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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.

The article discusses the problem of the influence of the research goals on the structure of the multivariate model of regression analysis (in particular, on the implementation of the procedure for reducing the dimension of the model). It is shown how bringing the specification of the multiple regression model in line with the research objectives affects the choice of modeling methods. Two schemes for constructing a model are compared: the first does not allow taking into account the typology of primary predictors and the nature of their influence on the performance characteristics, the second scheme implies a stage of preliminary division of the initial predictors into groups, in accordance with the objectives of the study. Using the example of solving the problem of analyzing the causes of burnout of creative workers, the importance of the stage of qualitative analysis and systematization of a priori selected factors is shown, which is implemented not by computing means, but by attracting the knowledge and experience of specialists in the studied subject area. The presented example of the implementation of the approach to determining the specification of the regression model combines formalized mathematical and statistical procedures and the preceding stage of the classification of primary factors. The presence of this stage makes it possible to explain the scheme of managing (corrective) actions (softening the leadership style and increasing approval lead to a decrease in the manifestations of anxiety and stress, which, in turn, reduces the severity of the emotional exhaustion of the team members). Preclassification also allows avoiding the combination in one main component of controlled and uncontrolled, regulatory and controlled feature factors, which could worsen the interpretability of the synthesized predictors. On the example of a specific problem, it is shown that the selection of factors-regressors is a process that requires an individual solution. In the case under consideration, the following were consistently used: systematization of features, correlation analysis, principal component analysis, regression analysis. The first three methods made it possible to significantly reduce the dimension of the problem, which did not affect the achievement of the goal for which this task was posed: significant measures of controlling influence on the team were shown. allowing to reduce the degree of emotional burnout of its participants.

The approach for the analysis of some large-scale biological systems, on the base of quasiequilibrium stages is proposed. The approach allows us to reduce the detailed large-scaled models and obtain the simplified model with an analytical solution. This makes it possible to reproduce the experimental curves with a good accuracy. This approach has been applied to a detailed model of the primary processes of photosynthesis in the reaction center of photosystem II. The resulting simplified model of photosystem II describes the experimental fluorescence induction curves for higher and lower plants, obtained under different light intensities. Derived relationships between variables and parameters of detailed and simplified models, allow us to use parameters of simplified model to describe the dynamics of various states of photosystem II detailed model.