An integrative approach to cerebrovascular disease healthcare: IT for cerebral aneurysms

One of the central themes in addressing vascular disease is connected with the behavior of the arterial wall; its response to stimuli, its remodeling, the growth or stabilization of lesions and the interaction with implants and drugs. For the case of cerebral aneurysms, we are presenting an effort to embed computational simulation models capable of handling such processes within an IT framework that combines imaging, modeling, genetics and clinical medicine in an integrative and comprehensive fashion. The @neurIST project aims at the development of an IT-enabled patient risk assessment and guidelines generation environment, capable of optimized decision support and treatment design. Within this framework, we present mechanobiological models of the vascular wall that account for the interaction of heamodynamics with vascular wall fiber and cell population and behavior.

[1]  S. Juvela,et al.  Treatment options of unruptured intracranial aneurysms. , 2004, Stroke.

[2]  P N Watton,et al.  Evolving mechanical properties of a model of abdominal aortic aneurysm , 2009, Biomechanics and modeling in mechanobiology.

[3]  J. Galbraith Subarachnoid hemorrhage; diagnosis and management. , 1949, The Mississippi doctor.

[4]  Martin Kroon,et al.  A model for saccular cerebral aneurysm growth by collagen fibre remodelling. , 2007, Journal of theoretical biology.

[5]  G. Erhard,et al.  Modelling the growth and stabilization of cerebral aneurysms , 2009 .

[6]  三谷 力 Differential distribution and expressions of collagens in the cerebral aneurysmal wall , 1998 .

[7]  H. Kikuchi,et al.  Cerebral aneurysms arising at nonbranching sites. An experimental Study. , 1997, Stroke.

[8]  Y. Ventikos,et al.  Modelling the growth and stabilization of cerebral aneurysms. , 2009, Mathematical medicine and biology : a journal of the IMA.

[9]  P. Watton Computational model can predict aneurysm growth , 2008 .

[10]  G. Rinkel,et al.  Subarachnoid haemorrhage: diagnosis, causes and management. , 2001, Brain : a journal of neurology.

[11]  Yiannis Ventikos,et al.  Pulsatile Blood Flow in Anatomically Accurate Vessels with Multiple Aneurysms: A Medical Intervention Planning Application of Computational Haemodynamics , 2003 .

[12]  P N Watton,et al.  A mathematical model for the growth of the abdominal aortic aneurysm , 2004, Biomechanics and modeling in mechanobiology.

[13]  Yiannis Ventikos,et al.  Coupling the hemodynamic environment to the evolution of cerebral aneurysms: computational framework and numerical examples. , 2009, Journal of biomechanical engineering.

[14]  SoichiroKondo,et al.  Cerebral Aneurysms Arising at Nonbranching Sites , 1997 .