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To address the issue of computational efficiency related to the modelling of blood flow in complex networks, we derive a family of nonlinear lumped-parameter models for blood flow in compliant vessels departing from a well-established one-dimensional model. These 0D models must preserve important nonlinear properties of the original 1D model: the nonlinearity of the pressure-area relation and the pressure-dependent parameters characterizing the 0D models, the resistance R and the inductance L, defined in terms of a time-dependent cross-sectional area subject to pressure changes. We introduce suitable coupling conditions to join 0D vessels through 0D junctions and construct 0D networks preserving the original 1D network topology. The newly derived nonlinear 0D models are then applied to several arterial networks and the predicted results are compared against (i) the reference 1D results, to validate the models and assess their ability to reproduce good approximations of pressure and flow waveforms in all vessels at a much lower computational cost, measured in terms of CPU time, and (ii) the linear 0D results, to evaluate the improvement gained by including certain nonlinearities in the 0D models, in terms of agreement with the 1D results.

Objective: The aim of this work is to assess the potential of the reduced order unscented Kalman filter (ROUKF) in the context of computational hemodynamics, in order to estimate cardiovascular model parameters when employing real patient-specific data. Methods: The approach combines an efficient blood flow solver for one-dimensional networks (for the forward problem) with the parameter estimation problem cast in the frequency space. Namely, the ROUKF is used to correct model parameter after each cardiac cycle, depending on the discrepancies of model outputs with respect to available observations properly mapped into the frequency space. Results: First we validate the filter in frequency domain applying it in the context of a set of experimental measurements for an in vitro model. Second, we perform different numerical experiments aiming at parameter estimation using patient-specific data. Conclusion: Our results demonstrate that the filter in frequency domain allows a faster and more robust parameter estimation, when compared to its time domain counterpart. Moreover, the proposed approach allows to estimate parameters that are not directly related to the network but are crucial for targeting inter-individual parameter variability (e.g., parameters that characterize the cardiac output). Significance: The ROUKF in frequency domain provides a robust and flexible tool for estimating parameters related to cardiovascular mathematical models using in vivo data.

Computational models of many aspects of the mammalian cardiovascular circulation have been developed. Indeed, along with orthopaedics, this area of physiology is one that has attracted much interest from engineers, presumably because the equations governing blood flow in the vascular system are well understood and can be solved with well-established numerical techniques. Unfortunately, there have been only a few attempts to create a comprehensive public domain resource for cardiovascular researchers. In this paper we propose a roadmap for developing an open source cardiovascular circulation model. The model should be registered to the musculo-skeletal system. The computational infrastructure for the cardiovascular model should provide for near real-time computation of blood flow and pressure in all parts of the body. The model should deal with vascular beds in all tissues, and the computational infrastructure for the model should provide links into CellML models of cell function and tissue function. In this work we review the literature associated with 1D blood flow modelling in the cardiovascular system, discuss model encoding standards, software and a model repository. We then describe the coordinate systems used to define the vascular geometry, derive the equations and discuss the implementation of these coupled equations in the open source computational software OpenCMISS. Finally, some preliminary results are presented and plans outlined for the next steps in the development of the model, the computational software and the graphical user interface for accessing the model.

This work presents a detailed investigation of a parameter estimation approach based on the reduced order unscented Kalman filter (ROUKF) in the context of one-dimensional blood flow models. In particular, the main aims of this study are (i) to investigate the effect of using real measurements vs. synthetic data (i.e., numerical results of the same in silico model, perturbed with white noise) for the estimation and (ii) to identify potential difficulties and limitations of the approach in clinically realistic applications in order to assess the applicability of the filter to such setups. For these purposes, our numerical study is based on the in vitro model of the arterial network described by [Alastruey et al. 2011, J. Biomech. bf 44], for which experimental flow and pressure measurements are available at few selected locations. In order to mimic clinically relevant situations, we focus on the estimation of terminal resistances and arterial wall parameters related to vessel mechanics (Young's modulus and thickness) using few experimental observations (at most a single pressure or flow measurement per vessel). In all cases, we first perform a theoretical identifiability analysis based on the generalized sensitivity function, comparing then the results obtained with the ROUKF, using either synthetic or experimental data, to results obtained using reference parameters and to available measurements.