Evidence map›Paper›PMID 35380321›Full record

ArticleAnnals of biomedical engineering2022

Patient-Specific Three-Dimensional Ultrasound Derived Computational Modeling of the Mitral Valve.

Gediminas Gaidulis, Kirthana Sreerangathama Suresh, Dongyang Xu, Muralidhar Padala

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Interactive Effects Between Papillary Muscle Approximation and Ring Annuloplasty to Repair Functional Mitral Regurgitation in Enlarged Ventricles.Functional imaging and modeling of the heart : ... International Workshop, FIMH ..., proceedings. FIMH (Conference) · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
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

4 authors.

Gediminas GaidulisStructural Heart Research and Innovation Laboratory, Carlyle Fraser Heart Center at Emory University Hospital Midtown, 380B Northyards Blvd NW, Atlanta, GA, 30313, USA.
Kirthana Sreerangathama SureshStructural Heart Research and Innovation Laboratory, Carlyle Fraser Heart Center at Emory University Hospital Midtown, 380B Northyards Blvd NW, Atlanta, GA, 30313, USA.
Dongyang XuStructural Heart Research and Innovation Laboratory, Carlyle Fraser Heart Center at Emory University Hospital Midtown, 380B Northyards Blvd NW, Atlanta, GA, 30313, USA.
Muralidhar PadalaStructural Heart Research and Innovation Laboratory, Carlyle Fraser Heart Center at Emory University Hospital Midtown, 380B Northyards Blvd NW, Atlanta, GA, 30313, USA. spadala@emory.edu.ORCID http://orcid.org/0000-0003-4304-2449

Funding

Novel therapeutic approaches to Mitral valve repair in ischemic heart diseaseR01HL133667 · NHLBI · EMORY UNIVERSITY · PI GUYTON, ROBERT ALLAN · 2017 to 2021
$3.1M
Image-guided Intravascular Robotic System for Mitral Valve Repair and ImplantsR01HL140325 · NHLBI · GEORGIA INSTITUTE OF TECHNOLOGY · PI DESAI, JAYDEV P., FEI, BAOWEI · 2018 to 2021
$3.0M
Transcatheter Strategies for Leaflet Extension to Treat Mitral RegurgitationR01HL135145 · NHLBI · EMORY UNIVERSITY · PI PADALA, SAI MURALIDHAR · 2017 to 2020
$1.7M
NHLBI NIH HHS HL133667NHLBI NIH HHS HL135145NHLBI NIH HHS HL140325NHLBI NIH HHS R01 HL133667NHLBI NIH HHS R01 HL135145NHLBI NIH HHS R01 HL140325
6 · The paper itself

Abstract

Several new techniques to repair the mitral valve affected by functional mitral regurgitation are in development. However, due to the heterogeneity of valve lesions between patients, predicting the outcomes of novel treatment approaches is challenging. We present a patient-specific, 3D ultrasound-derived computational model of the mitral valve for procedure planning, that faithfully mimics the pathological valve dynamics. 3D ultrasound images were obtained in three pigs induced with heart failure and which developed functional mitral regurgitation. For each case, images were segmented, and finite element model of mitral valve was constructed. Annular and papillary muscle dynamics were extracted and imposed as kinematic boundary conditions, and the chordae were pre-strained to induce valve tethering. Valve closure was simulated by applying physiologic transvalvular pressure on the leaflets. Agreement between simulation results and truth datasets was confirmed, with accurate location of regurgitation jets and coaptation defects. Inclusion of kinematic patient-specific boundary conditions was necessary to achieve these results, whereas use of idealized boundary conditions deviated from the truth dataset. Due to the impact of boundary conditions on the model, the effect of repair strategies on valve closure varied as well, indicating that our approach of using patient-specific boundary conditions for mitral valve modeling is valid.

Indexed as

Mitral ValveMitral Valve InsufficiencyAnimalsComputer SimulationHumansPapillary MusclesSwineUltrasonographyEchocardiographyFinite element analysisFunctional mitral regurgitationHeart valve modelingMitraClip

Identifiers

PMID35380321
PMCPMC10826907

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Registered trials

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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.