Effect of fibre orientation and bulk modulus on the electromechanical modelling of human ventricles

This work concerns the mathematical and numerical modeling of the heart. The aim is to enhance the understanding of the cardiac function in both physiological and pathological conditions. Along this road, a challenge arises from the multi-scale and multi-physics nature of the mathematical problem at hand. In this paper, we propose an electromechanical model that, in bi-ventricle geometries, combines the monodomain equation, the Bueno-Orovio minimal ionic model, and the Holzapfel-Ogden strain energy function for the passive myocardial tissue modelling together with the active strain approach combined with a model for the transmurally heterogeneous thickening of the myocardium. Since the distribution of the electric signal is dependent on the fibres orientation of the ventricles, we use a Laplace-Dirichlet Rule-Based algorithm to determine the myocardial fibres and sheets configuration in the whole bi-ventricle. In this paper, we study the influence of different fibre directions and incompressibility constraint and penalization on the compressibility of the material (bulk modulus) on the pressure-volume relation simulating a full heart beat. The coupled electromechanical problem is addressed by means of a fully segregated scheme. The numerical discretization is based on the Finite Element Method for the spatial discretization and on Backward Differentiation Formulas for the time discretization. The arising non-linear algebraic system coming from application of the implicit scheme is solved through the Newton method. Numerical simulations are carried out in a patient-specific bi-ventricle geometry to highlight the most relevant results of both electrophysiology and mechanics and to compare them with physiological data and measurements. We show how various fibre configurations and bulk modulus modify relevant clinical quantities such as stroke volume, ejection fraction and ventricle contractility.

Analysis and numerical simulation of viscoelastic flows

Andrea Bonito

Mathematical and numerical aspects of viscoelastic flows are investigated here. Two simplified mathematical models are considered. They are motivated by a splitting algorithm for solving viscoelastic flows with free surfaces. The first model is a simplified Oldroyd-B model. Existence on a fixed time interval is proved in several Banach spaces provided the data are small enough. Short time existence is also proved for arbitrarily large data in Hölder spaces for the time variable. These results are based on the maximal regularity property of the Stokes operator and on the analycity behavior of the corresponding semi-group. A finite element discretization in space is then proposed. Existence of the numerical solution is proved for small data, as well as a priori error estimates, using an implicit function theorem framework. Then, the extension of these results to a stochastic simplified Hookean dumbbells model is discussed. Because of the presence of the Brownian motion, existence in a fixed time interval, provided the data are small enough, is proved only in some of the Banach spaces considered previously. The dumbbells' elongation is split in two parts, one satisfying a standart stochastic differential equation, the other satisfying a partial differential equation with a stochastic source term. A finite element discretization in space is also proposed. Existence of the numerical solution is proved for small data, as well as a priori error estimates. A numerical algorithm for solving viscoelastic flows with free surfaces is also described. This algorithm is based on a splitting method in time and two different meshes are used for the space discretization. Convergence of the numerical model is checked for the pure extensional flow and the filling of a pipe. Then, numerical results are reported for the stretching of a filament and for jet buckling.

EPFL2006

A monolithic algorithm for the simulation of cardiac electromechanics in the human left ventricle

Antonello Gerbi, Alfio Quarteroni

In this paper, we propose a monolithic algorithm for the numerical solution of the electromechanics model of the left ventricle in the human heart. Our coupled model integrates the monodomain equation with the Bueno-Orovio minimal model for electrophysiology and the Holzapfel-Ogden constitutive law for the passive mechanics of the myocardium; a distinguishing feature of our electromechanics model is the use of the active strain formulation for muscle contraction, which we exploit - for the first time in this context - by means of a transmurally variable active strain formulation. We use the Finite Element method for space discretization and Backward Differentiation Formulas for time discretization, which we consider for both implicit and semi-implicit schemes. We compare and discuss the two schemes in terms of computational efficiency as the semi-implicit scheme poses significant restrictions on the timestep size due to stability considerations, while the implicit scheme yields instead a nonlinear problem, which we solve by means of the Newton method. Emphasis is laid on preconditioning strategy of the linear solver, which we perform by factorizing a block Gauss-Seidel preconditioner in combination with combination with parallel preconditioners for each of the single core models composing the integrated electromechanics model. We carry out several numerical simulations in the High Performance Computing framework for both idealized and patient-specific left ventricle geometries and meshes, which we obtain by segmenting medical MRI images. We produce personalized pressure-volume loops by means of the computational procedure, which we use to synthetically interpret and analyze the outputs of the electromechanics model.

AMER INST MATHEMATICAL SCIENCES-AIMS2018

Analysis and numerical simulation of free surface flows

Alexandre Caboussat

Mathematical and numerical aspects of free surface flows are investigated. On one hand, the mathematical analysis of some free surface flows is considered. A model problem in one space dimension is first investigated. The Burgers equation with diffusion has to be solved on a space interval with one free extremity. This extremity is unknown and moves in time. An ordinary differential equation for the position of the free extremity of the interval is added in order to close the mathematical problem. Local existence in time and uniqueness results are proved for the problem with given domain, then for the free surface problem. A priori and a posteriori error estimates are obtained for the semi-discretization in space. The stability and the convergence of an Eulerian time splitting scheme are investigated. The same methodology is then used to study free surface flows in two space dimensions. The incompressible unsteady Navier-Stokes equations with Neumann boundary conditions on the whole boundary are considered. The whole boundary is assumed to be the free surface. An additional equation is used to describe the moving domain. Local existence in time and uniqueness results are obtained. On the other hand, a model for free surface flows in two and three space dimensions is investigated. The liquid is assumed to be surrounded by a compressible gas. The incompressible unsteady Navier-Stokes equations are assumed to hold in the liquid region. A volume-of-fluid method is used to describe the motion of the liquid domain. The velocity in the gas is disregarded and the pressure is computed by the ideal gas law in each gas bubble trapped by the liquid. A numbering algorithm is presented to recognize the bubbles of gas. Gas pressure is applied as a normal force on the liquid-gas interface. Surface tension effects are also taken into account for the simulation of bubbles or droplets flows. A method for the computation of the curvature is presented. Convergence and accuracy of the approximation of the curvature are discussed. A time splitting scheme is used to decouple the various physical phenomena. Numerical simulations are made in the frame of mould filling to show that the influence of gas on the free surface cannot be neglected. Curvature-driven flows are also considered.

EPFL2004

Analysis and numerical simulation of free surface flows

Alexandre Caboussat

EPFL2004