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4. Mathematical modeling
Objectives
Applications of hydrostatics and steady
flow models to describe blood flow in
arteries
Unsteady effects:
pressure pulse propagation through arterial
wall
Effects of inertial forces due to blood
acceleration/deceleration
Effects of artery distensibility on blood flow
Outline
Steady flow considerations and models:
Hydrostatics in circulation
Rigid tube flow model
Application of Bernoulli equation
Unsteady flow models:
Windkessel model for human circulation
Moens-Korteweg relationship (wave
propagation, no viscous effects)
Womersley model for blood flow (wave
propagation, viscous effects)
Wave propagation in elastic tube with viscous
flow (wave propagation, viscous effects)
1. Hydrostatics
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Hydrostatics in the Circulation
Blood pressure in the
lying down position
Arterial: 100 mmHg
Venous: 2 mmHg
Hydrostatic pressure
differences in the
circulation
lying down position
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Hydrostatics in the Circulation
Blood pressure in the
standing up position
Head artery: 50 mmHg
Leg artery: 180 mmHg
Head vein: -40 mmHg
Leg vein: 90 mmHg
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Hagen Poiseuille Model
Assumptions:
incompressible r
steady z
laminar
circular cross section L
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Hagen Poiseuille Model
Assumptions: Control volume
incompressible r w
P1 P2
steady z
w
laminar
circular cross section L
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Blood Vessel Resistance
On time-average basis:
p 128 L
R
Q d4
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Blood Vessel Resistance
Series connection: R
R11 R
R22 R
R33
p p1 p2 p3
R R1 R2 R3
Q Q Q Q
Parallel connection: R1
R2
R3
1 Q Q1 Q2 Q3 1 1 1
R p p p p R1 R2 R3
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Transition Flow in Pipes
Entrance
V=0 at wall
Velocity gradient in radial direction
Downstream
Fluid adjacent to wall is retarded
Core fluid accelerates
Viscous effects diffuse further into center
region region
dominated by dominated by
inertial viscous
effects effects
U parabolic
velocity
profile
Entrance Fully
region developed
flow region
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
BL Thickness and Entrance Length
Re 0: L 0.65D
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
3. Application of Bernoulli
Equation
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Bernoulli Equation
Assumptions:
2
Steady V p
Inviscid z const
2g g
Incompressible
Along a streamline
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Stenosis
Narrowing of
artery due to: a1 a2
Atherosclerosis
Effects of
2
narrowing: p2 p1 V1 V2 2
2
p1, V1, V2: known
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Stenosis
Arterial flutter
Low pressure at a 1 a2
contraction p,V 1 1
p2, V2
Complete
obstruction of
vessel under
external pressure
Decrease in flow velocity
Increase in pressure
Vessel reopening (cycle)
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Aneurysm
Definition: Arterial wall bulge at weakening
site, resulting in considerable increase in
lumen cross-section
Characteristics:
Elastase excess in blood
Decrease in flow velocity
Limited increase in pressure (<5 mmHg)
Significant increase in pressure under exercise
Increase in wall shear stress
Bursting of vessel
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Heart Valve Stenoses
Flow through a nozzle
Q2 1
p1 p2
2 A02Cd 2
Cd: discharge coefficient
(function of nozzle, tube,
throat geometries)
Flow separation recirculation region
Fluid in core region accelerates
Formation of a contracted cross section:
vena contracta
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Heart Valve Stenoses
Effective orifice area:
Q Q: mean flow rate (CO)
EOA A0
Cd 2p For aortic valve: Q: mean systolic
flow rate
Gorlin equations (clinical criteria for
surgery): MSF
AVA AVA: aortic valve area (cm2)
44.5 p MVA: mitral valve area (cm2)
MSF: mean systolic flow rate (cm3/s)
MDF MDF: mean diastolic flow rate
