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This paper presents the analysis of dependences between frame basic cell geometry parameters and function via finite element analysis. The simplified models of frame cell with varied strut width, thickness and quantity in a circle was researched to evaluate radial forces, maximum stress and strain, permanent residual strain and pinching load forces. The outcomes of this study might help in the development of new artificial heart valves and during the analysis of existing in-clinical TAVI prostheses.

Aortic stenosis and other forms of aortic valve dysfunction are associated with impaired intracardiac hemodynamics, left ventricular overload, and an increased risk of cardiovascular complications. Assessment of valve function requires not only integral clinical indicators but also local mechanical and hemodynamic characteristics, which, as a rule, cannot be measured directly in vivo. Therefore, mathematical modeling is regarded as one of the main tools for the quantitative analysis of the aortic valve. Despite the widespread use of various deformable-solid models and coupled fluid-structure interaction formulations, FSI, for describing leaflet dynamics, the limits of applicability of simplified formulations relative to the fully coupled problem remain insufficiently defined. In this study, an idealized model of the aortic root with the sinuses of Valsalva and a tricuspid valve was considered. The leaflets were described using an anisotropic hyperelastic material model. Five computational scenarios were compared, including a fully coupled FSI formulation that accounts for both solid and fluid dynamics, as well as a deformable-solid model with four loading variants replacing the effect of blood flow, differing in the way pressure was represented and in the direction of load application to the leaflets. The comparison criteria included deformation, displacement, von Mises stress, leaflet oscillatory dynamics, and the geometric opening area of the valve. It was shown that the FSI model provides the most consistent description of valve function, including asymmetric leaflet opening, smoother opening dynamics, and the absence of pronounced nonphysiological flutter. Structural formulations with loads applied along the local normal to the leaflet surface lead to overestimation of deformation and stress, as well as to more pronounced oscillatory regimes. Scenarios with restricted load direction produce a more moderate response, but they also fail to reproduce the spatial load structure and the temporal organization of leaflet opening. It was concluded that, in aortic valve modeling, not only the magnitude of the pressure difference but also the way it is applied to the leaflets in space and time is of decisive importance. Structural deformable-solid models may be used for the qualitative assessment of selected mechanical trends, but they cannot serve as a full substitute for the FSI formulation in the analysis of leaflet kinematics, oscillatory regimes, stress-strain state, and valve opening dynamics.

This article presents an analysis of the impact of the transcatheter prosthesis frame design features on the results of its implantation in the aortic root model. In this paper we analyzed the various approaches to the design of such structures, as well as modifications in order to improve their functional characteristics during the implantation. As a general method for obtaining the results of interaction of the objects was used finite element method with nonlinear materials description and analysis of the main parameters: the stress-strain state, radial and friction forces.

The article presents a technology for building clinical decision support systems (CDSS) based on service containers using Docker and a web interface that runs directly in the browser without installing specialized software on workstation of a clinician. A modular architecture is proposed in which each application module is packaged as an independent service container combining a lightweight web server, a user interface, and computational components for medical image processing. Communication between the browser and the server side is implemented via a persistent bidirectional WebSocket connection with binary message serialization (MessagePack), which provides low latency and efficient transfer of large data. For local storage of images and analysis of results, browser facilities (IndexedDB with the Dexie.js wrapper) are used to speed up repeated data access. Three-dimensional visualization and basic operations with DICOM data are implemented with Three.js and AMI.js: this toolchain supports the integration of interactive elements arising from the task context (annotations, landmarks, markers, 3D models) into volumetric medical images.

Server components and functional modules are assembled as a set of interacting containers managed by Docker. The paper discusses the choice of base images, approaches to minimizing containers down to runtime-only executables without external utilities, and the organization of multi-stage builds with a dedicated build container. It describes a hub service that launches application containers on user request, performs request proxying, manages sessions, and switches a container from shared to exclusive mode at the start of computations. Examples of application modules are provided (fractional flow reserve estimation, quantitative flow ratio computation, aortic valve closure modeling), along with the integration of a React-based interface with a three-dimensional scene, a versioning policy, automated reproducibility checks, and the deployment procedure on the target platform.

It is demonstrated that containerization ensures portability and reproducibility of the software environment, dependency isolation and scalability, while the browser-based interface provides accessibility, reduced infrastructure requirements, and interactive real-time visualization of medical data. Technical limitations are noted (dependence on versions of visualization libraries and data formats) together with practical mitigation measures.

Most biomechanical tasks of interest to clinicians can be solved only using personalized mathematical models. Such models allow to formalize and relate key pathophysiological processes, basing on clinically available data evaluate non-measurable parameters that are important for the diagnosis of diseases, predict the result of a therapeutic or surgical intervention. The use of models in clinical practice imposes additional restrictions: clinicians require model validation on clinical cases, the speed and automation of the entire calculated technological chain, from processing input data to obtaining a result. Limitations on the simulation time, determined by the time of making a medical decision (of the order of several minutes), imply the use of reduction methods that correctly describe the processes under study within the framework of reduced models or machine learning tools.

Personalization of models requires patient-oriented parameters, personalized geometry of a computational domain and generation of a computational mesh. Model parameters are estimated by direct measurements, or methods of solving inverse problems, or methods of machine learning. The requirement of personalization imposes severe restrictions on the number of fitted parameters that can be measured under standard clinical conditions. In addition to parameters, the model operates with boundary conditions that must take into account the patient’s characteristics. Methods for setting personalized boundary conditions significantly depend on the clinical setting of the problem and clinical data. Building a personalized computational domain through segmentation of medical images and generation of the computational grid, as a rule, takes a lot of time and effort due to manual or semi-automatic operations. Development of automated methods for setting personalized boundary conditions and segmentation of medical images with the subsequent construction of a computational grid is the key to the widespread use of mathematical modeling in clinical practice.

The aim of this work is to review our solutions for personalization of mathematical models within the framework of three tasks of clinical cardiology: virtual assessment of hemodynamic significance of coronary artery stenosis, calculation of global blood flow after hemodynamic correction of complex heart defects, calculating characteristics of coaptation of reconstructed aortic valve.