April 18, 2024

Predicting Risk of Aneurysm Rupture Based on Blood Flow and Fluid Dynamics

The group took a look at the element ratio and size ratio of aneurysms, which explain the shape and size characteristics of the bulge in a holistic manner. As these specifications boost and the aneurysm expands, the tension used versus the aneurysm walls and the time blood invests within the aneurysm increase.

Predicting the rupture of aneurysms is crucial for medical prevention and treatment. In the journal Physics of Fluids, by AIP Publishing, researchers from the Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, and the Indian Institute of Technology Madras, established a patient-specific mathematical model to examine what aneurysm specifications influence rupture risk prior to surgery.
Aneurysms take place when the weakest point of a capillary thins, expands, and, after a specific limitation, bursts. When it comes to cerebral aneurysms such as internal carotid artery bifurcation aneurysms, blood leaks into the intracranial cavity
” Since clinicians experience these aneurysms at numerous growth stages, it motivated us to analyze internal carotid artery aneurysms in a methodical way,” said B. Jayanand Sudhir, of the Sree Chitra Tirunal Institute for Medical Sciences and Technology. “The existing study is a sincere and organized effort to address the characteristics of blood flow at different phases to comprehend the initiation, rupture, and development danger.”
Animation showing an aneurysm emerging from a capillary bifurcation, gradually expanding and ending in rupture. Credit: Sajan Abdul Salam, Subash M. Nair, B. Jayanand Sudhir
The team examined the element ratio and size ratio of aneurysms, which describe the shape and size characteristics of the bulge in a holistic manner. As these specifications increase and the aneurysm broadens, the tension applied against the aneurysm walls and the time blood spends within the aneurysm increase. This leads the possibility of rupture to increase.
Patient-specific computed tomography scans are fed into the design, which reconstructs the geometry and blood flow of the aneurysm. It then utilizes mathematical equations to describe the fluid circulation, creating details about the blood vessel walls and blood flow patterns.
” This was practical due to the gain access to we had to the nationwide supercomputing cluster for carrying out the computational fluid dynamics-based simulations,” said S.V. Patnaik of the Indian Institute of Technology Madras.
” The novelty of this work lies in close collaboration and amalgamation of expertise from scientific and engineering backgrounds,” said Sudhir. “The aneurysm models were of various shapes, which helped us develop and understand the intricacy of circulation structures in multilobed cerebral aneurysms.”
Multilobed aneurysms, that include more than one balloonlike pocket of broadening blood, included more complex blood flow structures than their single-lobed counterparts.
The authors intend to change the rupture threat predictions into an user-friendly software application to assist clinicians and neurosurgeons prioritize and manage high-risk patients. They prepare to utilize the model to examine the efficiency of different treatment options for aneurysms.
Recommendation: “Influence of morphological parameters on hemodynamics in internal carotid artery bifurcation aneurysms” by Mahesh S. Nagargoje, Chanikya Valeti, N. Manjunath, Bhushan Akhade, B.J. Sudhir, B.S.V. Patnaik and Santhosh K. Kannath, 11 October 2022, Physics of Fluids.DOI: 10.1063/ 5.0117879.

A cerebral aneurysm (also called a brain aneurysm) is a weak or thin spot on an artery in the brain that swells out and fills with blood. The bulging aneurysm can put pressure on the nerves or brain tissue. It may likewise burst or rupture, spilling blood into the surrounding tissue (called a hemorrhage). A burst aneurysm can cause major health problems such as mental retardation, hemorrhagic stroke, coma, and even death.

A cerebral aneurysm (likewise called a brain aneurysm) is a thin or weak spot on an artery in the brain that balloons out and fills with blood. The bulging aneurysm can put pressure on the nerves or brain tissue. A burst aneurysm can trigger serious health issues such as brain damage, hemorrhagic stroke, coma, and even death.

Animation revealing an aneurysm arising from a blood vessel bifurcation, progressively expanding and ending in rupture. Credit: Sajan Abdul Salam, Subash M. Nair, B. Jayanand Sudhir
Patient-specific information and a mathematical design identify how aneurysm sizes and shape impact development and rupture.
Cerebral aneurysms appear in approximately 5% to 8% of the general population. When they lead to a capillary rupture, the ensuing blood leak within the brain can cause serious stroke or fatal consequences. Over one-quarter of patients who experience a hemorrhagic stroke die before reaching a hospital or health care center.