Abstract

One-dimensional models of the cardiovascular system can capture the physics of pulse waves but involve many parameters. Since these may vary among individuals, patient-specific models are difficult to construct. Sensitivity analysis can be used to rank model parameters by their effect on outputs and to quantify how uncertainty in parameters influences output uncertainty. This type of analysis is often conducted with a Monte Carlo method, where large numbers of model runs are used to assess input-output relations. The aim of this study was to demonstrate the computational efficiency of variance-based sensitivity analysis of 1D vascular models using Gaussian process emulators, compared to a standard Monte Carlo approach. The methodology was tested on four vascular networks of increasing complexity to analyse its scalability. The computational time needed to perform the sensitivity analysis with an emulator was reduced by the 99.96% compared to a Monte Carlo approach. Despite the reduced computational time, sensitivity indices obtained using the two approaches were comparable. The scalability study showed that the number of mechanistic simulations needed to train a Gaussian process for sensitivity analysis was of the order O(d), rather than O(d×103) needed for Monte Carlo analysis (where d is the number of parameters in the model). The efficiency of this approach, combined with capacity to estimate the impact of uncertain parameters on model outputs, will enable development of patient-specific models of the vascular system, and has the potential to produce results with clinical relevance.

Highlights

  • The cardiovascular system is a complex network of elastic vessels through which blood is pumped by contraction of the heart

  • The trained Gaussian process (GP) emulators were used to predict results for all the d × 103 input points needed for the sensitivity analysis (Figure 5b)

  • The GP computational time for both training and prediction phases increased as the number of vessels in the network increased

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Summary

Introduction

The cardiovascular system is a complex network of elastic vessels through which blood is pumped by contraction of the heart. This pulsatile regime and vessel elasticity cause pressure to propagate along the arterial circulation as waves. Pressure waves measured at a specific location can be seen as the result of a superimposition of incident and reflected waves. The analysis of this superposition mechanism allows for the study of mechanical properties upstream and downstream of the measurement point and can be a rich source of diagnostic information about the system through which these waves propagate. Given the vascular system complexity, it is at present difficult to ascribe a particular waveform feature to a specific trait of the arterial circulation [1, 2, 3]

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