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  • Article
  • Open Access
3 Citations
2,662 Views
28 Pages

Implementing in silico corneal biomechanical models for surgery applications can be boosted by developing patient-specific finite element models adapted to clinical requirements and optimized to reduce computational times. This research proposes a no...

  • Article
  • Open Access
15 Citations
5,831 Views
15 Pages

14 November 2022

The future of personalised medicine lies in the development of increasingly sophisticated digital twins, where the patient-specific data is fed into predictive computational models that support the decisions of clinicians on the best therapies or cou...

  • Article
  • Open Access
11 Citations
4,896 Views
10 Pages

A Patient-Specific Study Investigating the Relation between Coronary Hemodynamics and Neo-Intimal Thickening after Bifurcation Stenting with a Polymeric Bioresorbable Scaffold

  • Susanna Migliori,
  • Rajiv Rampat,
  • Marco Bologna,
  • Eros Montin,
  • Francesco Burzotta,
  • David Hildick-Smith,
  • Gabriele Dubini,
  • Luca Mainardi,
  • Francesco Migliavacca and
  • Claudio Chiastra
  • + 1 author

1 September 2018

We present an application of a validated reconstruction methodology for the comparison between patient-specific hemodynamics and neo-intimal thickening at nine months from the intervention. (1) Background: Coronary bifurcation stenting alters the ves...

  • Article
  • Open Access
604 Views
14 Pages

28 November 2025

Background/Objectives: Deep cerebral vein thrombosis (DCVT) is a rare cerebrovascular condition that can result in absence of major venous sinuses. This study uses patient-specific computational fluid dynamics (CFD) to quantify hemodynamic changes in...

  • Article
  • Open Access
15 Citations
4,498 Views
24 Pages

Patient-Specific Image-Based Computational Fluid Dynamics Analysis of Abdominal Aorta and Branches

  • Alin-Florin Totorean,
  • Iuliana-Claudia Totorean,
  • Sandor Ianos Bernad,
  • Tiberiu Ciocan,
  • Daniel Claudiu Malita,
  • Dan Gaita and
  • Elena Silvia Bernad

14 September 2022

The complicated abdominal aorta and its branches are a portion of the circulatory system prone to developing atherosclerotic plaque and aneurysms. These disorders are closely connected to the changing blood flow environment that the area’s comp...

  • Review
  • Open Access
43 Citations
15,160 Views
15 Pages

9 June 2022

Computational fluid dynamics (CFD) modeling of blood flow plays an important role in better understanding various medical conditions, designing more effective drug delivery systems, and developing novel diagnostic methods and treatments. However, des...

  • Article
  • Open Access
5 Citations
3,705 Views
15 Pages

30 December 2020

Model verification, validation, and uncertainty quantification are essential procedures to estimate errors within cardiovascular flow modeling, where acceptable confidence levels are needed for clinical reliability. While more turbulent-like studies...

  • Article
  • Open Access
23 Citations
4,567 Views
19 Pages

A Multi-Criteria Assessment Strategy for 3D Printed Porous Polyetheretherketone (PEEK) Patient-Specific Implants for Orbital Wall Reconstruction

  • Neha Sharma,
  • Dennis Welker,
  • Soheila Aghlmandi,
  • Michaela Maintz,
  • Hans-Florian Zeilhofer,
  • Philipp Honigmann,
  • Thomas Seifert and
  • Florian M. Thieringer

13 August 2021

Pure orbital blowout fractures occur within the confines of the internal orbital wall. Restoration of orbital form and volume is paramount to prevent functional and esthetic impairment. The anatomical peculiarity of the orbit has encouraged surgeons...

  • Review
  • Open Access
1 Citations
3,597 Views
32 Pages

3D Printing in Nasal Reconstruction: Application-Based Evidence on What Works, When, and Why

  • Raisa Chowdhury,
  • Nisreen Al-Musaileem,
  • Karanvir S. Raman,
  • Dana Al-Majid,
  • Philip Solomon and
  • Richard Rival

Background: Nasal reconstruction requires a balance between aesthetic and functional restoration. Recent advances in three-dimensional (3D) printing have introduced new approaches to this field, enabling precise, patient-specific interventions. This...

