Evidence map›Paper›PMID 27155892›Full record

ArticleInternational journal for numerical methods in biomedical engineering2017

Patient-specific parameter estimation in single-ventricle lumped circulation models under uncertainty.

Daniele E Schiavazzi, Alessia Baretta, Giancarlo Pennati, Tain-Yen Hsia, Alison L Marsden

Abstract read
In one paragraph

Article in International journal for numerical methods in biomedical engineering, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed.

  1. Article
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  5. InVAErt networks for amortized inference and identifiability analysis of lumped-parameter haemodynamic models.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2025
    Article
  6. Quantification of total uncertainty in the physics-informed reconstruction of CVSim-6 physiology.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2025
    Article
  7. Article
  8. Review
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  10. Article
  11. Review
  12. Tissue-growth-based synthetic tree generation and perfusion simulation.Biomechanics and modeling in mechanobiology · 2023
    Article
  13. Article
  14. Automated generation of 0D and 1D reduced-order models of patient-specific blood flow.International journal for numerical methods in biomedical engineering · 2022
    Article
  15. Article
  16. Inverse problems in blood flow modeling: A review.International journal for numerical methods in biomedical engineering · 2022
    Review
  17. Article
  18. Article
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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

5 authors.

Daniele E SchiavazziDepartment of Pediatrics, Stanford University, Stanford, CA, USA.
Alessia BarettaDepartment of Chemistry, Materials and Chemical Engineering, Politecnico di Milano, Milano, Italy.
Giancarlo PennatiDepartment of Chemistry, Materials and Chemical Engineering, Politecnico di Milano, Milano, Italy.
Tain-Yen HsiaGreat Ormond Street Hospital for Children and UCL Institute of Cardiovascular Science, London, UK.
Alison L MarsdenDepartment of Pediatrics, Bioengineering and ICME, Stanford University, Stanford, CA, USA.

Funding

The Cardiac Atlas ProjectR01HL121754 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCCULLOCH, ANDREW D., OMENS, JEFFREY H. · 2014 to 2023
$5.0M
Enabling reliable cardiovascular simulations via uncertainty quantificationR01EB018302 · NIBIB · STANFORD UNIVERSITY · PI MARSDEN, ALISON L · 2016 to 2019
$1.7M
NHLBI NIH HHS R01 HL121754NIBIB NIH HHS R01 EB018302
6 · The paper itself

Abstract

Computational models of cardiovascular physiology can inform clinical decision-making, providing a physically consistent framework to assess vascular pressures and flow distributions, and aiding in treatment planning. In particular, lumped parameter network (LPN) models that make an analogy to electrical circuits offer a fast and surprisingly realistic method to reproduce the circulatory physiology. The complexity of LPN models can vary significantly to account, for example, for cardiac and valve function, respiration, autoregulation, and time-dependent hemodynamics. More complex models provide insight into detailed physiological mechanisms, but their utility is maximized if one can quickly identify patient specific parameters. The clinical utility of LPN models with many parameters will be greatly enhanced by automated parameter identification, particularly if parameter tuning can match non-invasively obtained clinical data. We present a framework for automated tuning of 0D lumped model parameters to match clinical data. We demonstrate the utility of this framework through application to single ventricle pediatric patients with Norwood physiology. Through a combination of local identifiability, Bayesian estimation and maximum a posteriori simplex optimization, we show the ability to automatically determine physiologically consistent point estimates of the parameters and to quantify uncertainty induced by errors and assumptions in the collected clinical data. We show that multi-level estimation, that is, updating the parameter prior information through sub-model analysis, can lead to a significant reduction in the parameter marginal posterior variance. We first consider virtual patient conditions, with clinical targets generated through model solutions, and second application to a cohort of four single-ventricle patients with Norwood physiology. Copyright © 2016 John Wiley & Sons, Ltd.

Indexed as

Heart VentriclesModels, CardiovascularUncertaintyVentricular FunctionBayes TheoremChildCohort StudiesHemodynamicsHumansBayesian estimationlumped circulation modelsNorwood procedurepatient-specific data assimilationsingle-ventricle surgeryuncertainty analysis of simulated physiology

Identifiers

PMID27155892
PMCPMC5499984

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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.