Optimal in vitro realization of pulsatile coronary artery flow waveforms using closed-loop feedback algorithms with multiple flow control devices

In this paper, we study optimal in vitro realization of pulsatile coronary artery flows using newly proposed closed-loop feedback algorithms with a clearly defined mathematical performance objective, and we compare several flow control device technologies in terms of their ability to generate pulsatile flow signals as accurately as possible. In the literature, there are several published results for in vitro pulsatile flow realization systems. However, most of the proposed systems operate in an open-loop setting and use a single flow control device, and their performance is assessed mostly by graphical means without a clearly defined mathematical performance objective. Furthermore, some authors take the average of the generated pulsatile flow and compare it with the desired flow signal for performance analysis. What makes this work different from other published results in this area are: 1) the use of closed-loop feedback control rather than an open-loop approach; 2) the use of a clearly defined mathematical performance objective rather than a visual comparison of the generated and desired flow graphs; 3) newly proposed control algorithms with demonstrated performance improvements as compared to the published ones; 4) the use of multiple flow control devices, their performance comparisons, and optimal technology selection; and 5) not taking the average of the generated flow signal over several cycles for performance assessment, but instead using the nonaveraged actual flow signal and comparing it with the desired one. In pulsatile flow realization, what is important is the L1 distance between the desired and delayed versions of the generated flows in the steady state regime, and the defined mathematical performance objective is completely based on this point. Furthermore, there are 3 different flow control devices that are comparatively analyzed: the pneumatic valve, the servo valve, and an AC inverter driving a centrifugal pump. Finally, there are several new closed-loop control algorithms proposed in this paper: P-S , P-S predictive, P-S look ahead, and model-based nonlinear feed-forward, feed-forward predictive, and feed-forward look-ahead control. Each algorithm's performance is compared with that of PID performance as a benchmark test to demonstrate performance improvements. By proper selection of the flow control device, and optimal selection of the control algorithm and its parameters, we were able to achieve up to 75% reduction in error.

Optimal in vitro realization of pulsatile coronary artery flow waveforms using closed-loop feedback algorithms with multiple flow control devices

In this paper, we study optimal in vitro realization of pulsatile coronary artery flows using newly proposed closed-loop feedback algorithms with a clearly defined mathematical performance objective, and we compare several flow control device technologies in terms of their ability to generate pulsatile flow signals as accurately as possible. In the literature, there are several published results for in vitro pulsatile flow realization systems. However, most of the proposed systems operate in an open-loop setting and use a single flow control device, and their performance is assessed mostly by graphical means without a clearly defined mathematical performance objective. Furthermore, some authors take the average of the generated pulsatile flow and compare it with the desired flow signal for performance analysis. What makes this work different from other published results in this area are: 1) the use of closed-loop feedback control rather than an open-loop approach; 2) the use of a clearly defined mathematical performance objective rather than a visual comparison of the generated and desired flow graphs; 3) newly proposed control algorithms with demonstrated performance improvements as compared to the published ones; 4) the use of multiple flow control devices, their performance comparisons, and optimal technology selection; and 5) not taking the average of the generated flow signal over several cycles for performance assessment, but instead using the nonaveraged actual flow signal and comparing it with the desired one. In pulsatile flow realization, what is important is the L1 distance between the desired and delayed versions of the generated flows in the steady state regime, and the defined mathematical performance objective is completely based on this point. Furthermore, there are 3 different flow control devices that are comparatively analyzed: the pneumatic valve, the servo valve, and an AC inverter driving a centrifugal pump. Finally, there are several new closed-loop control algorithms proposed in this paper: P-S , P-S predictive, P-S look ahead, and model-based nonlinear feed-forward, feed-forward predictive, and feed-forward look-ahead control. Each algorithm's performance is compared with that of PID performance as a benchmark test to demonstrate performance improvements. By proper selection of the flow control device, and optimal selection of the control algorithm and its parameters, we were able to achieve up to 75% reduction in error.

