Uncertainty in cardiovascular digital twins despite non-normal errors in 4D flow MRI: identifying reliable biomarkers such as ventricular relaxation rate

Abstract

Cardiovascular digital twins and mechanistic models can be used to obtain new biomarkers from patient-specific hemodynamic data. However, such model-derived biomarkers are only clinically relevant if the variation between timepoints/patients is smaller than the uncertainty of the biomarkers. Unfortunately, this uncertainty is challenging to calculate, as the uncertainty of the underlying hemodynamic data is largely unknown and has several sources that are not additive or normally distributed. This violates normality assumptions of current methods; implying that also biomarkers have an unknown uncertainty. To remedy these problems, we herein present a method, with attached code, for uncertainty calculation of model-derived biomarkers using non-normal data. First, we estimated all sources of uncertainty, both normal and non-normal, in hemodynamic data used to personalize an existing model; the errors in 4D flow MRI-derived stroke volumes were 5-20% and the blood pressure errors were 0{+/-}8 mmHg. Second, we estimated the resulting model-derived biomarker uncertainty for 100 simulated datasets, sampled from the data distributions, by: 1) combining data uncertainties 2) parameter estimation, 3) profile-likelihood. The true biomarker values were found within a 95% confidence interval in 98% (median) of the cases. This shows both that our estimated data uncertainty is reasonable, and that we can use profile-likelihood despite the non-normality. Finally, we demonstrated that e.g. ventricular relaxation rate has a smaller uncertainty ([~]10%) than the variation across a clinical cohort ([~]40%), meaning that these biomarkers have clinical usefulness. Our results take us one step closer to the usage of model-derived biomarkers for cardiovascular patient characterization. HighlightsO_LIDigital twin models provide physiological biomarkers using e.g. 4D-flow MRI data C_LIO_LIHowever, the data has several non-normal uncertainty components C_LIO_LIFor this reason, we do not know which biomarkers are reliable and clinically useful C_LIO_LINew method for data uncertainty and for calculation of biomarker uncertainty C_LIO_LIWe identified several reliable biomarkers: e.g. ventricular relaxation rate C_LI Graphical abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=77 SRC="FIGDIR/small/611398v1_ufig1.gif" ALT="Figure 1"> View larger version (28K): org.highwire.dtl.DTLVardef@c8a2forg.highwire.dtl.DTLVardef@14440d2org.highwire.dtl.DTLVardef@1fbab07org.highwire.dtl.DTLVardef@199764e_HPS_FORMAT_FIGEXP M_FIG C_FIG