Biology subjects

Di Achille, P.

Publications and source records attributed to Di Achille, P..

5 recordsLinked to original sources

bioRxiv2021

Genetic Analysis of Right Heart Structure and Function in 40,000 People

The heart evolved hundreds of millions of years ago. During mammalian evolution, the cardiovascular system developed with complete separation between pulmonary and systemic circulations incorporated into a single pump with chambers dedicated to each circulation. A lower pressure right heart chamber supplies deoxygenated blood to the lungs, while a high pressure left heart chamber supplies oxygenated blood to the rest of the body. Due to the complexity of morphogenic cardiac looping and septation required to form these two chambers, congenital heart diseases often involve maldevelopment of the evolutionarily recent right heart chamber. Additionally, some diseases predominantly affect structures of the right heart, including arrhythmogenic right ventricular cardiomyopathy (ARVC) and pulmonary hypertension. To gain insight into right heart structure and function, we fine-tuned deep learning models to recognize the right atrium, the right ventricle, and the pulmonary artery, and then used those models to measure right heart structures in over 40,000 individuals from the UK Biobank with magnetic resonance imaging. We found associations between these measurements and clinical disease including pulmonary hypertension and dilated cardiomyopathy. We then conducted genome-wide association studies, identifying 104 distinct loci associated with at least one right heart measurement. Several of these loci were found near genes previously linked with congenital heart disease, such as NKX2-5, TBX3, WNT9B, and GATA4. We also observed interesting commonalities and differences in association patterns at genetic loci linked with both right and left ventricular measurements. Finally, we found that a polygenic predictor of right ventricular end systolic volume was associated with incident dilated cardiomyopathy (HR 1.28 per standard deviation; P = 2.4E-10), and remained a significant predictor of disease even after accounting for a left ventricular polygenic score. Harnessing deep learning to perform large-scale cardiac phenotyping, our results yield insights into the genetic and clinical determinants of right heart structure and function.

genetics↗

bioRxiv2020

CRIMSON: An Open-Source Software Framework for Cardiovascular Integrated Modelling and Simulation

In this work, we describe the CRIMSON (CardiovasculaR Integrated Modelling and SimulatiON) software environment. CRIMSON provides a powerful, customizable and user-friendly system for performing three-dimensional and reduced-order computational haemodynamics studies via a pipeline which involves: 1) segmenting vascular structures from medical images; 2) constructing analytic arterial and venous geometric models; 3) performing finite element mesh generation; 4) designing, and 5) applying boundary conditions; 6) running incompressible Navier-Stokes simulations of blood flow with fluid-structure interaction capabilities; and 7) post-processing and visualizing the results, including velocity, pressure and wall shear stress fields. A key aim of CRIMSON is to create a software environment that makes powerful computational haemodynamics tools accessible to a wide audience, including clinicians and students, both within our research laboratories and throughout the community. The overall philosophy is to leverage best-in-class open source standards for medical image processing, parallel flow computation, geometric solid modelling, data assimilation, and mesh generation. It is actively used by researchers in Europe, North and South America, Asia, and Australia. It has been applied to numerous clinical problems; we illustrate applications of CRIMSON to real-world problems using examples ranging from pre-operative surgical planning to medical device design optimization. CRIMSON binaries for Microsoft Windows 10, documentation and example input files are freely available for download from www.crimson.software, and the source code with compilation instructions is available on GitHub https://github.com/carthurs/CRIMSONFlowsolver (CRIMSON Flowsolver) under the GPL v3.0 license, and https://github.com/carthurs/CRIMSONGUI (CRIMSON GUI), under the AGPL v3.0 license. Support is available on the CRIMSON Google Groups forum, located at https://groups.google.com/forum/#!forum/crimson-users.

bioengineering↗

bioRxiv2019

Model order reduction for left ventricular mechanics via congruency training

Computational models of the cardiovascular system and heart function are currently being investigated as analytic tools to assist medical practice and clinical trials. Recent technological advances allow for finite element models of heart ventricles and atria to be customized to medical images and to assimilate electrical and hemodynamic measurements. Optimizing model parameters to physiological data is, however, challenging due to the computational complexity of finite element models. Metaheuristic algorithms and other optimization strategies typically require sampling hundreds of points in the model parameter space before converging to optimal solutions. Similarly, resolving uncertainty of model outputs to input assumptions is difficult for finite element models due to their computational cost. In this paper, we present a novel, multifidelity strategy for model order reduction of 3-D finite element models of ventricular mechanics. Our approach is centered around well established findings on the similarity between contraction of an isolated muscle and the whole ventricle. Specifically, we demonstrate that simple linear transformations between sarcomere strain (tension) and ventricular volume (pressure) are sufficient to reproduce global pressure-volume outputs of 3-D finite element models even by a reduced model with just a single myocyte unit. We further develop a procedure for congruency training of a surrogate low-order model from multi-scale finite elements, and we construct an example of parameter optimization based on medical images. We discuss how the presented approach might be employed to process large datasets of medical images as well as databases of echocardiographic reports, paving the way towards application of heart mechanics models in the clinical practice.

