Current IMAG Meeting

Current IMAG Meeting

To kick-off the new year, IMAG and the MSM will host a webinar featuring Dr. Charley Taylor.

Recall that Dr. Taylor was our keynote speaker during our 2019 Multiscale Modeling Consortium Meeting - Translation and Dissemination.  We are delighted he is returning to provide us an update of his research and development journey - to inspire us for the new year!

Charles A. Taylor, Ph.D.

Webinar Abstract:

Patient-specific Modeling of Blood Flow in Arteries: From the Academy to the Clinic

Charles A. Taylor, Ph.D.

 

Patient-specific computational models of blood flow in arteries derived from medical imaging data have generated significant interest since they were first introduced more than 25 years ago [1]. Such models enable a new approach in medicine whereby predictive computational models can be used to evaluate and select alternate treatment strategies [2]. Since they were first introduced in 2010, patient-specific models of coronary artery blood flow constructed from coronary CT angiography (cCTA) images leveraging deep learning A.I. methods and using computational fluid dynamics have transformed the diagnosis of heart disease [3]. Such noninvasive, computational models have provided safer, less expensive and more efficient procedures as compared to the standard of care that often involves nuclear imaging and invasive diagnostic cardiac catheterizations. Such image-based computations require an accurate segmentation of the coronary artery lumen from cCTA images and employ biologic principles relating form (anatomy) to function (physiology). HeartFlow developed a non-invasive test, FFRCT, based on computing flow and pressure in the coronary arteries [3,4]. FFRCT has been validated against invasive pressure measurements in more than 1000 patients and demonstrated to improve care in over 100 clinical studies enrolling more than 100,000 patients. At present, FFRCT has been used for routine clinical decision making in more than 1300 hospitals that have served over 500,000 patients in the United States, Europe, and Japan. In the United States, the American College of Cardiology and the American Heart Association guidelines include FFRCT in the recommended diagnostic pathway for heart disease. Medicare and most U.S. private insurance companies reimburse physicians for using FFRCT. New products including AI-enabled software for quantifying coronary anatomic narrowings, quantifying coronary atherosclerotic plaque, and predicting changes in blood flow arising from alternate treatment plans will be discussed. Future opportunities for research in developing and applying computational methods for diagnosing and treating cardiovascular and respiratory diseases will be presented.    

[1] C.A. Taylor, T.J.R. Hughes, and C.K. Zarins, (1998) Finite Element Modeling of Blood Flow in Arteries. Computer Methods in Applied Mechanics and Engineering. Vol. 158, Nos. 1-2, pp. 155-196.

[2] C.A. Taylor, M.T. Draney, J. P. Ku, D. Parker, B. N. Steele, K. Wang, and C.K. Zarins, (1999) Predictive Medicine: Computational Techniques in Therapeutic Decision-Making. Computer Aided Surgery. Vol. 4, No. 5, pp. 231-247.

[3] C.A. Taylor, T.A. Fonte, J.K. Min (2013) Computational Fluid Dynamics Applied to Cardiac Computed Tomography for Noninvasive Quantification of Fractional Flow Reserve:  Scientific Basis. Journal of the American College of Cardiology. Vol. 61, Issue 22, pp. 2233-2241.

[4] C.A. Taylor, K. Petersen, N. Xiao, M. Sinclair, Y. Bai, S. Lynch, A. UpdePac, M. Schaap (2023). Patient-specific Modeling of Blood Flow in the Coronary Arteries. Computer Methods in Applied Mechanics and Engineering. Vol. 417, https://doi.org/10.1016/j.cma.2023.116414.

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