  • Article
  • Open Access
18 Citations
5,320 Views
27 Pages

Micro-CT and Microscopy Study of Internal and Marginal Gap to Tooth Surface of Crenelated versus Conventional Dental Indirect Veneers

  • Alexandra-Cristina Măroiu,
  • Cosmin Sinescu,
  • Virgil-Florin Duma,
  • Florin Topală,
  • Anca Jivănescu,
  • Paul Mircea Popovici,
  • Anca Tudor and
  • Mihai Romînu

29 July 2021

Background and Objectives: Ceramic veneers represent the most appropriate treatment option for minimally invasive aesthetic rehabilitation. For long-term clinical success, the accurate marginal and internal adaptation of dental restorations are of pa...

  • Article
  • Open Access
1 Citations
1,285 Views
9 Pages

Background/Objectives: Patient-specific osteosynthesis (PSO) plates, in combination with virtual surgical planning (VSP), have significantly improved the accuracy of orthognathic surgery. This study aimed to compare the surgical accuracy of two-plate...

  • Article
  • Open Access
1 Citations
2,431 Views
23 Pages

18 April 2024

High-flow nasal cannula (HFNC) is becoming the gold standard to treat respiratory distress at any age since it potentially provides several significant clinical advantages. An obstacle to the diffusion of this simple and effective system of oxygen th...

  • Article
  • Open Access
4 Citations
3,817 Views
13 Pages

Semantic Integration of BPMN Models and FHIR Data to Enable Personalized Decision Support for Malignant Melanoma

  • Catharina Lena Beckmann,
  • Daniel Keuchel,
  • Wa Ode Iin Arliani Soleman,
  • Sylvia Nürnberg and
  • Britta Böckmann

6 December 2023

With digital patient data increasing due to new diagnostic methods and technology, showing the right data in the context of decision support at the point of care becomes an even greater challenge. Standard operating procedures (SOPs) modeled in BPMN...

  • Article
  • Open Access
3 Citations
2,094 Views
19 Pages

Use of Real-World FHIR Data Combined with Context-Sensitive Decision Modeling to Guide Sentinel Biopsy in Melanoma

  • Catharina Lena Beckmann,
  • Georg Lodde,
  • Jessica Swoboda,
  • Elisabeth Livingstone and
  • Britta Böckmann

6 June 2024

Background: To support clinical decision-making at the point of care, the “best next step” based on Standard Operating Procedures (SOPs) and actual accurate patient data must be provided. To do this, textual SOPs have to be transformed in...

  • Review
  • Open Access
2 Citations
2,162 Views
21 Pages

29 September 2025

The rapid expansion of structural heart interventions over the past decade has created unprecedented challenges in procedural planning and complication prediction. While traditional imaging provides essential anatomical information, translating two-d...

  • Article
  • Open Access
657 Views
15 Pages

29 October 2025

Background/Objectives: In reverse shoulder arthroplasty (RSA), precise K-wire positioning of the glenoid component is critical to prevent complications such as glenoid loosening or instability as well as premature implant failure. Optimal component p...

  • Technical Note
  • Open Access
277 Views
11 Pages

Restoring Mandibular Anatomy After Complex Trauma: Clinical Applications of a Statistical Shape Model

  • Stephen A. L. Y. Youssef,
  • Cornelis Klop,
  • Juliana F. Sabelis,
  • Ruud Schreurs,
  • Jitske W. Nolte,
  • Renee Helmers,
  • Alfred G. Becking and
  • Leander Dubois

4 February 2026

Background/Objectives: Restoration of mandibular anatomy following complex trauma remains challenging when conventional anatomical and occlusal references, such as dental occlusion, contralateral morphology, condylar position, or mandibular continuit...

  • Article
  • Open Access
7 Citations
3,059 Views
16 Pages

Image-Based Numerical Investigation in an Impending Abdominal Aneurysm Rupture

  • Maria Antonietta Boniforti,
  • Maria Chiara Cesaroni,
  • Roberto Magini,
  • Edoardo Pasqui and
  • Gianmarco de Donato

5 August 2022

Blood flow dynamics plays a crucial role in the growth and rupture of abdominal aortic aneurysms. The aim of this study was to analyze the possibility of predicting aneurysmal rupture by numerical investigations based on diagnostic images. The blood...

