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| 1 | Coronary Magnetic Resonance Angiography in Adolescents and Young Adults With Kawasaki Disease显示文摘 | Gerald F. Greil Matthias Stuber René M. Botnar Kraig V. Kissinger Tal Geva Jane W. Newburger Warren J. Manning Andrew J. Powell | 2002 | Circulation: Journal of the American Heart Association2002，，8： | 1 |
| 2 | Feasibility and Reproducibility of Three-Dimensional Echocardiographic Assessment of Right Ventricular Size and Function in Pediatric Patients显示文摘 | Pierangelo Renella Gerald R. Marx Jing Zhou Kimberlee Gauvreau Tal Geva | 2014 | Journal of the American Society of Echocardiography2014，，： | 1 |
| 3 | Cardiovascular causes of airway compression 显示文摘 | Barry D Kussman Tal Geva | 2004 | Pediatric Anesthesia2004，14，1： | 1 |
| 4 | Recommendations for Quantification Methods During the Performance of a Pediatric Echocardiogram: A Report From the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council显示文摘 | Leo Lopez Steven D. Colan Peter C. Frommelt Gregory J. Ensing Kathleen Kendall Adel K. Younoszai Wyman W. Lai Tal Geva | 2010 | Journal of the American Society of Echocardiography2010，，5： | 1 |
| 5 | Atrial septal defects显示文摘 | Tal Geva Jose D Martins Rachel M Wald | 2014 | The Lancet . 2014 (9932)2014，，9932： | 1 |
| 6 | Coronary Magnetic Resonance Angiography in Adolescents and Young Adults With Kawasaki Disease显示文摘 | Gerald F. Greil Matthias Stuber René M. Botnar Kraig V. Kissinger Tal Geva Jane W. Newburger Warren J. Manning Andrew J. Powell | 2002 | Circulation: Journal of the American Heart Association2002，，8： | 1 |
| 7 | Computational Modeling of Human Bicuspid Pulmonary Valve Dynamic Deformation in Patients with Tetralogy of Fallot显示文摘Pulmonary valve stenosis(PVS)is one common right ventricular outflow tract obstruction problem in patients with tetralogy of Fallot(TOF).Congenital bicuspid pulmonary valve(BPV)is a condition of valvular stenosis,and the occurrence of congenital BPV is often associated with TOF.Dynamic computational models of normal pulmonary root(PR)with tri-leaflet and PR with BPV in patients with TOF were developed to investigate the effect of geometric structure of BPV on valve stress and strain distributions.The pulmonary root geometry included valvular leaflets,sinuses,interleaflet triangles and annulus.Mechanical properties of pulmonary valve leaflet were obtained from biaxial testing of human PV leaflet,and characterized by an anisotropic Mooney-Rivlin model.The complete cardiac cycle was simulated to observe valve leaflet dynamic stress/strain behaviors.Our results indicated that stress/strain distribution patterns of normal tri-leaflet pulmonary valve(TPV)and the BPV were different on valve leaflets when the valve was fully open,but they were similar when valves were completely closed.When the valve was fully open,the BPV maximum stress value on the leaflets was 197.2 kPa,which was 94.3%higher than of the normal TPV value(101.5 kPa).During the valve was fully open,the stress distribution in the interleaflet triangles region of the PR was asymmetric in the BPV model compared with that in the TPV model.The geometric orifice area value in the completely opened position of BPV model was reduced 55.6%from that of the normal PV.Our initial results demonstrated that valve geometrical variations with BPV may be a potential risk factor linked to occurrence of PVS in patients with TOF.Computational models could be a useful tool in identifying possible linkage between valve disease development and biomechanical factors.Large-scale clinical studies are needed to validate these preliminary findings. | Caili Li Christopher Baird Jing Yao Chun Yang Liang Wang Han Yu Tal Geva Dalin Tang | 2019 | Computer Modeling in Engineering & Sciences2019，，4： | 0 |
| 8 | Improving Right Ventricle Cardiac Function for Repaired Tetralogy of Fallot Patient with Contracting Bands: A Modelling Study显示文摘Objective Patients with repaired tetralogy of Fallot(rTOF)account for the majority of cases with late onset right ventricle(RV)failure.The current surgical approach,including pulmonary valve replacement/insertion(PVR),has yielded mixed results with some patients recover RV function and some do not.An innovative surgical approach was proposed to help ventricle to contract and improve RV function qualified by ejection fraction with one or more active contracting bands.Computational biomechanical modelling is a widely used method in cardiovascular study for investigation of mechanisms governing disease development,quantitative diagnostic and treatment strategies and improving surgical designs for better outcome.Muscle active contraction caused by zero-load sarcomere shortening leads to change of zero-load configurations.In lieu of experimenting using real surgery on animal or human,computational simulations(virtual surgery)were performed to test different band combination and insertion options to identify optimal surgery design and band insertion plan.Methods Cardiac magnetic resonance(CMR)data were obtained from one rTOF patient(sex:male,age:22.5 y)before pulmonary valve replacement surgery.The patient was suffering from RV dilation and dysfunction with RV end-systole volume 254.49ml and end-diastole volume 406.91 mL.A total of 15 computational RV/LV/Patch/Band combination models based on(CMR)imaging were constructed to investigate the influence of different band insertion surgery plans.These models included 5 different band insertion models combined and 3 different band contraction ratio(10%,15%and 20%band zero-stress length reduction).These models included 5 different band insertion models:Model 1 with one band at anterior to the