Heart Boundary Condition Optimization for FFR
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Solution Overview
Problem
Current methods for diagnosing coronary artery disease, such as coronary computed tomographic angiography and diagnostic cardiac catheterization, fail to accurately assess the functional significance of coronary lesions, leading to unnecessary procedures and healthcare costs due to inadequate boundary conditions in modeling blood flow.
Innovation Solution
A system and method that use a computer system to create a three-dimensional model of the heart based on patient-specific data, incorporating a physics-based model to determine fractional flow reserve and optimize boundary conditions for improved diagnostic performance.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If conventional coronary angiography is used to visualize coronary lesions, then anatomic data can be obtained, but functional significance of lesions cannot be assessed
Solution Approach 1:
The patent introduces computational fluid dynamics modeling as an intermediary between conventional angiography and functional assessment. The system uses anatomical data from CCA as input, processes it through physics-based blood flow simulations with optimized boundary conditions, and produces functional significance metrics (FFR, dFFR) that bridge the gap between anatomical imaging and physiological function.
Solution Approach 2:
The patent replaces the mechanical/invasive pressure wire measurement system with a computational physics-based model. Instead of physically inserting catheters and pressure wires into coronary arteries, the system uses numerical simulations of blood flow dynamics based on anatomical geometry, substituting mechanical measurement with computational analysis while achieving the same functional assessment goal.
2Measurement precision
If invasive FFR measurement is performed to assess functional significance, then diagnostic accuracy is improved, but procedural complexity and cost increase
Solution Approach 1:
The patent creates a virtual copy of the coronary vasculature through 3D modeling from anatomical data. This digital replica allows for repeated, cost-free simulations to assess functional significance under various conditions without requiring additional invasive procedures. The computational model serves as a copy that can be analyzed multiple times without risking patient safety or incurring procedural costs.
Solution Approach 2:
The patent performs preliminary computational analysis using optimized boundary conditions before making treatment decisions. By pre-calculating functional significance metrics from anatomical data alone, the system eliminates the need for routine invasive FFR measurements, performing the diagnostic function in advance through simulation rather than through subsequent invasive procedures.
3Ease of manufacture
If standard boundary conditions are used in blood flow modeling, then computational simplicity is maintained, but diagnostic performance is insufficient
Solution Approach 1:
The patent systematically varies and optimizes boundary condition parameters (inflow velocity profiles, outflow resistance values, vessel wall properties) to maximize diagnostic performance. The system tests different parameter combinations and selects those that best correlate with invasive FFR measurements, transforming standard simplified boundary conditions into optimized, patient-specific parameters that enhance diagnostic accuracy while maintaining computational feasibility.
Data Source
AI summary
Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient's heart, and create a three-dimensional model representing at least a portion of the patient's heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient's heart and determine a fractional flow reserve within the patient's heart based on the three-dimensional model and the physics-based model.


