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Development of Cerebral Aneurysms. A Prediction Model

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1 Development of Cerebral Aneurysms. A Prediction Model
14 januari 2019 Development of Cerebral Aneurysms. A Prediction Model Ihor Machyshyn Supervisors Dr. Ir. P.M.J. Rongen (Philips Medical Systems) Dr. Ir. A.A.F. van de Ven (TU/e, W&I) Dr. Ir. S.J.L. van Eijndhoven (TU/e, W&I) Prof. Dr. Ir. F.N. van de Vosse (TU/e, BMT) Dr. Ir. P.H.M. Bovendeerd (TU/e, BMT)

2 3D Rotational Angiography (3D-RA)
14 januari 2019 3D Rotational Angiography (3D-RA) Combined X-ray images into a 3D view safe? dangerous?

3 Approaches to assess risk of rupture
Current clinical practice (based on geometry) Mechanical analysis: Hemodynamical approach Vessel wall mechanics Stress and strain estimation Adaptation of the tissue Rupture criterion

4 Goal of the project Develop a model that uses realistic description of aneurysmal tissue Study growth of cerebral aneurysms

5 Blood Vessel Histology

6 Model Variables Collagen - collagen stretch - recruitment
- collagen thickness - attachment collagen stretch Elastin - elastin (tissue) stretch

7 Equations Governing Mechanics
Constitutive equation: with Equation of equilibrium: Incompressibility equation:

8 Evolution Equations of Remodeling
with - rate constants of remodeling Initial conditions

9 Healthy State of an Artery

10 Transition between States

11 Remodeling to a Healthy State

12 Visualization of Instability

13 Stability of Equilibrium ((e)) States

14 Analysis of Stability of an Equilibrium State of a Thin-walled cylinder. Equations
where

15 Method satisfy equations on the previous slide Stability condition:

16 Result


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