biophysics↗

bioRxiv2019

Intrinsic structure of model-derived metrics for in silico proarrhytmic riskassessment identified by global sensitivity analysis

Multiscale computational models of heart are being extensively investigated for improved assessment of drug-induced Torsades de Pointes (TdP) risk, a fatal side effect of many drugs. Model-derived metrics (features) such as action potential duration, net charge carried by ionic currents (qNet) and others have been proposed in the past as potential candidates for classifying TdP risk. However, the criteria for selection of new risk metrics are still poorly justified, and they are often trained/tested only on small datasets. Moreover, classifiers built on derived features have thus far not consistently provided increased prediction accuracies compared to classifiers based on in vitro measurements of drug effects on ion channels (direct features). In this paper, we analyze a large population of virtual drugs to examine systematically the sensitivity of several model-derived features. The influence of different ion channels in regulation of the model-derived features is identified using global sensitivity analysis (GSA). Specifically, the analysis points to key differences in the input parameters that affect several model-derived features and the generation of early afterdepolarizations (EAD), thus opposing the idea that these features and sensitivity to EAD might be strongly correlated. We also demonstrate that previously proposed model-derived features could be well fitted by a linear combination of direct features. This well explains the observed comparable performances of classifiers built on direct features and model-derived features. Combining GSA and simple probability analysis, we also show that the odds of any linear metric constructed from direct features to perform as well as qNet is very low. Nevertheless, despite high predictive power of qNet to separate drugs into correct categories of TdP risk, the GSA results suggest that the actual mechanistic interpretation for qNets improved performance deserves further investigation. In conclusion, analyses like ours can provide more robust feature selection/construction. Improved experimental designs with increased focus on the critical model parameters indicated by GSA can potentially reduce the uncertainties of key model components and result in increased confidence of TdP risk predicted by in silico models. Author SummaryBiophysical models often have extremely involved intrinsic structure. In the majority of research, either complex methods of non-linear dynamics and empirical analysis are employed to explore the underlying structure of cell processes such as transmembrane ionic currents. Global sensitivity analysis (GSA) could be considered as a brute force alternative to study the model relationships between physical processes, discovering the mechanisms responsible for phenomena of interest. As we demonstrated here, GSA application could be extended to explore the structure of features derived from outputs of biophysical models and used in statistical models to build regressions or classifiers. In particular, GSA seems to be valuable to formalize the methods of feature selection/construction that are used for classification of drugs with respect to their cardiotoxicity.

pharmacology and toxicology↗

bioRxiv2017

Data-driven Modeling of Thrombus Size and Shape in Aortic Dissections: Role of Hemodynamics

Aortic dissection is a pathology that manifests due to micro-structural defects in the aortic wall. Blood enters the damaged wall through an intimal tear, thereby creating a so-called false lumen and exposing the blood to thrombogenic intramural constituents such as collagen. The natural history of this acute vascular injury thus depends, in part, on thrombus formation, maturation, and possible healing within the false lumen. A key question is: Why do some false lumens thrombose completely while other thrombose partially or little at all? An ability to predict the location and extent of thrombus in subjects with dissection could contribute significantly to clinical decision-making, including interventional design. We develop, for the first time, a data-driven particle-continuum model for thrombus formation in a murine model of aortic dissection. In the proposed model, we simulate a final-value problem in lieu of the original initial-value problem with significantly fewer particles that may grow in size upon activation, representing the local concentration of blood-borne species. Numerical results confirm that geometry and local hemodynamics play significant roles in the acute progression of thrombus. Despite geometrical differences between murine and human dissections, mouse models can provide considerable insight and have gained in popularity owing to their reproducibility. Our results for three classes of geometrically different false lumens show that thrombus forms and extends to a greater extent in regions with lower bulk shear rates. Dense thrombi are less likely to form in high-shear zones and in the presence of strong vortices. The present data-driven study suggests that the proposed model is robust and can be employed to assess thrombus formation in human aortic dissections.

bioengineering↗