels. Endothelial cells have been shown to have receptors for sensing the wall shear stress created by the flowing blood.
Endovascular treatmentA surgical technique to treat selected vascular pathologies in the brain and other parts of the body through a catheter and attached medical devices which are navigated to the treatment site within the blood vessels.*Email: ckarmonik@tmhs.org *Email: ckarmonik@houstonmethodist.org PanVascular Medicine DOI 10.1007/978-3-642-37393-0_33-1 # Springer-Verlag Berlin Heidelberg 2014Page 1 of 13
HemodynamicsThe field which aims at developing a better understanding of how blood flows in blood vessels by establishing the corresponding physical laws and the governing equations of motion.
Magnetic resonance imagingA medical imaging technology which uses strong magnetic fields and radio-frequency pulses to probe and visualize anatomy and physiology both in health and disease.
Mesh generationThe digital separation of an often irregularly shaped volume into small regular volume elements, for instance, tetrahedra, pyramids, or hexahedra. This is a prerequisite for applying computational simulations which rely ...