Atherosclerotic Plaque Rupture Risk Assessment via Biomechanical Simulation

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Solution Overview

Problem

Current methods for predicting the risk of atherosclerotic plaque rupture in coronary arteries are imprecise due to the complex geometry of blood vessels, non-Newtonian properties of blood, and variable vascular resistance, making it difficult to accurately measure biomechanical forces and their impact on plaque deformation and stress.

Innovation Solution

A computer-implemented method for modeling blood vessels, involving the generation of three-dimensional models from medical imaging data, simulation of blood flow dynamics, and structural analysis to determine geometrical parameters and pressure forces on plaques, allowing for the calculation of the probability of rupture or damage by comparing these forces with reference values.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If comprehensive structural analysis is performed to accurately assess plaque rupture risk, then measurement precision is improved, but device complexity and computational requirements increase significantly

Engineering Contradiction:
Improveplaque rupture risk assessment precisionVSAvoidstructural analysis complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent extracts only the essential biomechanical parameters (pressure forces, shear stresses, plaque geometry) needed for rupture risk assessment, separating them from a complete structural analysis. This allows accurate risk prediction without performing comprehensive structural analysis, reducing computational complexity while maintaining measurement precision.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The method performs preliminary segmentation and characterization of plaque geometry and composition before biomechanical analysis. By pre-identifying vulnerable plaque features (thin caps, lipid cores, calcifications) from medical imaging, the system prepares targeted analysis parameters that reduce subsequent computational requirements while improving assessment accuracy.

Inventive Principle:
Principle #10Preliminary action

2Measurement precision

If detailed biomechanical forces and plaque deformation are analyzed, then prediction accuracy is improved, but loss of time for computation increases

Engineering Contradiction:
Improveplaque rupture prediction accuracyVSAvoidcomputation time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent applies partial action by calculating biomechanical parameters only for identified vulnerable plaque regions rather than analyzing the entire vascular tree in detail. By focusing computational resources on high-risk areas (plaque shoulders, thin-cap regions), the system maintains prediction accuracy while reducing overall computation time.

Inventive Principle:
Principle #16Partial or excessive action

Solution Approach 2:

The method changes parameters from detailed three-dimensional stress tensor analysis to simplified scalar metrics (maximum shear stress, pressure force ratios, wall shear stress). This parameter transformation reduces computational complexity and time while preserving the essential biomechanical information needed for rupture risk prediction.

Inventive Principle:
Principle #35Parameter changes

3Measurement precision

If non-Newtonian properties of blood and variable vascular resistance are considered, then measurement precision is improved, but device complexity increases

Engineering Contradiction:
Improvebiomechanical forces measurement precisionVSAvoidblood flow simulation complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent changes the blood model from complex non-Newtonian rheology to simplified Newtonian fluid assumptions with constant viscosity. This parameter simplification reduces computational complexity of blood flow simulation while maintaining sufficient accuracy for calculating pressure forces and shear stresses on plaques in clinical applications.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This method enables a more precise assessment of the risk of atherosclerotic plaque rupture without comprehensive structural analysis, providing a non-invasive tool for identifying vulnerable sites and predicting the likelihood of plaque damage based on biomechanical forces and plaque geometry.

Implementation Method 1

In the areas of arterial stenosis in accordance with Bernoulli's law, the speed of blood flow and the wall shear stresses increases, while the pressure decreases, and thus the radial and circumferential stresses decrease

Methodology Applied
Scientific EffectBernoulli's law: Bernoulli Effect

Implementation Method 2

The complex geometry of blood vessels, non-Newtonian properties of blood, and variable vascular resistance

Methodology Applied
Scientific EffectNon-Newtonian fluid behavior: Non-Newtonian Fluids

Data Source

PatentEP4345836A1A method and system for determining influence of biomechanical forces on deformation and stresses of arthrosclerosis plaque
Publication Date: 2024.04.03 KARDIOLYTICS INC
  • EP4345836A1 patent drawingFigure 1~3
  • EP4345836A1 patent drawingFigure 4(a)~4(d)
  • EP4345836A1 patent drawingFigure 5~6

AI summary

A computer-implemented method for modelling blood vessels to support assessment of probability of rupture or damage to the plaque. The method includes steps of: obtaining medical imaging data of the blood vessels; generating a three-dimensional model of the blood vessels, based on the medical imaging data including identifying one or more pathological plaques; performing pre-simulation of the three-dimensional model, establishing boundary conditions and initial conditions for both models for a steady flow of blood and a transient flow of blood; performing a numerical simulation of the transient flow of blood; performing a numerical simulation of the steady flow of blood; and for a selected plaque, identifying geometrical parameters of a surface of the plaque, including shape, curvature, curvature of the major surface, and/or Gauss curvature of the plaque surface. The method may include calculation of Reference Dynamic Pressure (RDP) and Degree of Stenosis (DS).