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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Non-Newtonian Blood Modeling in Intracranial Aneurysm Hemodynamics: Impact on the Wall Shear Stress and Oscillatory Shear Index Metrics for Ruptured and Unruptured Cases

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Oliveira, Iago L. [1] ; Santos, Gabriel B. [1] ; Gasche, Jose L. [1] ; Militzer, Julio [2] ; Baccin, Carlos E. [3]
Total Authors: 5
[1] Sao Paulo State Univ UNESP, Mech Engn Dept, BR-15385000 Ilha Solteira, SP - Brazil
[2] Dalhousie Univ, Dept Mech Engn, Halifax, NS B3H 4R2 - Canada
[3] Hosp Israelita Albert Einstein, Intervent Neuroradiol, BR-05652900 Sao Paulo, SP - Brazil
Total Affiliations: 3
Document type: Journal article
Web of Science Citations: 0

When simulating blood flow in intracranial aneurysms (IAs), the Newtonian model seems to be ubiquitous. However, analyzing the results from the few studies on this subject, the doubt remains on whether it is necessary to use non-Newtonian models in computational fluid dynamics (CFD) simulations of cerebral vascular flows. The objective of this study is to investigate whether different rheology models would influence the hemodynamic parameters related to the wall shear stress (WSS) for ruptured and unruptured IA cases, especially because ruptured aneurysms normally have morphological features, such as lobular regions and blebs, that could trigger non-Newtonian phenomena in the blood flow due to low shear rates. Using CFD in an open-source framework, we simulated four ruptured and four unruptured patient-specific aneurysms to assess the influence of the blood modeling on the main hemodynamic variables associated with aneurysm formation, growth, and rupture. Results for WSS and oscillatory shear index (OSI) and their metrics were obtained using Casson and Carreau-Yasuda non-Newtonian models and were compared with those obtained using the Newtonian model. We found that all differences between non-Newtonian and the Newtonian models were consistent among all cases irrespective of their rupture status. We further found that the WSS at peak systole is overestimated by more than 50% by using the non-Newtonian models, but its metrics based on time and surface averaged values are less affected-the maximum relative difference among the cases is 7% for the Casson model. On the other hand, the surface-averaged OSI is underestimated by more than 30% by the non-Newtonian models. These results suggest that it is recommended to investigate different blood rheology models in IAs simulations when specific parameters to characterize the flow are needed, such as peak-systole WSS and OSI. (AU)

FAPESP's process: 17/18514-1 - Assessment of constitutive rheological models for the tissue and of its tickness on the prediction of Brain Aneurysms rupture
Grantee:Iago Lessa de Oliveira
Support type: Scholarships in Brazil - Doctorate