Physics Informed Neural Network model for the dynamical study of Abdominal Aortic Aneurysm

Clinical decision-making for coronary intervention relies mainly on angiography and fractional flow reserve (FFR). However, angiography is two-dimensional and lacks depth information for 3D lesion characterization, while FFR provides only a single functional index, offering limited hemodynamic insight. Among existing methods, numerical analysis is computationally expensive, whereas learning-based approaches require extensive supervision and often lack physical consistency. To address these limitations, we propose physics-informed hemodynamic modeling, an integrated deep learning framework for 3D coronary blood flow analysis from dual-view angiography. First, an attention-enhanced CNN reconstructs coronary geometry from angiography. The resulting point clouds are then mapped to a reference domain and Fourier-encoded for joint representation. A decoupled network separately predicts velocity and pressure fields, with embedded physical priors enabling efficient transfer across physiological conditions. Across 32 clinical patients evaluated under four flow conditions, the trans-stenotic pressure-drop mean absolute percentage error was 2.02%, while the velocity and pressure relative-L2 errors were 0.054 and 0.023, respectively. Validation against hospital-measured FFR further achieved 93.8% diagnostic accuracy (30/32; exact 95% CI, 79.2%-99.2%). The framework also supports illustrative revascularization comparisons and sparse-data assimilation, with the full angiography-to-hemodynamics pipeline completed within 20 minutes per patient.

While Physics-Informed Neural Networks (PINNs) offer a mesh-free approach to solving fluid-flow PDEs, standard point-wise residual minimization suffers from convergence pathologies in topologically complex domains like Triply Periodic Minimal Surfaces (TPMS). The locality bias of point-wise constraints fails to propagate global information through tortuous channels, causing unstable gradients and conservation violations. To address this, we propose the Multi-scale Weak-form PINN (MUSA-PINN), which reformulates Navier-Stokes equation constraints as integral conservation laws over hierarchical spherical control volumes. We enforce continuity and momentum conservation via flux-balance residuals on control surfaces. Our method utilizes a three-scale subdomain strategy-comprising large volumes for long-range coupling, skeleton-aware meso-scale volumes aligned with transport pathways, and small volumes for local refinement-alongside a two-stage training schedule prioritizing continuity. Experiments on steady incompressible flow in TPMS geometries show MUSA-PINN outperforms state-of-the-art baselines, reducing relative errors by up to 93% and preserving mass conservation.

Wall shear stress (WSS) governs near-wall transport dynamics and is a key hemodynamic indicator in cardiovascular flows, yet remains difficult to infer accurately due to the need for precise computation of near-wall velocity gradients. Passive scalar fields, such as concentration or temperature, are advected by the same underlying velocity field and have the potential to uncover hidden flow physics metrics such as WSS. In this work, we demonstrate such reconstruction from spatially limited passive scalar observations using two fundamentally different inverse frameworks: a differentiable physics framework based on discrete adjoint, PDE-constrained optimization, which enforces the governing equations as hard constraints, and physics-informed neural networks (PINNs), which treat them as soft constraints. Benchmark problems include a 2D canonical backward-facing step (2D-BFS) and a 3D patient-specific stenotic coronary artery. For the 2D-BFS case, evaluated under three measurement scenarios (near-wall, far-field, and combined), PINN achieves high accuracy when near-wall data are available but fails when restricted to far-field measurements, whereas the differentiable physics approach recovers accurate WSS across all scenarios. In the 3D patient-specific case, the differentiable physics framework outperforms PINNs, yielding accurate WSS reconstruction. These results establish that measurement location and inverse formulation jointly determine reconstruction fidelity in scalar-based near-wall flow inference. The proposed framework opens a path toward estimation of near-wall hemodynamics from scalar transport data, with broader applicability to fluid flow problems where passive scalars can be observed.