middle of papillary muscle;Model 2 with one band at posterior to the middle of papillary muscle;Model 3 with 2 bands which are the ones from Models 1&2 combined;Model 4 with a band at the base of the papillary muscle;Model 5 with 3 bands which is a combination of Models 3&4.A pre-shrink process was performed on in-vivo begin-filling and end-systole MRI data to obtain diastole and systole zero4oad ventricle geometries.An extra 5%-8%shrinkage was applied to obtain corresponding systole zero-load geometry reflecting myocardium sarcomere shortening.The zero-load band length in systole was 10%,15%and 20%shorter than that in diastole according to their corresponding contraction ratio.The nonlinear Mooney-Rivlin model was used to describe the ventricle material properties with their material parameter values adjusted to match measured data with CMR.The band material properties were in the same scale with healthy right ventricle.The RV/LV/Band model construction and solution procedures were the same as described.Results Model 5 with band contraction ratio of 20%has the ability to improve RV ejection fraction to 41.07%,which represented a 3.61%absolute improvement,or 9.6%relative improvement using pre-PVR ejection fraction as the baseline number.The ejection fractions for Models 1-4 with band contraction ratio of 20%were 39.28%,39.47%,38.87%and 40.34%respectively.Compared to models with band contraction ratio15%and 20%,models with band contraction ratio 10%has the least ability on RV ejection fraction improvement with ejection fraction 38.28%,38.00%,38.81%,38.50%and 39.36%corresponding to Models 1-5.Conclusions This pilot work demonstrated that the band insertion surgery may have great potential to improve post-PVR RV cardiac function for patients with repaired TOF.More band contraction ratio and inserted band number may lead to better post-surgery outcome.Further investigations using in-vitro animal experiments and final patient studies are warranted. | Han Yu Tal Geva Rahul HRathod Chun Yang Zheyang Wu Kristen LBilliar Xueying Huang Dalin Tang | 2019 | 医用生物力学2019，34，A01： | 0 |
| 9 | Anisotropic Models of Human Pulmonary Root with Bicuspid Pulmonary Valve in Patients with Tetralogy of Fallot: Pulmonary Root Function Assessment and Mechanical Stress Analysis显示文摘Background Tetralogy of Fallot(TOF)is the most common cyanotic heart defect,accounting for 10%of all congenital defects.Pulmonary valve stenosis(PVS)is one common right ventricular outflow tract obstruction problem in patients with TOF.Congenital bicuspid pulmonary valve(BPV)is a condition of valvular stenosis,which morphologic feature is the presence of only two pulmonary leaflets instead of the normal tri-leaflet.Congenitally BPV are uncommon and the occurrence is often associated with TOF.Methods The three-dimensional geometric reconstruction of pulmonary root(PR)were based on well-accepted mathematical analytic models with physiological parameters obtained from a typical sample of the pulmonary root used in clinical surgery.The PR geometry included valvular leaflets,sinuses,interleaflet triangles and annulus.The dynamic computational models of normal PR with tri-leaflet and PR with BPV in patients with TOF were developed to investigate the effect of geometric structure of BPV on valve stress and strain distributions and the geometric orifice area.Mechanical properties of pulmonary valve leaflet were obtained from biaxial testing of human pulmonary valve left leaflet,and characterized by an anisotropic Mooney-Rivlin model.The complete cardiac cycle was simulated to observe valve leaflet dynamic stress and strain behaviors.Results Our results indicated that stress/strain distribution patterns of normal tri-leaflet pulmonary valve(TPV)and the BPV were different on valve leaflets when the valve was fully open,but they were similar when valves were completely closed.When the valve was fully open,the BPV maximum stress value on the leaflets was 218.1 kPa,which was 128.0%higher than of the normal TPV value(95.6 kPa),and BPV maximum strain value on the leaflets was 70.7%higher than of the normal TPV.The location of the maximum stress from TPV and BPV were also different,which were found at the bottom of the valve near the leaflet attachment for TPV and the vicinity of cusp of the fusion of two leaflets for BPV,respectively.During the valve was fully open,the stress distribution in the interleaflet triangles region of the PR was more asymmetric in the BPV model compared with that in the normal TPV model,and the largest change on the PR with the geometrical variations in the two models was 39.6%in maximum stress.This stress asymmetry indicates that BPV may be one of the causes of post-stenotic pulmonary artery dilatation and aneurysm in patients with TOF.The cusp of the BPV model showed significant eccentricity during peak systolic period,and its geometric orifice area value in the completely opened position of valve was reduced 57.5%from that of the normal TPV model.Conclusions Our initial results demonstrated that valve geometrical variations with BPV may be a potential risk factor linked to occurrence of PVS in patients with TOF.Computational models could be used as an effective tool to identifying possible linkage between pulmonary valve malformation disease development and biomechanical factors,better design of artificial valves and new surgical procedures without testing those on patients.Large-scale clinical studies are needed to validate these preliminary findings. | Caili Li Christopher Baird Jing Yao Chun Yang Liang Wang Han Yu Tal Geva Dalin Tang | 2019 | 医用生物力学2019，34，A01： | 0 |
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