Method and system for patient-specific modeling of blood flow

• US 9,081,882 B2
• Filed: 05/13/2014
• Issued: 07/14/2015
• Est. Priority Date: 08/12/2010
• Status: Active Grant

• Current Assignee: Heartflow Inc.
• Original Assignee: Heartflow Inc.
• Inventors: Taylor, Charles A.
• Primary Examiner(s): Clow, Lori A
• Application Number:
  US14/276,486
• Publication Number:
  US 20140249791A1
• Time in Patent Office: 427 Days
• Field of Search: None
• US Class Current: 1/1
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Abstract

Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient'"'"'s heart, and create a three-dimensional model representing at least a portion of the patient'"'"'s heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient'"'"'s heart and determine a fractional flow reserve within the patient'"'"'s heart based on the three-dimensional model and the physics-based model.

Claims

1. A method for determining cardiovascular information for a patient, comprising:

generating a patient-specific anatomical model of a patient'"'"'s coronary arteries and heart from 4D medical image data of the patient, by generating a 4D geometric model of the patient'"'"'s coronary arteries from the 4D medical image data by segmenting the coronary arteries and generating a geometric surface model for the segmented coronary arteries in each of a plurality of frames of the 4D medical image data, and generating a 4D anatomical model of the patient'"'"'s heart from the 4D medical image data, wherein the 4D medical image data comprises three spatial dimensions and a time dimension;

generating a multi-scale functional model of coronary circulation based on the patient-specific anatomical model, wherein the multi-scale functional model comprises a 3D computation model and at least one reduced order model; and

simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation.

2. The method of claim 1, wherein generating the multi-scale functional model of coronary circulation based on the patient-specific anatomical model comprises:

generating a 3D computation model for each of one or more stenosis regions in the coronary arteries;

generating 1D computation models for non-stenosis regions of the coronary arteries and the aorta; and

representing microvasculature vessels using 0D lumped models.

3. The method of claim 2, wherein the 3D computation model for at least one stenosis region is coupled to one or more 0D interface models.

4. The method of claim 2, wherein generating the multi-scale functional model of coronary circulation based on the patient-specific anatomical model further comprises:

generating a structured tree model for the vascular tree of the patient.

5. The method of claim 2, wherein generating the multi-scale functional model of coronary circulation based on the patient-specific anatomical model further comprises:

generating a reduced order model of the heart from full-order anatomical and hemodynamic models of the heart.

6. The method of claim 5, wherein generating the reduced order model of the heart from full-order anatomical and hemodynamic models of the heart comprises:

estimating motion and mechanical parameters of one or more heart components based on the anatomical and hemodynamic models of the heart; and

determining boundary conditions for computational fluid dynamic simulations based on the motion and mechanical parameters of the one or more heart components.

7. The method of claim 2, wherein simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation comprises:

performing computational fluid dynamics (CFD) simulations in the 3D computation model for each stenosis region and the 1D computation models; and

coupling the 3D computation model for each stenosis region, the 1D computation models, and the 0D lumped models.

8. The method of claim 7, wherein coupling the 3D computation model for each stenosis region, the 1D computation models, and the 0D lumped models comprises:

deriving an inflow boundary condition of a system tree model by coupling a 1D computation model representing the aorta to the left ventricle of a heart model.

9. The method of claim 7, wherein coupling the 3D computation model for each stenosis region, the 1D computation models, and the 0D lumped models comprises:

imposing boundary conditions representing an influence of heart contractions on 1D computation models of epicardial coronary vessels using a strain map extracted from the medical image data.

10. The method of claim 7, wherein coupling the 3D computation model for each stenosis region, the 1D computation models, and the 0D lumped models comprises:

determining intramyocardial pressure applied to the 1D computation models of coronary vessels based on locations of the coronary vessels using the 0D lumped models.

11. The method of claim 7, wherein coupling the 3D computation model for each stenosis region, the 1D computation models, and the 0D lumped models comprises:

coupling the 1D computation models to the 0D lumped models using one or more quantities related to blood flow velocity or pressure.

12. The method of claim 7, wherein coupling the 3D computation model for each stenosis region, the 1D computation models, and the 0D lumped models comprises:

coupling the 3D computation model to adjacent 1D computation models using 0D interface models.

13. The method of claim 1, wherein simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation comprises:

simulating blood flow in the at least one stenosis region using the multi-scale functional model of coronary circulation based on boundary conditions determined from the anatomical model of the coronary arteries and the heart.

14. The method of claim 1, further comprising:

calculating a hemodynamic quantity to determine a functional significance of the at least one stenosis region based on the simulated blood flow through the at least one stenosis region.

15. The method of claim 14, wherein calculating a hemodynamic quantity to determine a functional significance of the at least one stenosis region based on the simulated blood flow through the at least one stenosis region comprises:

calculating a fractional flow reserve (FFR) of the at least one stenosis region based on the simulation of blood flow through the at least one stenosis region.

16. The method of claim 1, further comprising:

simulating a virtual intervention in at least one stenosis region using the multi-scale functional model of coronary circulation.