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  • P- Σ look-ahead control with the solenoid valve Similar to the performance improvements observed for the centrifugal pump, the look-ahead technique also resulted in an improvement. Compared to the P- Σ controller, the look-ahead technique resulted in 20% per- formance improvement, which is comparable to the performance improvement observed with causal prediction. The search results for a suitable prediction coefficient and a delay value in the Kpp– d plane are summarized in Table 9. Table 9. P- Σ look-ahead controller performance with solenoid valve. Delay d 01 03 2767
  • Table 10. Type-1 feed-forward controller performance with the centrifugal pump. Kp 01 75 9580
  • Table 11. Type-2 feed-forward controller performance with the centrifugal pump. p 5 75 8726 4.2.
  • Feed-forward control with solenoid valve For the solenoid valve, we conducted a similar one-dimensional search in the Kpspace, and the results are summarized in Tables 12 and 13 for type-1 and type-2 feed-forward controllers, respectively. Compared to the best possible performance index of 5.5378 among the PID, P- Σ , P- Σ predictive, and P- Σ look-ahead controllers with a solenoid valve, a small performance improvement of about 3% was achieved.
  • Table 12. Type-1 feed-forward controller performance with the solenoid valve. Kp 1 75 8689
  • Table 13. Type-2 feed-forward controller performance with the solenoid valve. 5 75 4590 5.
  • Table 15. Feed-forward predictive controller performance with the solenoid valve. Delay d 75 6 5466
  • Figure 23. Best performance for the solenoid valve is obtained with the feed-forward predictive control when the reference signal is the coronary artery blood flow signal. The performance is computed as J = 5.2319.
  • D.N. Ku, “Blood flow in arteries”, Annual Review of Fluid Mechanics, Vol. 29, pp. 399-434, 1997.
  • R.M. Berne, M.N. Levy, Cardiovascular Physiology, St. Louis, Mosby, 1986.
  • A. Kamiya, T. Togawa, “Adaptive regulation of wall shear stress to flow change in the canine carotid artery”, American Journal of Physiology - Heart and Circulatory Physiology, Vol. 293, pp. 14-21, 1980.
  • S.W. Galt, R.M. Zwolak, R.J. Wagner, J.J. Gilbertson, “Differential response of arteries and vein grafts to blood flow reduction”, Journal of Vascular Surgery, Vol. 17, pp. 563-570, 1993.
  • S.Q. Liu, Y.C. Fung, “Relationship between hypertension, hypertrophy, and opening angle of zero-stress state of arteries following aortic constriction”, Journal of Biomechanical Engineering, Vol. 111, pp. 325-333, 1989.
  • J.I. Hoffman, S. Kaplan, “The incidence of congenital heart disease”, Journal of the American College of Cardiology. Vol. 39, pp. 1890-900, 2002.
  • C.A. Taylor, M.T. Draney, “Experimental and computational methods in cardiovascular fluid mechanics”, Annual Review of Fluid Mechanics, Vol. 231, pp. 36-197, 2004.
  • F. Loth, P.F. Fischer, N. Arslan, C.D. Bertram, S.E. Lee, T.J. Royston, W.E. Shaalan, H.S. Bassiouny, “Transitional flow at the venous anastomosis of an arteriovenous graft: potential activation of ERK1/2 mechanotransduction pathway”, Journal of Biomechanical Engineering, Vol. 125, pp. 49-61, 2003.
  • T.M. Liou, Y.C. Li, “Effects of stent porosity on hemodynamics in a sidewall aneurysm model”, Journal of Biomechanics, Vol. 41, pp. 1174-1183, 2008.
  • N. Arslan, F. Loth, C.D. Bertram, H.S. Bassiouny, “Transitional flow Şeld characterization inside an arteriovenous graft-to-vein anastomosis under pulsatile flow conditions”, European Journal of Mechanics - B/Fluids, Vol. 24, pp. 365, 2005.
