Noninvasive determination of resting state diastole hemodynamic information
A diastole-based hemodynamic index, such as instantaneous wave-free ratio (IWFR), may be calculated noninvasively for a patient by receiving image data respective of an anatomical region of the patient, creating an electronic model of the anatomical region, creating one or more boundary conditions model value sets representative of flow conditions during diastole, calculating one or more pressure drops at a location in the anatomical region, and determining, based on the calculated pressure drop(s) and based on a reference pressure, a hemodynamic index value, such as IWFR, for the location.
1 . A method for providing hemodynamic information respective of a patient, the method comprising:
obtaining a three-dimensional electronic model of a coronary artery of the patient;
obtaining a boundary condition model value set that is specific to a midpoint of a diastole period of the patient's cardiac cycle at a resting state of the patient, wherein the boundary condition model value set comprises at least one inflow rate at a boundary of the three-dimensional model and at least one outflow rate at a boundary of the three-dimensional model;
performing a three-dimensional computational fluid dynamics (CFD) simulation of the coronary artery model based on the boundary condition model;
calculating, according to the CFD simulation, a pressure drop between a first location of the coronary artery and a second location of the coronary artery; and
determining, based on the calculated pressure drop and based on a reference pressure, a hemodynamic index value indicative of the presence of a lesion at the location.
2 . The method of claim 1 , further comprising:
creating the electronic model of the coronary artery.
3 . The method of claim 2 , further comprising:
receiving image data respective of the coronary artery; and
creating the electronic model based on the received image data.
4 . The method of claim 1 , wherein the boundary condition model value set comprises:
an inlet flow rate at an inlet of the coronary artery that is representative of a resting state of the patient; and
two or more outlet flow rates calculated according to the inlet flow rate and a flow splitting model.
5 . The method of claim 4 , further comprising:
determining the flow splitting model according to a geometry of the three dimensional model of the coronary artery; and
calculating the two or more outlet flow rates according to the inlet flow rate and the flow splitting model.
6 . A system for providing hemodynamic information respective of a patient, the system comprising:
a non-transitory, computer-readable memory storing instructions; and
a processor configured to execute the instructions to:
obtain a three-dimensional electronic model of a coronary artery of the patient;
obtain a boundary condition model value set that is specific to a midpoint of a diastole period of the patient's cardiac cycle at a resting state of the patient, wherein the boundary condition model value set comprises at least one inflow rate at a boundary of the three-dimensional model and at least one outflow rate at a boundary of the three-dimensional model;
perform a three-dimensional computational fluid dynamics (CFD) simulation of the coronary artery model based on the boundary condition model;
calculate, according to the CFD simulation, a pressure drop between a first location of the coronary artery and a second location of the coronary artery; and
determine, based on the calculated pressure drop and based on a reference pressure, a hemodynamic index value indicative of the presence of a lesion at the location.
7 . The system of claim 6 , wherein the memory stores further instructions that, when executed by the processor, cause the processor to:
create the electronic model of the coronary artery.
8 . The system of claim 7 , wherein the memory stores further instructions that, when executed by the processor, cause the processor to:
receive image data respective of the coronary artery; and
create the electronic model based on the received image data.
9 . The system of claim 6 , wherein the boundary condition model value set comprises:
an inlet flow rate at an inlet of the coronary artery that is representative of a resting state of the patient; and
two or more outlet flow rates calculated according to the inlet flow rate and a flow splitting model.
10 . The system of claim 9 , wherein the memory stores further instructions that, when executed by the processor, cause the processor to:
determine the flow splitting model according to a geometry of the three dimensional model of the coronary artery; and
calculate the two or more outlet flow rates according to the inlet flow rate and the flow splitting model.
11 . A method for providing hemodynamic information respective of a patient, the method comprising:
obtaining a three-dimensional electronic model of an anatomical region of the patient;
obtaining a boundary condition model that is specific to a midpoint of a diastole period of the patient's cycle at a resting state of the patient, wherein the boundary condition model value set comprises at least one inflow rate at a boundary of the three-dimensional model and at least one outflow rate at a boundary of the three-dimensional model;
calculating, based on the three-dimensional model and the boundary condition model, at a first time point in a cardiac cycle of the patient, a first pressure drop across a portion of an anatomical region of a patient;
calculating, based on the three-dimensional model and the boundary condition model, at a second time point in a cardiac cycle of the patient that is different than the first time point, a second pressure drop across the anatomical region portion;
calculating, for a range of time points of the cardiac cycle of the patient, respective pressure drops across the region according to the first and second pressure drops; and
determining, based on the calculated pressure drops for the range of time points and based on a reference pressure, a hemodynamic index value indicative of the presence of a lesion at the location.
12 . The method of claim 11 , wherein:
the anatomical region is a blood vessel; and
the anatomical region portion extends from an inlet of the blood vessel to a location in the blood vessel.
13 . The method of claim 12 , wherein the anatomical region is a coronary artery.
14 . The method of claim 11 , further comprising:
receiving image data respective of the anatomical region of the patient; and
creating the electronic model based on the received image data.
15 . The method of claim 11 , further comprising:
generating a curve of pressure relative to flow rate based on the pressure drops across the region; and
integrating the plot line to calculate the hemodynamic index value.