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196  Chapter 6 Additional clinical applications





















                                         Figure 6.8. Examples of synthetically generated CoA anatomical models.


                                         mined for the patient-specific cases. Eq. (6.6)isemployedtogen-
                                         erate centerline points in Cartesian coordinates, while Eq. (6.3)is
                                         used to generate surface points in cylindrical (r,z,φ) coordinates.
                                         Unreported experiments suggest that best results are achieved
                                         when parameter sampling is conducted following a normal dis-
                                         tribution. Since the model is formulated as a set of continuous
                                         functions, the surface can be generated with an arbitrary number
                                         of points. For generating a synthetic anatomy, the surface func-
                                         tion is evaluated at a finite number of uniformly distributed points
                                         based on which a polygonal mesh is then defined. To increase the
                                         anatomical fidelity of the resulting surface, some additional con-
                                         straints are defined for:
                                         1. The ratio between inlet and outlet radius (0.8–2).
                                         2. The ratio between the healthy radius (upstream from the CoA
                                             segment) and the CoA minimum radius (0.2–0.8).
                                            Finally, 100 points along the centerline, and 50 points along
                                         each cross section are generated and transformed from cylindrical
                                         to Cartesian coordinates, obtaining thus the actual surface points
                                         used to generate the final surface mesh. (See Fig. 6.8.)

                                         6.2.2.2 Three-dimensional flow computations
                                            The 3D flow model is based on the Lattice Boltzmann Method
                                         (LBM), which describes physics of fluid flow at a mesoscopic
                                         scale by taking into account molecular interactions between flow
                                         particles. The LBM provides ultimately the same solution as the
                                         Navier–Stokes based solvers [214], but it is inherently highly paral-
                                         lelizable, which is a necessary feature to enable fast computation
                                         for the large database of synthetic geometries.
                                            Aortic flow typically has a high Reynolds number (up to 5000
                                         at peak systole); to simulate this flow regime with LBM without
                                         producing numerical instabilities, the spatial resolution needs to
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