Browsing by Author "Gounley, J"

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    Does the degree of coarctation of the aorta influence wall shear stress focal heterogeneity?
    (Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS, 2016-10-13) Gounley, J; Chaudhury, R; Vardhan, M; Driscoll, M; Pathangey, G; Winarta, K; Ryan, J; Frakes, D; Randles, A
    © 2016 IEEE.The development of atherosclerosis in the aorta is associated with low and oscillatory wall shear stress for normal patients. Moreover, localized differences in wall shear stress heterogeneity have been correlated with the presence of complex plaques in the descending aorta. While it is known that coarctation of the aorta can influence indices of wall shear stress, it is unclear how the degree of narrowing influences resulting patterns. We hypothesized that the degree of coarctation would have a strong influence on focal heterogeneity of wall shear stress. To test this hypothesis, we modeled the fluid dynamics in a patient-specific aorta with varied degrees of coarctation. We first validated a massively parallel computational model against experimental results for the patient geometry and then evaluated local shear stress patterns for a range of degrees of coarctation. Wall shear stress patterns at two cross sectional slices prone to develop atherosclerotic plaques were evaluated. Levels at different focal regions were compared to the conventional measure of average circumferential shear stress to enable localized quantification of coarctation-induced shear stress alteration. We find that the coarctation degree causes highly heterogeneous changes in wall shear stress.
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    Evaluation of intracoronary hemodynamics identifies perturbations in vorticity
    (Frontiers in Systems Biology, 2022-01-01) Vardhan, M; Gounley, J; Chen, SJ; Nair, P; Wei, W; Hegele, L; Kusner, J; Kahn, AM; Frakes, D; Leopold, JA; Randles, A
    Background and objective: Coronary artery disease (CAD) is highly prevalent and associated with adverse events. Challenges have emerged in the treatment of intermediate coronary artery stenoses. These lesions are often interrogated with fractional flow reserve (FFR) testing to determine if a stenosis is likely to be causative for ischemia in a cardiac territory. This invasive test requires insertion of a pressure wire into a coronary vessel. Recently computational fluid dynamics (CFD) has been used to noninvasively assess fractional flow reserve in vessels reconstructed from medical imaging data. However, many of these simulations are unable to provide additional information about intravascular hemodynamics, including velocity, endothelial shear stress (ESS), and vorticity. We hypothesized that vorticity, which has demonstrated utility in the assessment of ventricular and aortic diseases, would also be an important hemodynamic factor in CAD. Methods: Three-dimensional (3D), patient-specific coronary artery geometries that included all vessels >1 mm in diameter were created from angiography data obtained from 10 patients who underwent diagnostic angiography and FFR testing (n = 9). A massively parallel CFD solver (HARVEY) was used to calculate coronary hemodynamic parameters including pressure, velocity, ESS, and vorticity. These simulations were validated by comparing velocity flow fields from simulation to both velocities derived from in vitro particle image velocimetry and to invasively acquired pressure wire-based data from clinical testing. Results: There was strong agreement between findings from CFD simulations and particle image velocimetry experimental testing (p < 0.01). CFD-FFR was also highly correlated with invasively measured FFR (ρ = 0.77, p = 0.01) with an average error of 5.9 ± 0.1%. CFD-FFR also had a strong inverse correlation with the vorticity (ρ = -0.86, p = 0.001). Simulations to determine the effect of the coronary stenosis on intravascular hemodynamics demonstrated significant differences in velocity and vorticity (both p < 0.05). Further evaluation of an angiographically normal appearing non-FFR coronary vessel in patients with CAD also demonstrated differences in vorticity when compared with FFR vessels (p < 0.05). Conclusion: The use of highly accurate 3D CFD-derived intravascular hemodynamics provides additional information beyond pressure measurements that can be used to calculate FFR. Vorticity is one parameter that is modified by a coronary stenosis and appears to be abnormal in angiographically normal vessels in patients with CAD, highlighting a possible use-case in preventative screening for early coronary disease.
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    Influence of surface viscosity on droplets in shear flow
    (Journal of Fluid Mechanics, 2016-02-22) Gounley, J; Boedec, G; Jaeger, M; Leonetti, M
    © 2016 Cambridge University Press.The behaviour of a single droplet in an immiscible external fluid, submitted to shear flow is investigated using numerical simulations. The surface of the droplet is modelled by a Boussinesq-Scriven constitutive law involving the interfacial viscosities and a constant surface tension. A numerical method using Loop subdivision surfaces to represent droplet interface is introduced. This method couples boundary element method for fluid flows and finite element method to take into account the stresses due to the surface dilational and shear viscosities and surface tension. Validation of the numerical scheme with respect to previous analytic and computational work is provided, with particular attention to the viscosity contrast and the shear and dilational viscosities characterized both by a Boussinesq number Bq. Then, influence of equal surface viscosities on steady-state characteristics of a droplet in shear flow are studied, considering both small and large deformations and for a large range of bulk viscosity contrast. We find that small deformation analysis is surprisingly predictive at moderate and high surface viscosities. Equal surface viscosities decrease the Taylor deformation parameter and tank-treading angle and also strongly modify the dynamics of the droplet: when the Boussinesq number (surface viscosity) is large relative to the capillary number (surface tension), the droplet displays damped oscillations prior to steady-state tank-treading, reminiscent from the behaviour at large viscosity contrast. In the limit of infinite capillary number Ca, such oscillations are permanent. The influence of surface viscosities on breakup is also investigated, and results show that the critical capillary number is increased. A diagram (Bq; Ca) of breakup is established with the same inner and outer bulk viscosities. Additionally, the separate roles of shear and dilational surface viscosity are also elucidated, extending results from small deformation analysis. Indeed, shear (dilational) surface viscosity increases (decreases) the stability of drops to breakup under shear flow. The steady-state deformation (Taylor parameter) varies nonlinearly with each Boussinesq number or a linear combination of both Boussinesq numbers. Finally, the study shows that for certain combinations of shear and dilational viscosities, drop deformation for a given capillary number is the same as in the case of a clean surface while the inclination angle varies.
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    Performance Evaluation of Heterogeneous GPU Programming Frameworks for Hemodynamic Simulations
    (Proceedings of the SC '23 Workshops of The International Conference on High Performance Computing, Network, Storage, and Analysis, 2023-11-12) Martin, A; Liu, G; Ladd, W; Lee, S; Gounley, J; Vetter, J; Patel, S; Rizzi, S; Mateevitsi, V; Insley, J; Randles, A