Advancements in Computational Modelling and Imaging Techniques for Personalised Treatment of Aortic Aneurysms

A special issue of Bioengineering (ISSN 2306-5354). This special issue belongs to the section "Biomedical Engineering and Biomaterials".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 1002

Special Issue Editors


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Guest Editor
Gabriele Monasterio Foundation, Pisa, Italy
Interests: vascular diseases; aneurysm; finite element method; computational fluid dynamics; biomechanics
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Special Issue Information

Dear Colleagues,

The diagnosis and treatment of cardiovascular diseases, such as aortic aneurysms, have evolved significantly over the last few decades. Advances in surgical techniques and functional imaging have transformed modern clinical medicine, resulting in substantial social and economic impacts. This Special Issue aims to encompass the development of in silico modeling, computational fluid–structure interaction frameworks, advanced imaging techniques for monitoring tissue deformation, and the integration of clinical and imaging data to enhance the diagnosis and treatment planning of aortic aneurysms. We welcome contributions that explore novel computational models, experimental methodologies, and clinical applications to improve the understanding and management of thoracic aortic aneurysms. Additionally, submissions may cover research on uncertainty quantification, model validation, and the development of digital tools for patient-specific hemodynamic analysis. The ultimate goal of this Special Issue is to enhance clinical decision making and improve patient outcomes for this complex disease.

Dr. José Xavier
Dr. Simona Celi
Guest Editors

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Keywords

  • cardiovascular diseases
  • silico modelling
  • computational fluid–structure interaction frameworks
  • advanced imaging techniques

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Published Papers (1 paper)

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Research

11 pages, 1085 KiB  
Article
Can the Novel Photon-Counting CT Scan Accurately Predict Aortic Wall Thickness? Preliminary Results
by Alessandra Sala, Carlo de Vincentiis, Francesco Grimaldi, Barbara Rubino, Manuela Cirami, Noemi Perillo, Renato Vitale, Rosanna Cardani, Sara Boveri, Michele Conti and Pietro Spagnolo
Bioengineering 2025, 12(3), 306; https://doi.org/10.3390/bioengineering12030306 - 18 Mar 2025
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Abstract
Background: Surgical indication of ascending thoracic aortic aneurysms (ATAA) is generally performed in prevention. Guidelines use aortic diameter as a predictor of rupture and dissection; however, this single parameter alone has a limited value in predicting the real-world risk of acute aortic syndromes. [...] Read more.
Background: Surgical indication of ascending thoracic aortic aneurysms (ATAA) is generally performed in prevention. Guidelines use aortic diameter as a predictor of rupture and dissection; however, this single parameter alone has a limited value in predicting the real-world risk of acute aortic syndromes. The novel photon-counting CT scan(pc-CT) is capable of better-analyzing tissue composition and aortic characterization. The aim of the study is to assess whether the correlation between aortic wall thickness measured with a pc-CT scan and histology exists. Methods: 14 Patients, with a mean age of 47 years, undergoing cardiac surgery for ATAA, who had preoperatively undergone a pc-CT scan, were retrospectively analyzed. Histology analyses of the resected aortic wall aneurysm were reviewed, and minimum/maximum measurements of intima+media of the aortic wall were performed. Radiology images were also examined, and aortic wall thickness measures were taken. Bland-Altman plots and Passing-Bablock regression analyses were conducted to evaluate the correlation between the values. Results: pc-CT scan mean measurements were 1.05 and 1.69 mm, minimum/maximum, respectively. Mean minimum/maximum histology measurements were 1.66 and 2.82 mm, respectively. Bland Altman plots and Passing-Bablock regression analyses showed the absence of systematic bias and confirmed that measurement values were sufficiently similar (minimum −0.61 [CI 95% 0.16–1.38]; maximum −1.1 [0.73–2.99]). Conclusions: Despite results being merely preliminary, our study shows encouraging sufficiently similar results between aortic wall thickness measurements made with pc-CT scan and histology analyses. Full article
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