MVA (cm3/s)
31.0 p p: mean pressure drop across valve
(mmHg)
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Heart Valve Stenoses
Effects of flow unsteadiness and
viscosity:
temporal convective viscous
p = acceleratio + acceleratio + dissipation
n n
dQ
p A BQ 2 CQ Young, 1979
dt
EOA KQrms EOA KQ p
pm p p
based on mean values based on peak-systolic values
Hydrostatics
Rigid tube
Bernoulli
flow model
applications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
4. Windkessel Models for
Human Circulation
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Windkessel Theory
Simplified model
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Windkessel Theory
Variab Definition
les
inflow outflow p Windkessel chamber
pV pressure
RS V Windkessel chamber
Q(t)
p(t), V(t), Di volume
Di Chamber distensibility
RS Peripheral resistance
Windkessel chamber Q Ventricular ejection flow
Definitions: rate
p Venous pressure
Inflow: fluid pumped intermittently by V
ventricular ejection
Outflow: calculated based on Poiseuille theory
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Windkessel Solution
Pressure pulse solution
Systole (0 < t < ts):
t
p t RS Q0 RS Q0 p0 e RS Di
Stroke
t
volume
VS Q t dt Q0t S
S
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Windkessel Theory
Summary
Advantages:
Simple model
Prediction of p(t) in arterial system
Limitations:
Model assumes an instantaneous
pressure pulse propagation (time for
wave transmission is neglected)
Global model does not provide details
on structures of flow field
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
5. Moens-Kortweg
relationship
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
Windkessel Moens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Wave Propagation
Characteristics
Speed of transmission depends on wall
elastic properties
Pressure pulse:
depends on wall/blood interactions
Changes shape as it travels downstream due
to interactions between forward moving wave
and waves reflected at discontinuities
(branching, curvature sites)
Need for model of wave propagation
speed
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
Windkessel Moens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Moens-Korteweg
Relationship
Speed of pressure wave propagation
through thin-walled elastic tube
containing an incompressible,
inviscid fluid
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
Windkessel Moens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Problem Statement
r Vr(r, z, t)
R
flow
z Vz(r, z, t)
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
Windkessel Moens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Derivation Outline
Equations
Equations of of fluid
fluid motion
motion in
in
infinitely
infinitely long,
long, thin-walled
thin-walled
elastic
elastic tube
tube ofof circular
circular cross
cross
section
section
Equations
Equations of of vessel
vessel wall
wall Equations
Equations of
of vessel
vessel wall
wall
motion
motion motion
motion
(inertial
(inertial force
force neglected
neglected (with
(with inertial
inertial force
force on
on
on
on wall)
wall) wall)
wall)
Simplified
Simplified Moens-
Moens- Moens-Korteweg
Moens-Korteweg
Korteweg
Korteweg relationship
relationship relationship
relationship
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
Windkessel Moens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Simplified Moens-Korteweg
relationship
Reduced Navier-Stokes equations:
1 rvr vz
0
r r z
vr vr vr 1 2 vr p
vr vz r
rv
t r z r r r z 2 r
vz vz vz 1 vz 2 vz p
vr vz r
t r z r r r z 2 z
vz p
t z
Inviscid flow approximation:
vr R
R vz
2 z
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
Windkessel Moens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Moens-Korteweg relationship
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
Windkessel Moens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
6. Womersley model for
blood flow
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Problem Statement
r Vr(r, z, t)
R
flow
z Vz(r, z, t)
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Problem Assumptions
