title: Quantification of particle residence time in abdominal aortic aneurysms using magnetic resonance imaging and computational fluid dynamics.
abstract: Hemodynamic conditions are hypothesized to affect the initiation, growth, and rupture of abdominal aortic aneurysms (AAAs), a vascular disease characterized by progressive wall degradation and enlargement of the abdominal aorta. This study aims to use magnetic resonance imaging (MRI) and computational fluid dynamics (CFD) to quantify flow stagnation and recirculation in eight AAAs by computing particle residence time (PRT). Specifically, we used gadolinium-enhanced MR angiography to obtain images of the vessel lumens, which were used to generate subject-specific models. We also used phase-contrast MRI to measure blood flow at supraceliac and infrarenal locations to prescribe physiologic boundary conditions. CFD was used to simulate pulsatile flow, and PRT, particle residence index, and particle half-life of PRT in the aneurysms were computed. We observed significant regional differences of PRT in the aneurysms with localized patterns that differed depending on aneurysm geometry and infrarenal flow. A bulbous aneurysm with the lowest mean infrarenal flow demonstrated the slowest particle clearance. In addition, improvements in particle clearance were observed with increase of mean infrarenal flow. We postulate that augmentation of mean infrarenal flow during exercise may reduce chronic flow stasis that may influence mural thrombus burden, degradation of the vessel wall, and aneurysm growth.
authors.affiliation: Department of Mechanical Engineering, Stanford University, 318 Stanford Drive, Stanford, CA 94305, USA.
authors.forename: Ga-Young
authors.initials: GY
authors.lastname: Suh
authors.forename: Andrea S
authors.initials: AS
authors.lastname: Les
authors.forename: Adam S
authors.initials: AS
authors.lastname: Tenforde
authors.forename: Shawn C
authors.initials: SC
authors.lastname: Shadden
authors.forename: Ryan L
authors.initials: RL
authors.lastname: Spilker
authors.forename: Janice J
authors.initials: JJ
authors.lastname: Yeung
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Cheng
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Herfkens
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Dalman
authors.forename: Charles A
authors.initials: CA
authors.lastname: Taylor
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000503:physiopathology*; D001783:Blood Flow Velocity; D003198:Computer Simulation; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008297:Male; D008875:Middle Aged; D008955:Models, Cardiovascular; D010316:Particle Size