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8.4 WHOLE HEART CYCLE MODELING                              155

                                              1
                                                FEM
                                               PODI


                                             0.1
                                          Time (s)


                                            0.01




                                           0.001
                                                   Diastole  IVC  Ejection  IVR
                                                            Cardiac phase
           FIG. 8.11  Comparison of end-diastole, end-IVC, end-ejection, and end-IVR time spans generated from PODI against a conventional full-scale
           simulation using FEM.

              After the conventional full-scale simulation results are produced using EFG, the PODI calculation accuracy is now
           investigated. On average, the error norms of the displacement, stress, and strain fields are 0.024, 0.032, and 0.022,
           respectively. However, it is observed that those errors are not equally distributed across the different phases of a heart-
           beat, as shown in Fig. 8.12. The highest error is recorded during the isovolumetric contraction phase. It is about 3.5–4
           times higher than during the diastole filling phase. The computation errors of the ejection and isovolumetric relaxation
           phases are either considerably lower or similar to that of the diastole filling phase. These error values show very little
           variation as the energy conserved is varied from 70% to 100%. However, for the pressure-volume (PV) relationship of



                      0.04                                           0.04
                                                Diastole                                       Diastole
                                                   IVC                                            IVC
                     0.035                      Ejection            0.035                      Ejection
                                                   IVR                                            IVR
                      0.03                                           0.03
                     L 2  error   0.025                            L 2  error   0.025

                      0.02                                           0.02
                     0.015                                          0.015

                      0.01                                           0.01

                     0.005                                          0.005
                 (A)                                            (B)
                                           0.09
                                                                      Diastole
                                           0.08                          IVC
                                                                      Ejection
                                                                         IVR
                                           0.07
                                           L 2  error  0.06
                                           0.05
                                           0.04
                                           0.03
                                           0.02

                                       (C)   0.01
           FIG. 8.12  Solution field error across the diastole, isovolumetric contraction (ICV), ejection, and isovolumetric relaxation (IVR). (A) Displacement
           field; (B) strain field; and (C) stress field.



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