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The Hemodynamic Effect of Modified Blalock–Taussig Shunt Morphologies: A Computational Analysis Based on Reduced Order Modeling. ELECTRONICS 2022. [DOI: 10.3390/electronics11131930] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The Modified Blalock Taussig Shunt (MBTS) is one of the most common palliative operations in case of cyanotic heart diseases. Thus far, the decision on the position, size, and geometry of the implant relies on clinicians’ experience. In this paper, a Medical Digital Twin pipeline based on reduced order modeling is presented for fast and interactive evaluation of the hemodynamic parameters of MBTS. An infant case affected by complete pulmonary atresia was selected for this study. A three-dimensional digital model of the infant’s MBTS morphology was generated. A wide spectrum of MBTS geometries was explored by introducing twelve Radial Basis Function mesh modifiers. The combination of these modifiers allowed for analysis of various MBTS shapes. The final results proved the potential of the proposed approach for the investigation of significant hemodynamic features such as velocity, pressure, and wall shear stress as a function of the shunt’s morphology in real-time. In particular, it was demonstrated that the modifications of the MBTS morphology had a profound effect on the hemodynamic indices. The adoption of reduced models turned out to be a promising path to follow for MBTS numerical evaluation, with the potential to support patient-specific preoperative planning.
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A New Intelligent Dynamic Control Method for a Class of Stochastic Nonlinear Systems. MATHEMATICS 2022. [DOI: 10.3390/math10091406] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
This paper presents a new method for a comprehensive stabilization and backstepping control system design for a class of stochastic nonlinear systems. These types of systems are so abundant in practice that the control system designer must assume that random noise with a definite probability distribution affects the dynamics and observations of state variables. Stochastic control is intended to determine the time course of control variables so that the control target is achievable even with minimal cost. Since the mathematical equations of stochastic nonlinear systems are not always constant, not every model-based controller can be accurate. Therefore, in this paper, a type-3 fuzzy neural network is used to estimate the parameters of the backstepping control method. In the simulation, the proposed method is compared with the Type-1 fuzzy and RBFN methods. Results clearly show that the proposed method has a very good performance and can be used for any system in this class.
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