17. The method of claim 16, wherein simulating a virtual intervention in at least one stenosis region using the multi-scale functional model of coronary circulation comprises:

simulating an angioplasty by virtually reducing an obstruction from the at least one stenosis region in the multi-scale functional model of coronary circulation and re-simulating the blood flow through the at least one stenosis region.

18. The method of claim 16, wherein simulating a virtual intervention in at least one stenosis region using the multi-scale functional model of coronary circulation comprises:

simulating a stent implantation by introducing a virtual stent model to at least one stenosis region in the multi-scale functional model of coronary circulation and re-simulating the blood flow through the at least one stenosis region.

19. The method of claim 16, wherein simulating a virtual intervention in at least one stenosis region using the multi-scale functional model of coronary circulation comprises:

simulating a coronary artery bypass graft (CABG) by adding a bypass vessel adjacent to the at least one stenosis region in the multi-scale functional model of coronary circulation and re-simulating the blood flow through the at least one stenosis region.

20. A method for determining cardiovascular information for a patient, comprising:

generating a patient-specific anatomical model of a patient'"'"'s coronary arteries and heart from 4D medical image data of the patient, by generating a 4D geometric model of the patient'"'"'s coronary arteries from the 4D medical image data, and generating a 4D anatomical model of the patient'"'"'s heart from the 4D medical image data by extracting individual models of each of a plurality of heart components in each of a plurality of frames of the 4D medical image data; and

integrating the individual models for the plurality of heart components in each of the plurality of frames of the 4D medical image data by establishing mesh point correspondence between the individual models, wherein the 4D medical image data comprises three spatial dimensions and a time dimension;

generating a multi-scale functional model of coronary circulation based on the patient-specific anatomical model, wherein the multi-scale functional model comprises a 3D computation model and at least one reduced order model; and

simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation.

21. An apparatus comprising at least one computer system containing computer-executable programming instructions for performing a method for determining patient-specific cardiovascular information, the method comprising:

generating a patient-specific anatomical model of a patient'"'"'s coronary arteries and heart from 4D medical image data of the patient, by generating a 4D geometric model of the patient'"'"'s coronary arteries from the 4D medical image data, and generating a 4D anatomical model of the patient'"'"'s heart from the 4D medical image data by extracting individual models of each of a plurality of heart components in each of a plurality of frames of the 4D medical image data; and

integrating the individual models for the plurality of heart components in each of the plurality of frames of the 4D medical image data by establishing mesh point correspondence between the individual models, wherein the 4D medical image data comprises three spatial dimensions and a time dimension;

generating a multi-scale functional model of coronary circulation based on the patient-specific anatomical model, wherein the multi-scale functional model comprises a 3D computation model and at least one reduced order model; and

simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation.

22. The apparatus of claim 21, wherein generating the multi-scale functional model of coronary circulation based on the patient-specific anatomical model comprises:

generating a 3D computation model for each of one or more stenosis regions in the coronary arteries;

generating 1D computation models for non-stenosis regions of the coronary arteries and the aorta; and

representing microvasculature vessels of the heart using one or more 0D lumped models.

23. The apparatus of claim 22, wherein the 3D computation model for at least one stenosis region is coupled to one or more 0D interface models.

24. The apparatus of claim 22, wherein generating a multi-scale functional model of coronary circulation based on the patient-specific anatomical model further comprises:

generating a reduced order model of the heart from full-order anatomical and hemodynamic models of the heart.

25. The apparatus of claim 22, wherein simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation comprises:

performing computational fluid dynamics (CFD) simulations in the 3D computation model for each stenosis region and the 1D computation models; and

coupling the 3D computation model for each stenosis region, the 1D computation models, and the 0D lumped models.

26. The apparatus of claim 21, wherein simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation comprises:

simulating blood flow in the at least one stenosis region using the multi-scale functional model of coronary circulation based on boundary conditions determined from the anatomical model of the coronary arteries and the heart.

27. The apparatus of claim 21, further comprising:

calculating a hemodynamic quantity to determine a functional significance of the at least one stenosis region based on the simulated blood flow through the at least one stenosis region.

28. An apparatus comprising at least one computer system containing computer-executable programming instructions for performing a method for determining patient-specific cardiovascular information, the method comprising:

generating a patient-specific anatomical model of a patient'"'"'s coronary arteries and heart from 4D medical image data of the patient, by generating a 4D geometric model of the patient'"'"'s coronary arteries from the 4D medical image data by segmenting the coronary arteries and generating a geometric surface model for the segmented coronary arteries in each of a plurality of frames of the 4D medical image data, and generating a 4D anatomical model of the patient'"'"'s heart from the 4D medical image data, wherein the 4D medical image data comprises three spatial dimensions and a time dimension;

generating a multi-scale functional model of coronary circulation based on the patient-specific anatomical model, wherein the multi-scale functional model comprises a 3D computation model and at least one reduced order model; and

simulating blood flow in at least one stenosis region of at least one coronary artery using the multi-scale functional model of coronary circulation.