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200  Chapter 6 Additional clinical applications






                       Table 6.2 Quantitative comparison of the pressure drop models: Norms of differences between
                                         3D CFD and analytically estimated pressure drop.

                                                        L 1  L 2   L ∞ Pearson
                                           Original Y-T model 6.95 142.09 66.66  0.891
                                           Optimized model  2.53 17.1  16.38  0.981
                                           Coupled model  1.28 3.66  5.67  0.984




                                            Training was performed on a subset containing 80% of the
                                         samples while the remaining 20% were used for testing. Splitting
                                         was performed at case level, to ensure that all computations per-
                                         formed for the same synthetic case, always lie either in the training
                                         or in the test set. Training was performed using the Tensorflow li-
                                         brary [451] and the Adam optimizer [452], using mean absolute
                                         error as loss function.


                                         6.2.3 Results
                                         6.2.3.1 Evaluation of the pressure drop model
                                            First we evaluate the performance of the optimized and the
                                         original Young-Tsai model using the 3D CFD computations as
                                         ground truth: Fig. 6.10 displays the results on the test set. Fur-
                                         thermore, Table 6.2 displays the results of the quantitative com-
                                         parison of the three models. The original model underestimates
                                         the pressure drop since the synthetic CoA models have a higher
                                         degree of complexity than the original geometries used for fit-
                                         ting Eq. (6.8), and the range of considered Reynolds numbers is
                                         also larger. The herein introduced DL-based pressure drop model
                                         reduces the mean absolute error from 6.95 to 1.28 mmHg when
                                         comparing results against 3D CFD. Parameters p 1 , p 2 and p 3 from
                                         the optimized model are related to the viscous pressure loss: p 1
                                         decreases significantly in the optimized model, but the reduction
                                         is partially compensated by the increase of p 2 and p 3 . Parame-
                                         ter p 4 , which is related to the turbulent pressure loss, is modified
                                         only marginally, while parameters p 5 , p 6 and p 7 are all non-zero,
                                         indicating that convection, eccentricity and bulging are relevant
                                         features for the overall trans-coarctation pressure drop. The er-
                                         rors are further reduced by the coupled model, therefore providing
                                         the best prediction. This suggests that the pressure drop is signif-
                                         icantly affected by highly non-linear effects which are only cap-
                                         tured by the neural network model.
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