中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (5): 551-556.doi: 10.13418/j.issn.1001-165x.2018.05.014

• 临床生物力学 • 上一篇    下一篇

人体冠状动脉精确解剖三维模型及有限元虚拟现实研究

马燕山1, 谢英花2, 任国山3, 张志坤4   

  1. 1. 石家庄市中医院放射科,河北 石家庄 050051; 2.河北科技大学化学与制药工程学院,  河北   石家庄 050018;    3.河北医科大学基础医学院解剖学教研室,  河北   石家庄    050017;    4.河北医科大学第一医院放射科,  河北   石家庄    050030
  • 收稿日期:2017-11-06 出版日期:2018-09-25 发布日期:2018-10-26
  • 通讯作者: 张志坤,河北医科大学第一医院放射科,050030,E-mail:363984991@qq.com
  • 作者简介:马燕山(1980-),博士,副主任医师,研究方向:人体动脉血管流体力学研究,E-mail:mys4567@126.com
  • 基金资助:

    河北省自然科学基金项目(H2016106072)

3D-model and finite element analysis: study of human coronary artery

MA Yan-Shan1, XIE Ying-Hua2, REN Guo-Shan3, ZHANG Zhi-Kun4   

  1. 1.Department of Radiology, Shijiazhuang Hospital of Traditional Chinese Medicine, Shijiazhuang 050051,China;  2. Department of Pharmacy, Hebei University of Science and Technology, Shijiazhuang 050018, China;  3. Department of Anatomy, Institute of Basic Medicine, Hebei Medical University, Shijiazhuang 050017, China;  4. Department of Medical Imaging, the First Hospital of Hebei Medical University, Shijiazhuang 050030, China
  • Received:2017-11-06 Online:2018-09-25 Published:2018-10-26

摘要:

目的 利用来自活体的CCTA数据建立不同狭窄程度冠状动脉的精确解剖三维模型,并对该组模型进行有限元流体力学模拟研究,分析血流速度在不同狭窄程度冠脉血管中的变化情况,以及其对动脉粥样硬化的造成的影响。  方法 利用临床患者冠脉的CCTA数据建立精确解剖的三维模型,再使用有限元软件建立有限元模型,设置各种边界条件进行模拟分析,最后采用各种直观的图形形式输出结果。  结果 血流速度在冠脉狭窄处明显加快,又在狭窄后区域明显减慢并且产生了涡流;这种明显变化的血流速度对动脉斑块会产生较大的影响。  结论 (1)利用CCTA数据建立的冠脉三维模型准确、真实。 (2)流速对动脉粥样硬化的发生发展扮演着重要的角色,狭窄动脉的流速变化可以加快动脉粥样硬化斑块的生长并影响斑块稳定性。

关键词: 动脉粥样硬化,  流体力学,  有限元,  精确解剖,  流固耦合

Abstract:

Objective To investigate the hemodynamic characteristics of different degrees of stenosis in coronary artery under pulsating flow, which was performed with the help of accurate anatomical 3D models about coronary arteries having different degrees of stenosis, the models was established with CCTA data from living body. The contrast of hemodynamic parameters is obtained at different observation points; the contrast and changes of hemodynamic parameters and its influence on AS were also obtained. Methods  Selecting cases from typical coronary stenosis ones, and then the CCTA data was obtained by  using the multiplies spiral CT. After that, FEM Models about coronary stenosis were estabilished with the software. At last the calculation and analysis were performed and the results were output in a variety of intuitive graphical forms. Results The flow velocity of the coronary artery stenosis accelerated, while it slowed down at the area behind the narrow and the eddy current was produced. This kind of change can have a great effect on plaques. Conclusion The change of velocity played an important role in the development of AS, it can accurate the growth of atherosclerotic plaque and affect the stability.

Key words: Atherosclerosis;  , FEM;  , Precise anatomic;  , Fluid-structure interaction; Hemodynamics