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Issue title: Frontiers of Medical Informatics
Guest editors: Takami Yamaguchi and Shigeo Wada
Article type: Research Article
Authors: Feng, Yixiang; * | Wada, Shigeo | Tsubota, Ken-ichi | Yamaguchi, Takami
Affiliations: Department of Bioengineering and Robotics, Graduate School of Engineering, Tohoku University, 6-1-1 Aoba, Aramaki, Aoba, Sendai 980-8579, Japan | Department of Bioengineering and Robotics, Graduate School of Engineering, Tohoku University, 6-1-1 Aoba, Aramaki, Aoba, Sendai 980-8579, Japan
Correspondence: [*] Corresponding author. Tel.: +81 22 217 6958; Fax: +81 22 217 6959; E-mail: feng@pfsl.mech.tohoku.ac.jp.
Abstract: The genesis and development of intracranial aneurysm have long been of interest but remain not understood. In the present study we simulate the progression of intracranial aneurysms by constructing a computational model of a curved artery. It is hypothesized that high local wall shear stress above a threshold value will lead to degeneration of the arterial wall mechanical properties. And this degenerative effect may continue even after the wall shear stress has become lower than the threshold, which is referred to as the “time remaining effect” in this study. We performed several groups of studies using both assumptions and aneurysm development is observed as result of the interplay between high wall shear stress, wall degeneration and wall deformation. In the growth of aneurysms with “time-remaining effect”, the increase of aneurysmal height accelerates in later steps. It is concluded that computer simulation can yield insight into the understanding of the pathophysiology of aneurysmal initiation and growth, and help in clarifying the role of certain hemodynamic parameters.
Keywords: biomechanics, intracranial aneurysm, progression, computer aided analysis, modeling, wall shear stress, material properties, time remaining effect, blood flow
DOI: 10.3233/THC-2005-13407
Journal: Technology and Health Care, vol. 13, no. 4, pp. 281-291, 2005
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