Evidence map›Paper›PMID 26512019›Full record

ReviewHeart (British Cardiac Society)2016

Computational fluid dynamics modelling in cardiovascular medicine.

Paul D Morris, Andrew Narracott, Hendrik von Tengg-Kobligk, Daniel Alejandro Silva Soto, Sarah Hsiao, Angela Lungu, Paul Evans, Neil W Bressloff, Patricia V Lawford, D Rodney Hose and 1 more

Abstract readReview
In one paragraph

Review in Heart (British Cardiac Society), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 180 papers.

0numbers the graph read from it
0cells of the map it votes in
180citing 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

180 citing papers in PubMed.

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120 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Paul D MorrisDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK Department of Cardiology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Andrew NarracottDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK.
Hendrik von Tengg-KobligkUniversity Institute for Diagnostic, Interventional and Pediatric Radiology, University Hospital of Bern, Inselspital, Bern, Switzerland.
Daniel Alejandro Silva SotoDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK.
Sarah HsiaoDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK.
Angela LunguDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK.
Paul EvansDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK.
Neil W BressloffFaculty of Engineering & the Environment, University of Southampton, Southampton, UK.
Patricia V LawfordDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK.
D Rodney HoseDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK.
Julian P GunnDepartment of Cardiovascular Science, University of Sheffield, Sheffield, UK Insigneo Institute for In Silico Medicine, Sheffield, UK Department of Cardiology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.

Funding

British Heart Foundation R/134747-11-1British Heart Foundation RG/13/1/30042Department of Health RC-PG-0309-10063
6 · The paper itself

Abstract

This paper reviews the methods, benefits and challenges associated with the adoption and translation of computational fluid dynamics (CFD) modelling within cardiovascular medicine. CFD, a specialist area of mathematics and a branch of fluid mechanics, is used routinely in a diverse range of safety-critical engineering systems, which increasingly is being applied to the cardiovascular system. By facilitating rapid, economical, low-risk prototyping, CFD modelling has already revolutionised research and development of devices such as stents, valve prostheses, and ventricular assist devices. Combined with cardiovascular imaging, CFD simulation enables detailed characterisation of complex physiological pressure and flow fields and the computation of metrics which cannot be directly measured, for example, wall shear stress. CFD models are now being translated into clinical tools for physicians to use across the spectrum of coronary, valvular, congenital, myocardial and peripheral vascular diseases. CFD modelling is apposite for minimally-invasive patient assessment. Patient-specific (incorporating data unique to the individual) and multi-scale (combining models of different length- and time-scales) modelling enables individualised risk prediction and virtual treatment planning. This represents a significant departure from traditional dependence upon registry-based, population-averaged data. Model integration is progressively moving towards 'digital patient' or 'virtual physiological human' representations. When combined with population-scale numerical models, these models have the potential to reduce the cost, time and risk associated with clinical trials. The adoption of CFD modelling signals a new era in cardiovascular medicine. While potentially highly beneficial, a number of academic and commercial groups are addressing the associated methodological, regulatory, education- and service-related challenges.

Indexed as

Computer SimulationHemodynamicsModels, CardiovascularAnimalsCardiac Surgical ProceduresCardiovascular DiseasesCardiovascular SystemComputer-Aided DesignDiagnostic ImagingHumansImage Processing, Computer-AssistedPredictive Value of TestsProsthesis DesignProsthesis Implantation

Identifiers

PMID26512019
PMCPMC4717410

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.