  • Article
  • Open Access
4 Citations
2,777 Views
19 Pages

Energetics of Cardiac Blood Flow in Hypertrophic Cardiomyopathy through Individualized Computational Modeling

  • Owen Baenen,
  • Angie Carolina Carreño-Martínez,
  • Theodore P. Abraham and
  • Sandra Rugonyi

Hypertrophic cardiomyopathy (HCM) is a congenital heart disease characterized by thickening of the heart’s left ventricle (LV) wall that can lead to cardiac dysfunction and heart failure. Ventricular wall thickening affects the motion of cardia...

  • Article
  • Open Access
15 Citations
6,032 Views
18 Pages

Hemodynamic Investigation of the Flow Diverter Treatment of Intracranial Aneurysm

  • Maria Antonietta Boniforti,
  • Roberto Magini and
  • Tania Orosco Salinas

24 June 2023

Flow diverter stents (FDS) are increasingly used for the treatment of complex intracranial aneurysms such as fusiform, giant, or wide-neck aneurysms. The primary goal of these devices is to reconstruct the diseased vascular segment by diverting blood...

  • Review
  • Open Access
9 Citations
10,983 Views
31 Pages

Computational hemodynamic simulations are becoming increasingly important for cardiovascular research and clinical practice, yet incorporating numerical simulations of human fetal circulation is relatively underutilized and underdeveloped. The fetus...

  • Article
  • Open Access
83 Citations
9,035 Views
19 Pages

Quantitative Assessment of Point-of-Care 3D-Printed Patient-Specific Polyetheretherketone (PEEK) Cranial Implants

  • Neha Sharma,
  • Soheila Aghlmandi,
  • Federico Dalcanale,
  • Daniel Seiler,
  • Hans-Florian Zeilhofer,
  • Philipp Honigmann and
  • Florian M. Thieringer

Recent advancements in medical imaging, virtual surgical planning (VSP), and three-dimensional (3D) printing have potentially changed how today’s craniomaxillofacial surgeons use patient information for customized treatments. Over the years, polyethe...

  • Article
  • Open Access
3 Citations
2,838 Views
11 Pages

12 May 2021

Computer-assisted orthopedic surgery and patient-specific instruments are widely used in orthopedic fields that utilize contralateral side bone data as a template to restore the affected side bone. The essential precondition for these techniques is t...

  • Article
  • Open Access
7 Citations
3,486 Views
21 Pages

4 August 2022

Cardiovascular disease is the leading cause of death globally. To provide continuous monitoring of blood pressure (BP), a parameter which has shown to improve health outcomes when monitored closely, many groups are trying to measure blood pressure vi...

  • Article
  • Open Access
3 Citations
1,937 Views
14 Pages

4 September 2024

Background/Objectives: The accurate quantification of ground-glass opacities (GGOs) and consolidation volumes has prognostic value in COVID-19 patients. Nevertheless, the accurate manual quantification of the corresponding volumes remains a time-cons...

  • Article
  • Open Access
9 Citations
3,696 Views
16 Pages

Patient-Specific Finite Element Modeling of the Whole Lumbar Spine Using Clinical Routine Multi-Detector Computed Tomography (MDCT) Data—A Pilot Study

  • Nithin Manohar Rayudu,
  • Karupppasamy Subburaj,
  • Rajesh Elara Mohan,
  • Nico Sollmann,
  • Michael Dieckmeyer,
  • Jan S. Kirschke and
  • Thomas Baum

(1) Background: To study the feasibility of developing finite element (FE) models of the whole lumbar spine using clinical routine multi-detector computed tomography (MDCT) scans to predict failure load (FL) and range of motion (ROM) parameters. (2)...

  • Article
  • Open Access
919 Views
17 Pages

12 August 2025

Background: An accurate device sizing for percutaneous left atrial appendage closure (LAAC) can be challenging. Intraprocedural automated LAA evaluation by transoesophageal echocardiography (TEE) based on an artificial intelligence-assisted 3D model...