  • S.W. Lee, D.S. Smith, F. Loth, P.F. Fischer, H.S. Bassiouny, “Numerical and experimental simulation of transitional flow in a blood vessel junction”, Numerical Heat Transfer, Part A: Applications, Vol. 51, pp. 1-22, 2007.
  • J. Peacock, T. Jones, C. Tock, R. Lutz, “An in vitro study on the effect of branch points on the stability of coronary artery flow”, Medical Engineering & Physics, Vol. 19, pp. 101-108, 1997.
  • S.C.M. Yu, “Steady and pulsatile flow studies in abdominal aortic aneurysm models using particle image velocime- try”, International Journal of Heat and Fluid Flow, Vol. 21, pp. 74-83, 2000.
  • S. Sivenesan, T.V. How, R.A. Black, A. Bakran, “Flow pattern in the radiocephalic arteriovenous Şstula: an in vitro study”, Journal of Biomechanics, Vol. 32, pp. 915-925, 1999.
  • H.M. Crawshaw, W.C. Quist, E. Serallach, C.R. Valeri, F.W. LoGerfo, “Flow disturbance at the distal end-to-side anastomosis - effect of patency of the proximal outflow segment and angle of anastomosis”, Archives of Surgery, Vol. 115, pp. 1280-1284, 1980.
  • M. Nakamura, W. Sugiyama, M. Haruna, “An experiment on the pulsatile flow at transitional Reynolds numbers – the fluid dynamical meaning of the blood-flow parameters in the aorta”, Journal of Biomechanical Engineering, Vol. 115, pp. 412-417, 1993.
  • R.A. Peattie, “Experimental study of pulsatile flow in models of abdominal aortic aneurysms”, IEEE Engineering in Medicine and Biology Society, Vol. 20, pp. 367-370, 1998.
  • N. Arslan, “An in vitro investigation of steady transitional flow in an arteriovenous graft-to-vein anastomosis”, Turkish Journal of Engineering & Environmental Sciences, Vol. 37, pp. 79-81, 2007.
  • T.M. Liou, Y.C. Li, “Effects of stent porosity on hemodynamics in a sidewall aneurysm model”, Journal of Biomechanics, Vol. 41, pp. 1174-1183, 2008.
  • N. Arslan, A.B. Sengul, “Experimental detection of critical flow regions inside a complex graft to vein connection using laser Doppler anemometer”, Experimental Techniques, Vol. 34, pp. 30-37, 2009.
  • C.D. Bertman, F. Pythoud, N. Stergiopulos, J.J. Meister, “Pulse wave attenuation measurement by linear and nonlinear methods in nonlinearly elastic tubes”, Medical Engineering and Physics, Vol. 21, pp. 155-166, 1999.
  • G. Pennati, G.B. Fiore, F. Migliavacca, K. Lagan`a, R. Fumero, G. Dubini, “In vitro steady-flow analysis of systemic- to-pulmonary shunt haemodynamics”, Journal of Biomechanics, Vol. 34, pp. 23-30, 2001.
  • I. Van Tricht, D. De Wachter, J. Tordoir, P. Verdonck, “Hemodynamics in a compliant hydraulic in vitro model of straight versus tapered PTFE arteriovenous graft”, Journal of Surgical Research, Vol. 116, pp. 297-304, 2004.
  • A. Schmidt, T. da Silva J´unior, A. Pazin-Filho, L. Ot´avio Murta J´unior, O. C´esar Almeida-Filho, L. Gallo-J´unior, J. Antonio Marin-Neto, B. Carlos Maciel, “Effects of changing blood viscosity and heart rate on vena contracta width as evaluated by color Doppler flow mapping. An in vitro study with a pulsatile flow model”, Echocardiography, Vol. , pp. 133-140, 2008.
  • W. Tsai, ¨O. Sava¸s, “Flow pumping system for physiological waveforms”, Medical & Biological Engineering & Computing, Vol. 48, pp. 197-201, 2010.
  • J.D. Bomberger, D.E. Seborg, “Determination of model order for NARX models directly from input-output data”, Journal of Process Control, Vol. 8, pp. 459-468, 1998.