Key result
High-intensity turbulent pressure fluctuations appeared inside stenoses for severities above 70%, with distinct break frequencies ranging from 40 to 230 Hz for each severity level.
Why the study?
Non-invasive diagnostic techniques capable of detecting stenosis at early stages are needed to reduce costs and mortality rates associated with atherosclerosis.
Acoustic and computational fluid dynamics analysis reveals distinct frequency signatures for different stenosis severities, which may inform non-invasive diagnostic techniques.
Treatments of atherosclerosis depend on the severity of the disease at the diagnosis time. Non-invasive diagnosis techniques, capable of detecting stenosis at early stages, are essential to reduce associated costs and mortality rates. We used computational fluid dynamics and acoustics analysis to extensively investigate the sound sources arising from high-turbulent fluctuating flow through stenosis. The frequency spectral analysis and proper orthogonal decomposition unveiled the frequency contents of the fluctuations for different severities and decomposed the flow into several frequency bandwidths. Results showed that high-intensity turbulent pressure fluctuations appeared inside the stenosis for severities above 70%, concentrated at plaque surface, and immediately in the post-stenotic region. Analysis of these fluctuations with the progression of the stenosis indicated that (a) there was a distinct break frequency for each severity level, ranging from 40 to 230 Hz, (b) acoustic spatial-frequency maps demonstrated the variation of the frequency content with respect to the distance from the stenosis, and (c) high-energy, high-frequency fluctuations existed inside the stenosis only for severe cases. This information can be essential for predicting the severity level of progressive stenosis, comprehending the nature of the sound sources, and determining the location of the stenosis with respect to the point of measurements.
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Khalili et al. (2021) studied Atherosclerosis / Stenosis. Computational fluid dynamics and acoustics analysis was evaluated on Frequency spectral analysis and proper orthogonal decomposition of flow fluctuations. High-intensity turbulent pressure fluctuations appeared inside stenoses for severities above 70%, with distinct break frequencies ranging from 40 to 230 Hz for each severity level.
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