  • Review
  • Open Access
20 Citations
8,900 Views
21 Pages

Optimization of Catheter Ablation of Atrial Fibrillation: Insights Gained from Clinically-Derived Computer Models

  • Jichao Zhao,
  • Sanjay R. Kharche,
  • Brian J. Hansen,
  • Thomas A. Csepe,
  • Yufeng Wang,
  • Martin K. Stiles and
  • Vadim V. Fedorov

13 May 2015

Atrial fibrillation (AF) is the most common heart rhythm disturbance, and its treatment is an increasing economic burden on the health care system. Despite recent intense clinical, experimental and basic research activity, the treatment of AF with cu...

  • Article
  • Open Access
20 Citations
5,298 Views
16 Pages

Fluid–Structure Interaction Modeling of Ascending Thoracic Aortic Aneurysms in SimVascular

  • Rodrigo Valente,
  • André Mourato,
  • Moisés Brito,
  • José Xavier,
  • António Tomás and
  • Stéphane Avril

Ascending Thoracic Aortic Aneurysm (ATAA) is a permanent dilatation of the aorta which is usually related to tissue degeneration, hemodynamic conditions, lifestyle, environmental and genetic factors. As the mechanical conditions can become critical i...

  • Article
  • Open Access
5 Citations
2,654 Views
12 Pages

Purpose: Currently, the displacement force of stent grafts is generally obtained using computational fluid dynamics (CFD), which requires professional CFD knowledge to perform the correct simulation. This study proposes a fast, simple, and clinician-...

  • Article
  • Open Access
6 Citations
3,797 Views
15 Pages

Integrating Patient-Specific Information into Logic Models of Complex Diseases: Application to Acute Myeloid Leukemia

  • Alessandro Palma,
  • Marta Iannuccelli,
  • Ilaria Rozzo,
  • Luana Licata,
  • Livia Perfetto,
  • Giorgia Massacci,
  • Luisa Castagnoli,
  • Gianni Cesareni and
  • Francesca Sacco

10 February 2021

High throughput technologies such as deep sequencing and proteomics are increasingly becoming mainstream in clinical practice and support diagnosis and patient stratification. Developing computational models that recapitulate cell physiology and its...

  • Article
  • Open Access
2 Citations
1,507 Views
14 Pages

Recent advancements in computational modeling offer opportunities to refine total knee arthroplasty (TKA) design and treatment strategies. This study developed patient-specific simulator external boundary conditions (EBCs) using a PID-controlled lowe...

  • Article
  • Open Access
27 Citations
7,270 Views
16 Pages

28 March 2019

Background: Calculation of fractional flow reserve (FFR) using computed tomography (CT)-based 3D anatomical models and computational fluid dynamics (CFD) has become a common method to non-invasively assess the functional severity of atherosclerotic n...

  • Communication
  • Open Access
10 Citations
5,025 Views
10 Pages

Bioengineering Case Study to Evaluate Complications of Adverse Anatomy of Aortic Root in Transcatheter Aortic Valve Replacement: Combining Biomechanical Modelling with CT Imaging

  • Cristiano Spadaccio,
  • Laura Mazzocchi,
  • Irina Timofeva,
  • Laurent Macron,
  • Carlo Nicola De Cecco,
  • Simone Morganti,
  • Ferdinando Auricchio and
  • Francesco Nappi

Gated computed tomography (CT) might not adequately predict occurrence of post-implantation transcatheter aortic valve replacement (TAVR) complications in hostile aortic root as it would require a more complex integration of morphological, functional...

  • Feature Paper
  • Article
  • Open Access
26 Citations
5,370 Views
19 Pages

Towards a Digital Twin of Coronary Stenting: A Suitable and Validated Image-Based Approach for Mimicking Patient-Specific Coronary Arteries

  • Gianluca Poletti,
  • Luca Antonini,
  • Lorenzo Mandelli,
  • Panagiota Tsompou,
  • Georgia S. Karanasiou,
  • Michail I. Papafaklis,
  • Lampros K. Michalis,
  • Dimitrios I. Fotiadis,
  • Lorenza Petrini and
  • Giancarlo Pennati

Considering the field of application involving stent deployment simulations, the exploitation of a digital twin of coronary stenting that can reliably mimic the patient-specific clinical reality could lead to improvements in individual treatments. A...

