Evidence map›Paper›PMID 24529358›Full record

ArticleJournal of biomechanics2014

The influence of computational strategy on prediction of mechanical stress in carotid atherosclerotic plaques: comparison of 2D structure-only, 3D structure-only, one-way and fully coupled fluid-structure interaction analyses.

Yuan Huang, Zhongzhao Teng, Umar Sadat, Martin J Graves, Martin R Bennett, Jonathan H Gillard

Abstract read
In one paragraph

Article in Journal of biomechanics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Finite element analysis in clinical patients with atherosclerosis.Journal of the mechanical behavior of biomedical materials · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Stress-Relaxation and Cyclic Behavior of Human Carotid Plaque Tissue.Frontiers in bioengineering and biotechnology · 2020
    Article
  10. [Numerical simulation of the effect of virtual stent release pose on the expansion results].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2018
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Subject-Specific Fully-Coupled and One-Way Fluid-Structure Interaction Models for Modeling of Carotid Atherosclerotic Plaques in Humans.Medical science monitor : international medical journal of experimental and clinical research · 2015
    Article
  18. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Yuan HuangUniversity Departments of Radiology, University of Cambridge, UK.
Zhongzhao TengUniversity Departments of Radiology, University of Cambridge, UK; Department of Engineering, University of Cambridge, UK. Electronic address: zt215@cam.ac.uk.
Umar SadatDepartment of Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Martin J GravesUniversity Departments of Radiology, University of Cambridge, UK.
Martin R BennettDivision of Cardiovascular Medicine, University of Cambridge, UK.
Jonathan H GillardUniversity Departments of Radiology, University of Cambridge, UK.

Funding

British Heart Foundation FS/13/33/30168British Heart Foundation PG/11/74/29100British Heart Foundation RG/10/007/28300
6 · The paper itself

Abstract

backgroundCompositional and morphological features of carotid atherosclerotic plaques provide complementary information to luminal stenosis in predicting clinical presentations. However, they alone cannot predict cerebrovascular risk. Mechanical stress within the plaque induced by cyclical changes in blood pressure has potential to assess plaque vulnerability. Various modeling strategies have been employed to predict stress, including 2D and 3D structure-only, 3D one-way and fully coupled fluid-structure interaction (FSI) simulations. However, differences in stress predictions using different strategies have not been assessed.

methodsMaximum principal stress (Stress-P1) within 8 human carotid atherosclerotic plaques was calculated based on geometry reconstructed from in vivo computerized tomography and high resolution, multi-sequence magnetic resonance images. Stress-P1 within the diseased region predicted by 2D and 3D structure-only, and 3D one-way FSI simulations were compared to 3D fully coupled FSI analysis.

resultsCompared to 3D fully coupled FSI, 2D structure-only simulation significantly overestimated stress level (94.1 kPa [65.2, 117.3] vs. 85.5 kPa [64.4, 113.6]; median [inter-quartile range], p=0.0004). However, when slices around the bifurcation region were excluded, stresses predicted by 2D structure-only simulations showed a good correlation (R(2)=0.69) with values obtained from 3D fully coupled FSI analysis. 3D structure-only model produced a small yet statistically significant stress overestimation compared to 3D fully coupled FSI (86.8 kPa [66.3, 115.8] vs. 85.5 kPa [64.4, 113.6]; p<0.0001). In contrast, one-way FSI underestimated stress compared to 3D fully coupled FSI (78.8 kPa [61.1, 100.4] vs. 85.5 kPa [64.4, 113.7]; p<0.0001).

conclusionsA 3D structure-only model seems to be a computationally inexpensive yet reasonably accurate approximation for stress within carotid atherosclerotic plaques with mild to moderate luminal stenosis as compared to fully coupled FSI analysis.

Indexed as

AgedBlood PressureCarotid ArteriesComputer SimulationFemaleHumansImage Processing, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedModels, CardiovascularPlaque, AtheroscleroticRheologyStress, MechanicalTomography, X-Ray ComputedAtherosclerosisCarotidMechanicsStressStroke

Identifiers

PMID24529358
PMCPMC3989027

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.