92C50 Medical applications (general)
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Spectral Deferred Correction methods for adaptive electro-mechanical coupling in cardiac simulation
(2014)
We investigate spectral deferred correction (SDC) methods for time stepping
and their interplay with spatio-temporal adaptivity, applied to the solution
of the cardiac electro-mechanical coupling model. This model consists
of the Monodomain equations, a reaction-diffusion system modeling the cardiac
bioelectrical activity, coupled with a quasi-static mechanical model describing
the contraction and relaxation of the cardiac muscle. The numerical
approximation of the cardiac electro-mechanical coupling is a challenging
multiphysics problem, because it exhibits very different spatial and temporal
scales. Therefore, spatio-temporal adaptivity is a promising approach
to reduce the computational complexity. SDC methods are simple iterative
methods for solving collocation systems. We exploit their flexibility for combining
them in various ways with spatio-temporal adaptivity. The accuracy
and computational complexity of the resulting methods are studied on some
numerical examples.
This paper surveys the required mathematics for a typical challenging problem from computational medicine, the cancer therapy planning in deep regional hyperthermia. In the course of many years of close cooperation with clinics, the medical problem gave rise to quite a number of subtle mathematical problems, part of which had been unsolved when the common project started. Efficiency of numerical algorithms, i.e. computational speed and monitored reliability, play a decisive role for the medical treatment. Off-the-shelf software had turned out to be not sufficient to meet the requirements of medicine. Rather, new mathematical theory as well as new numerical algorithms had to be developed. In order to make our algorithms useful in the clinical environment, new visualization software, a virtual lab, including 3D geometry processing of individual virtual patients had to be designed and implemented. Moreover, before the problems could be attacked by numerical algorithms, careful mathematical modelling had to be done. Finally, parameter identification and constrained optimization for the PDEs had to be newly analyzed and realized over the individual patient's geometry. Our new techniques had an impact on the specificity of the individual patients' treatment and on the construction of an improved hyperthermia applicator.
We consider an optimal control problem from hyperthermia treatment planning and its barrier regularization. We derive basic results, which lay the groundwork for the computation of optimal solutions via an interior point path-following method. Further, we report on a numerical implementation of such a method and its performance at an example problem.
Regional hyperthermia is a cancer therapy aiming at heating tumors using phased array applicators. This article provides an overview over current mathematical challenges of delivering individually optimal treatments. The focus is on therapy planning and identification of technical as well as physiological quantities from MR thermometry measurements.