Flow assumptions:
2D
Axisymmetric
No body force
Local acceleration >> convective
acceleration
Tube assumptions:
Rigid tube
No radial wall motion ( no radial fluid
velocity)
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Equation of Motion
p
Pressure gradient: t Aeit
z
vz r , t w r eit
Axial flow velocity:
dr r dr
2
r Womersley number
r
R
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Examples of Womersley
Number
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Flow Solution
Flow solution: A R 2 M 0
vz sin t 0
2
A R 4 M 10
Q sin t 10
2
J 0 i 3 2 r
M 0ei 0 1
J 0 i 3 2
where:
2 J1 i 3 2
M 0ei 0 1
i 3 2 J 0 i 3 2 J k :x Bessel
function of order
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Flow Solution
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Application
Flow rate calculation for complex
(non-sinusoidal) pulsatile pressure
gradients
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Flow Solution
Time history of the
axial velocity Characteristics:
profile (first 4 Hagen-Poiseuille parabolic
profile never obtained
harmonics) during the cardiac cycle
Presence of viscous effects
near the wall makes the
flow reverse more easily
than in the core region
Main velocity variations
along the tube cross
section are produced by the
low-frequency harmonics
High-frequency harmonics
produce a nearly flat profile
due to absence of viscous
diffusion
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
7. Complete model:
Wave propagation in elastic tube with
viscous flow
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Elastic Tube Equations of Motion
2 h
t h 2 rr S
t R
2 S z
t h 2 rz h
t z
Stresses on a tube
element
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Elastic Tube and Fluid Stresses
Tube stresses (from
Hookes law)
d
S E R dz
Fluid stresses
1 2 vr
d
rr p 2
(cylindrical
r
coordinates)
S z E dz 2 R vz vr
1 rz
d 2 d
r z
dS z 2
E dz R dz
dz 1 2
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Elastic Tube Equations of Motion
2 vr hE
t h 2 p 2 2
t r rR 1 R 2
R z
2 vz vr hE 2
t h 2 2
t r z r R
1 z 2
R z
Governing equations of motion for
elastic tube
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Flow Equations
vr p 2 vr 1 vr 2vr vr
2 2
t r r
2
r r z r
vz p 2 vz 1 vz 2vz
2
t z r
2
r r z
1 rvr vz
0
r r z
Governing flow
equations
Non-linear inertial terms can be neglected (see order-of-
magnitude study performed in Moens-Korteweg derivation)
Along with the 2 tube equations, we obtain a set of 5
equations with 5 unknowns
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Flow Equations
vr p 2 vr 1 vr 2vr vr
2 2
t r r
2
r r z r
vz p 2 vz 1 vz 2vz
2
t z r
2
r r z
1 rvr vz
0
r r z
Governing flow
Boundary conditions at fluid-tube
equations
interface:
No vr r R No vz
penetratio t slip t r R
n
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Solutions
All variables are, at least, functions of
i kz t
z and t e
Seek for k solutions
k1 ik2 that vary as:
where:
k1 : wave number (= 1/)
k2 : damping constant (decay along z)
1ei kz t
i kz t
vr vr1 r ei kz t
Solutions: e
v z v z1 r e i kz t
1
i kz t
p Pe
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Solutions
After performing an order-of-
magnitude study, the problem
statement
i reduces
vz1 to:
1 1 Equation for 1
kR E r
2
hk r R
1 2
Eh i vz1 Equation for 1
P 2 1
R kR r r R
2 vz1 1 vz1
i vz1 ikP NS / z BCs:
r 2
r r
vz1 R 1i
1 rvr1
ikvz1 0 continuity
vr1 R 1i
r r
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Solutions
By combining the 4 equations and
applying the BCs, the problem can be
expressed as a system of 2 equations
with 2 unknowns:
12
i 1 2
k 2 Eh k i k
1 1 2 A J1 R J1 R
2 R
12 12
i i
R 2
i
12
12 i 12 i 1 2
kEh i
i
1 2
A J0 R J1 R J1 R
kR R 2 E
i
1 2
hk R
1 2
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling
Solutions
Non trivial solutions if and only if
determinant of the system = 0
If (k/) = is the root of the
determinant:
k1 ik2
k1 Re
k2 Im
Hydrostatics
Rigid tube Bernoulli
flow modelapplications
WindkesselMoens-Korteweg
model WomersleyComplete
model Pennes
model equation
Damage modeling