  • Article
  • Open Access
13 Citations
3,136 Views
18 Pages

Uncertainty Quantification in the In Vivo Image-Based Estimation of Local Elastic Properties of Vascular Walls

  • Benigno Marco Fanni,
  • Maria Nicole Antonuccio,
  • Alessandra Pizzuto,
  • Sergio Berti,
  • Giuseppe Santoro and
  • Simona Celi

Introduction: Patient-specific computational models are a powerful tool for planning cardiovascular interventions. However, the in vivo patient-specific mechanical properties of vessels represent a major source of uncertainty. In this study, we inves...

  • Article
  • Open Access
8 Citations
4,813 Views
8 Pages

Identifying Thrombus on Non-Contrast CT in Patients with Acute Ischemic Stroke

  • Shakeel Qazi,
  • Emmad Qazi,
  • Alexis T. Wilson,
  • Connor McDougall,
  • Fahad Al-Ajlan,
  • James Evans,
  • Henrik Gensicke,
  • Michael D. Hill,
  • Ting Lee and
  • Nils D. Forkert
  • + 3 authors

16 October 2021

The hyperdense sign is a marker of thrombus in non-contrast computed tomography (NCCT) datasets. The aim of this work was to determine optimal Hounsfield unit (HU) thresholds for thrombus segmentation in thin-slice non-contrast CT (NCCT) and use thes...

  • Short Note
  • Open Access
94 Citations
498 Views
9 Pages

We investigated the workflow of computer-assistedmandibular reconstruction that was performed with a patient-specific mandibular reconstruction plate fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) techniques and a fi...

  • Article
  • Open Access
18 Citations
5,770 Views
13 Pages

Optimal Design of Patient-Specific Total Knee Arthroplasty for Improvement in Wear Performance

  • Yong-Gon Koh,
  • Kyung-Hwan Jung,
  • Hyoung-Taek Hong,
  • Kang-Min Kim and
  • Kyoung-Tak Kang

19 November 2019

Life expectancy is on the rise and, concurrently, the demand for total knee arthroplasty (TKA), which lasts a lifetime, is increasing. To meet this demand, improved TKA designs have been introduced. Recent advances in radiography and manufacturing te...

  • Article
  • Open Access
6 Citations
2,462 Views
15 Pages

There are still numerous problems with modern joint replacement prostheses, which negatively influence patient health and recovery. For example, it is especially important to avoid failures and complications following hip arthroplasty because the los...

  • Article
  • Open Access
8 Citations
3,975 Views
25 Pages

Low-Cost Probabilistic 3D Denoising with Applications for Ultra-Low-Radiation Computed Tomography

  • Illia Horenko,
  • Lukáš Pospíšil,
  • Edoardo Vecchi,
  • Steffen Albrecht,
  • Alexander Gerber,
  • Beate Rehbock,
  • Albrecht Stroh and
  • Susanne Gerber

We propose a pipeline for synthetic generation of personalized Computer Tomography (CT) images, with a radiation exposure evaluation and a lifetime attributable risk (LAR) assessment. We perform a patient-specific performance evaluation for a broad r...

  • Article
  • Open Access
8 Citations
3,465 Views
22 Pages

Patient-Specific Modeling of Diffuse Large B-Cell Lymphoma

  • Kirsten Thobe,
  • Fabian Konrath,
  • Björn Chapuy and
  • Jana Wolf

10 November 2021

Personalized medicine aims to tailor treatment to patients based on their individual genetic or molecular background. Especially in diseases with a large molecular heterogeneity, such as diffuse large B-cell lymphoma (DLBCL), personalized medicine ha...

  • Article
  • Open Access
7 Citations
2,437 Views
20 Pages

26 June 2024

In the realm of anesthetic management during surgical procedures, the reliable estimation of mean arterial pressure (MAP) is critical for ensuring patient safety and optimizing drug administration. This paper investigates the determination of the opt...

