PMID- 38381368 OWN - NLM STAT- Publisher LR - 20240221 IS - 1869-4098 (Electronic) IS - 1869-408X (Linking) DP - 2024 Feb 21 TI - A Monte Carlo Sensitivity Analysis for a Dimensionally Reduced-Order Model of the Aortic Dissection. LID - 10.1007/s13239-024-00718-1 [doi] AB - PURPOSE: Aortic dissection is associated with a high mortality rate. Although computational approaches have shed light on many aspects of the disease, a sensitivity analysis is required to determine the significance of different factors. Because of its complex geometry and high computational expense, the three-dimensional (3D) fluid-structure interaction (FSI) simulation is not a suitable approach for sensitivity analysis. METHODS: We performed a Monte Carlo simulation (MCS) to investigate the sensitivity of hemodynamic quantities to the lumped parameters of our zero-dimensional (0D) model with numerically calculated lumped parameters. We performed local and global analyses on the effect of the model parameters on important hemodynamic quantities. RESULTS: The MCS showed that a larger lumped resistance value for the false lumen and the tears result in a higher retrograde flow rate in the false lumen (the coefficient of variation, [Formula: see text], the sensitivity [Formula: see text], Spearman's coefficient,[Formula: see text]). For the intraluminal pressure, our results show a significant role in the resistance and inertance of the true lumen (the coefficient of variation, [Formula: see text], the sensitivity [Formula: see text], and Spearman's coefficient,[Formula: see text] for the inertance of the true lumen). CONCLUSION: This study highlights the necessity of comparing the results of the local and global sensitivity analyses to understand the significance of multiple lumped parameters. Because of the efficiency of the method, our approach is potentially useful to investigate and analyze medical planning. CI - (c) 2024. The Author(s) under exclusive licence to Biomedical Engineering Society. FAU - Keramati, Hamed AU - Keramati H AUID- ORCID: 0000-0002-0156-9739 AD - Integrative Sciences and Engineering Programme (ISEP), National University of Singapore, Singapore, Singapore. AD - Department of Biomedical Engineering, National University of Singapore, Singapore, 117576, Singapore. AD - School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK. FAU - Birgersson, Erik AU - Birgersson E AD - Department of Mechanical Engineering, National University of Singapore, Singapore, 117575, Singapore. FAU - Kim, Sangho AU - Kim S AD - Integrative Sciences and Engineering Programme (ISEP), National University of Singapore, Singapore, Singapore. AD - Department of Biomedical Engineering, National University of Singapore, Singapore, 117576, Singapore. FAU - Leo, Hwa Liang AU - Leo HL AD - Integrative Sciences and Engineering Programme (ISEP), National University of Singapore, Singapore, Singapore. bielhl@nus.edu.sg. AD - Department of Biomedical Engineering, National University of Singapore, Singapore, 117576, Singapore. bielhl@nus.edu.sg. LA - eng PT - Journal Article DEP - 20240221 PL - United States TA - Cardiovasc Eng Technol JT - Cardiovascular engineering and technology JID - 101531846 SB - IM OTO - NOTNLM OT - Aortic dissection OT - Finite-element method OT - Monte Carlo simulation OT - Reduced-order model OT - Sensitivity analysis EDAT- 2024/02/21 12:42 MHDA- 2024/02/21 12:42 CRDT- 2024/02/21 11:16 PHST- 2023/02/20 00:00 [received] PHST- 2024/01/11 00:00 [accepted] PHST- 2024/02/21 12:42 [medline] PHST- 2024/02/21 12:42 [pubmed] PHST- 2024/02/21 11:16 [entrez] AID - 10.1007/s13239-024-00718-1 [pii] AID - 10.1007/s13239-024-00718-1 [doi] PST - aheadofprint SO - Cardiovasc Eng Technol. 2024 Feb 21. doi: 10.1007/s13239-024-00718-1.