ARTreat Project: Three-Dimensional Numerical Simulation of Plaque Formation and Development in the Arteries

Atherosclerosis is a progressive disease characterized by the accumulation of lipids and fibrous elements in arteries. It is characterized by dysfunction of endothelium and vasculitis, and accumulation of lipid, cholesterol, and cell elements inside blood vessel wall. In this study, a continuum-based approach for plaque formation and development in 3-D is presented. The blood flow is simulated by the 3-D Navier-Stokes equations, together with the continuity equation while low-density lipoprotein (LDL) transport in lumen of the vessel is coupled with Kedem-Katchalsky equations. The inflammatory process was solved using three additional reaction-diffusion partial differential equations. Transport of labeled LDL was fitted with our experiment on the rabbit animal model. Matching with histological data for LDL localization was achieved. Also, 3-D model of the straight artery with initial mild constriction of 30% plaque for formation and development is presented.

[1]  N. Filipovic,et al.  An implicit algorithm within the arbitrary Lagrangian–Eulerian formulation for solving incompressible fluid flow with large boundary motions , 2006 .

[2]  Guy Chavent,et al.  Nonlinear Least Squares for Inverse Problems , 2010 .

[3]  Nanfeng Sun,et al.  Effects of transmural pressure and wall shear stress on LDL accumulation in the arterial wall: a numerical study using a multilayered model. , 2007, American journal of physiology. Heart and circulatory physiology.

[4]  G. Glick,et al.  Cardiovascular thrombosis: Thrombocardiology and thromboneurology, second edition Edited by Marc Verstraete, Valentin Fuster, and Eric J. Topol Lippincott–Raven Publishers, Philadelphia (1998) 896 pages, illustrated, $129.00 ISBN: 0–397–58772–4 , 1999 .

[5]  David A. Steinman,et al.  Correlation Between Local Hemodynamics and Lesion Distribution in a Novel Aortic Regurgitation Murine Model of Atherosclerosis , 2011, Annals of Biomedical Engineering.

[6]  Eric J. Topol,et al.  Cardiovascular thrombosis : thrombocardiology and thromboneurology , 1998 .

[7]  Guy Chavent,et al.  Nonlinear Least Squares for Inverse Problems: Theoretical Foundations and Step-by-Step Guide for Applications , 2009 .

[8]  Chu-Pak Lau,et al.  Outcome of coronary plaque burden: a 10-year follow-up of aggressive medical management , 2010, Cardiovascular ultrasound.

[9]  N. Kojic,et al.  Computer Modeling in Bioengineering: Theoretical Background, Examples and Software , 2008 .

[10]  Alun D. Hughes,et al.  Fluid-Wall Modelling of Mass Transfer in an Axisymmetric Stenosis: Effects of Shear-Dependent Transport Properties , 2006, Annals of Biomedical Engineering.

[11]  Alison Street Thrombosis and Hemorrhage: 3rd Edition , 2004 .

[12]  R. Stephenson A and V , 1962, The British journal of ophthalmology.

[13]  Mary R Myerscough,et al.  An ODE Model of Early Stages of Atherosclerosis: Mechanisms of the Inflammatory Response , 2010, Bulletin of mathematical biology.

[14]  David Saloner,et al.  Atherosclerotic plaque progression in carotid arteries: monitoring with high-spatial-resolution MR imaging--multicenter trial. , 2009, Radiology.

[15]  Milos Kojic,et al.  Computer simulations of blood flow with mass transport through the carotid artery bifurcation , 2004 .

[16]  Jean-Claude Tardif,et al.  Mechanical characterization of atherosclerotic arteries using finite-element modeling: Feasibility study on mock arteries , 2010, IEEE Transactions on Biomedical Engineering.

[17]  Vartan Kurtcuoglu,et al.  Patient-specific three-dimensional simulation of LDL accumulation in a human left coronary artery in its healthy and atherosclerotic states. , 2009, American journal of physiology. Heart and circulatory physiology.

[18]  Joseph Loscalzo,et al.  Thrombosis and Hemorrhage , 2002 .

[19]  Nicolas Meunier,et al.  Mathematical modelling of the atherosclerotic plaque formation , 2009 .