  • Article
  • Open Access
922 Views
21 Pages

Virtual Biomarkers and Simplified Metrics in the Modeling of Breast Cancer Neoadjuvant Therapy: A Proof-of-Concept Case Study Based on Diagnostic Imaging

  • Graziella Marino,
  • Maria Valeria De Bonis,
  • Marisabel Mecca,
  • Marzia Sichetti,
  • Aldo Cammarota,
  • Manuela Botte,
  • Giuseppina Dinardo,
  • Maria Imma Lancellotti,
  • Antonio Villonio and
  • Gianpaolo Ruocco
  • + 8 authors

24 October 2025

Background: Neoadjuvant chemotherapy (NAC) is a standard preoperative intervention for early-stage breast cancer (BC). Dynamic contrast-enhanced magnetic resonance imaging (CE-MRI) has emerged as a critical tool for evaluating treatment response and...

  • Article
  • Open Access
25 Views
15 Pages

Multi-Patient Vision Transformer for Markerless Tumor Motion Forecasting

  • Gauthier Rotsart de Hertaing,
  • Dani Manjah and
  • Benoît Macq

Background: Accurate forecasting of lung tumor motion is crucial for precise radiotherapy. Deep-learning-based markerless tracking methods have been explored, but extending these approaches to predict future tumor trajectories remains largely unaddre...

  • Article
  • Open Access
28 Citations
5,129 Views
20 Pages

Investigation of Patient-Specific Maxillofacial Implant Prototype Development by Metal Fused Filament Fabrication (MF3) of Ti-6Al-4V

  • Mohammad Qasim Shaikh,
  • Subrata Deb Nath,
  • Arulselvan Arumugam Akilan,
  • Saleh Khanjar,
  • Vamsi Krishna Balla,
  • Gerald Thomas Grant and
  • Sundar Vedanarayanan Atre

23 September 2021

Additive manufacturing (AM) and related digital technologies have enabled several advanced solutions in medicine and dentistry, in particular, the design and fabrication of patient-specific implants. In this study, the feasibility of metal fused fila...

  • Article
  • Open Access
1 Citations
1,937 Views
15 Pages

Setup Optimization in Ocular Proton Therapy at the National Centre for Oncological Hadrontherapy: Comparison of Two Approaches to Refine the Position of an Eye-Tracking Device

  • Giulia Sellaro,
  • Andrea Pella,
  • Matteo Pepa,
  • Federica Galante,
  • Mario Ciocca,
  • Maria Rosaria Fiore,
  • Agnieszka Chalaszczyk,
  • Chiara Paganelli,
  • Marco Rotondi and
  • Guido Baroni
  • + 2 authors

14 February 2024

This study describes a method for setup optimization in patient simulation for ocular proton therapy (OPT) at the National Center for Oncological Hadrontherapy (CNAO) in Pavia, Italy, with the aim of minimizing the occupancy time of clinical areas an...

  • Article
  • Open Access
13 Citations
7,824 Views
27 Pages

15 September 2021

Gaining insight into the mechanisms of signal transduction networks (STNs) by using critical features from patient-specific mathematical models can improve patient stratification and help to identify potential drug targets. To achieve this, these mod...

  • Article
  • Open Access
70 Citations
8,541 Views
18 Pages

Three-Dimensional Regeneration of Patient-Derived Intestinal Organoid Epithelium in a Physiodynamic Mucosal Interface-on-a-Chip

  • Yong Cheol Shin,
  • Woojung Shin,
  • Domin Koh,
  • Alexander Wu,
  • Yoko M. Ambrosini,
  • Soyoun Min,
  • S. Gail Eckhardt,
  • R. Y. Declan Fleming,
  • Seung Kim and
  • Hyun Jung Kim
  • + 3 authors

The regeneration of the mucosal interface of the human intestine is critical in the host–gut microbiome crosstalk associated with gastrointestinal diseases. The biopsy-derived intestinal organoids provide genetic information of patients with ph...

  • Article
  • Open Access
2,333 Views
21 Pages

Simulation of a Custom-Made Temporomandibular Joint—An Academic View on an Industrial Workflow

  • Annchristin Andres,
  • Kerstin Wickert,
  • Elena Gneiting,
  • Franziska Binmoeller,
  • Stefan Diebels and
  • Michael Roland

Temporomandibular joint replacement is a critical intervention for severe temporomandibular joint disorders, enhancing pain levels, jaw function and overall quality of life. In this study, we compare two finite element method-based simulation workflo...

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