A flexible generative algorithm for growing in silico placentas.

The placenta is crucial for a successful pregnancy, facilitating oxygen exchange and nutrient transport between mother and fetus. Complications like fetal growth restriction and pre-eclampsia are linked to placental vascular structure abnormalities, highlighting the need for early detection of placental health issues. Computational modelling offers insights into how vascular architecture correlates with flow and oxygenation in both healthy and dysfunctional placentas. These models use synthetic networks to represent the multiscale feto-placental vasculature, but current methods lack direct control over key morphological parameters like branching angles, essential for predicting placental dysfunction. We introduce a novel generative algorithm for creating in silico placentas, allowing user-controlled customisation of feto-placental vasculatures, both as individual components (placental shape, chorionic vessels, placentone) and as a complete structure. The algorithm is physiologically underpinned, following branching laws (i.e. Murray's Law), and is defined by four key morphometric statistics: vessel diameter, vessel length, branching angle and asymmetry. Our algorithm produces structures consistent with in vivo measurements and ex vivo observations. Our sensitivity analysis highlights how vessel length variations and branching angles play a pivotal role in defining the architecture of the placental vascular network. Moreover, our approach is stochastic in nature, yielding vascular structures with different topological metrics when imposing the same input settings. Unlike previous volume-filling algorithms, our approach allows direct control over key morphological parameters, generating vascular structures that closely resemble real vascular densities and allowing for the investigation of the impact of morphological parameters on placental function in upcoming studies. Author summary: The placenta is important in ensuring a healthy pregnancy by facilitating the exchange of oxygen and nutrients between the mother and the fetus. Disturbances of placental function are often associated with abnormalities in the placental vascular structure, and detecting these issues early on is crucial. To understand the connection between placental vascular architecture, blood flow, and oxygenation, computational models have been used. These use synthetic networks which lack precise control over crucial morphological parameters, such as branching angles, essential for predicting placental dysfunction. Our contribution is a new approach that allows for the creation of virtual placentas that closely resemble real vascular characteristics. It enables users to customize the feto-placental vascular architecture at various levels, including individual components like placental shape, chorionic vessels, and placentone, as well as the complete structure. The flexibility of this pipeline opens the door for investigating the direct impact of morphological parameters on placental function. [ABSTRACT FROM AUTHOR]