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March 10, 2023MathematicsOpen Access

Computational Analysis of Hemodynamic Indices Based on Personalized Identification of Aortic Pulse Wave Velocity by a Neural Network

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Key result

Patient-specific identification of aortic pulse wave velocity via a neural network predicted brachial-ankle AoPWV with an RMSE of 1.3 m/s and improved FFR estimation error from 4.4% to 3.8%.

Why the study?

Personalized numerical simulation of coronary hemodynamic indices requires accurate identification of vessel elasticity, but direct measurement of coronary elasticity is not clinically available.

Does a neural network approach for estimating patient-specific AoPWV improve the accuracy of simulated fractional flow reserve (FFR) compared to using a constant AoPWV?

Population

Synthetic database of virtual subjects and data from real patients

Comparison

Simulated hemodynamic indices using predicted AoPWV vs constant AoPWV (7.5 m/s)

Design

Computational simulation and neural network validation study

Authors

ТГТимур ГамиловRussian Academy of SciencesFLFuyou LiangShanghai Jiao Tong UniversityPKPhilipp KopylovRussian Academy of Sciences

Discussion

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Implication

Patient-specific AoPWV estimation may modestly refine simulated FFR; leaves open prospective clinical validation before adoption.

Structured PICO

Does a neural network approach for estimating patient-specific AoPWV improve the accuracy of simulated fractional flow reserve (FFR) compared to using a constant AoPWV?

P
Population
Synthetic aortic pulse wave velocity (AoPWV) database of virtual subjects for training, and an additional set of AoPWV data collected from real patients for testing
I
Intervention
Neural network approach for estimating patient-specific AoPWV using age, stroke volume, heart rate, systolic, diastolic, and mean arterial pressures
C
Comparator
Constant AoPWV (7.5 m/s)
O
Outcome
Accuracy of AoPWV prediction (RMSE and percentage error) and accuracy of simulated fractional flow reserve (FFR) compared to invasively measured FFRsurrogate

Main Result

Absolute Event Rate: 3.8% vs 4.4%

A neural network using basic clinical parameters can accurately estimate patient-specific aortic pulse wave velocity, which improves the computational simulation of fractional flow reserve.

Limitations

  • Limited number of clinical cases available for training, requiring the use of a synthetic database.
  • Limited number of clinical cases

Cite This Study

Гамилов et al. (2023) studied Coronary stenosis. Neural network approach for estimating aortic pulse wave velocity (AoPWV) vs. Constant AoPWV (7.5 m/s) was evaluated on Estimation error of fractional flow reserve (FFR). Patient-specific identification of aortic pulse wave velocity via a neural network predicted brachial-ankle AoPWV with an RMSE of 1.3 m/s and improved FFR estimation error from 4.4% to 3.8%.

synapsesocial.com/papers/6a6220cbf2fc5dc74fc21322https://doi.org/10.3390/math11061358
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Quantification of aortic pulse wave velocity from a population based cohort: a fully automatic method2019 · 25 citations
  2. 2Short-Term Repeatability of Noninvasive Aortic Pulse Wave Velocity Assessment: Comparison Between Methods and Devices2017 · 64 citations
  3. 3Aortic Stiffness Is an Independent Predictor of All-Cause and Cardiovascular Mortality in Hypertensive Patients2001 · 3,870 citations
  4. 4Scalability and in vivo validation of a multiscale numerical model of the left coronary circulation2013 · 67 citations
  5. 5The relationship between coronary artery distensibility and fractional flow reserve2017 · 31 citations