A publicly available virtual cohort of four-chamber heart meshes for cardiac electro-mechanics simulations
Open accessAbstract
Computational models of the heart are increasingly being used in the development of devices, patient diagnosis and therapy guidance. While software techniques have been developed for simulating single hearts, there remain significant challenges in simulating cohorts of virtual hearts from multiple patients. To facilitate the development of new simulation and model analysis techniques by groups without direct access to medical data, image analysis techniques and meshing tools, we have created the first publicly available virtual cohort of twenty-four four-chamber hearts. Our cohort was built from heart failure patients, age 67±14 years. We segmented four-chamber heart geometries from end-diastolic (ED) CT images and generated linear tetrahedral meshes with an average edge length of 1.1±0.2mm. Ventricular fibres were added in the ventricles with a rule-based method with an orientation of -60° and 80° at the epicardium and endocardium, respectively. We additionally refined the meshes to an average edge length of 0.39±0.10mm to show that all given meshes can be resampled to achieve an arbitrary desired resolution. We ran simulations for ventricular electrical activation and free mechanical contraction on all 1.1mm-resolution meshes to ensure that our meshes are suitable for electro-mechanical simulations. Simulations for electrical activation resulted in a total activation time of 149±16ms. Free mechanical contractions gave an average left ventricular (LV) and right ventricular (RV) ejection fraction (EF) of 35±1% and 30±2%, respectively, and a LV and RV stroke volume (SV) of 95±28mL and 65±11mL, respectively. By making the cohort publicly available, we hope to facilitate large cohort computational studies and to promote the development of cardiac computational electro-mechanics for clinical applications.
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Imaging data from 24 subjects was used in [40] to develop 24 four-chamber heart models.
“For example, imaging data from 24 subjects was used in [40] to develop 24 four-chamber heart models.”
From Credibility assessment of in silico clinical trials for medical devices (2024) · cites this paper as [40]
Each of the 24 anatomical models represent a specific patient, although tissue material properties were defined from the literature.
“Each of the 24 anatomical models represent a specific patient, although tissue material properties were defined from the literature.”
From Credibility assessment of in silico clinical trials for medical devices (2024) · cites this paper as [40]
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Mean Thoracic Aortic Wall Thickness Determination by Cine MRI with Steady-State Free Precession
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Imaging technologies for cardiac fiber and heart failure: a review
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Self-citationValidation of an arterial constitutive model accounting for collagen content and crosslinking
Tian, L., Wang, Z., Liu, Y., Eickhoff, J. C., Eliceiri, K. W., & Chesler, N. C. (2015) · Acta Biomaterialia · doi:10.1016/j.actbio.2015.11.058 · Cited by 29 · see citing works
In vivo porcine left atrial wall stress: Computational model
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Quality Metrics for High Order Meshes: Analysis of the Mechanical Simulation of the Heart Beat
Lamata, P., Roy, I., Blazevic, B., Crozier, A., Land, S., Niederer, S., Hose, D. R., & Smith, N. P. (2012) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2012.2231094 · Cited by 23 · see citing works
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Orthogonal decomposition of left ventricular remodeling in myocardial infarction
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Classification of left ventricular size: diameter or volume with contrast echocardiography?
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A framework for biomechanics simulations using four-chamber cardiac models
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Self-citationDistributed Data Management Service for VPH Applications
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Continuous Spatio-temporal Atlases of the Asymptomatic and Infarcted Hearts
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Cardiac resynchronization in chronic heart failure
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Identification of the material parameters of an aortic wall
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The Cardiac Atlas Project: Towards a Map of the Heart
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Self-citationRevealing Differences in Anatomical Remodelling of the Systemic Right Ventricle
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Papillary muscles contraction does not change ventricular wall mechanics
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The openCARP simulation environment for cardiac electrophysiology
Plank, G., Loewe, A., Neic, A., Augustin, C. M., Huang, Y.-L., Gsell, M. A. F., Karabelas, E., Nothstein, M., Prassl, A. J., Sánchez, J., et al. (2021) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2021.106223 · Cited by 261 · see citing works
Self-citationScaling digital twins from the artisanal to the industrial
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Electro-Mechanical Whole-Heart Digital Twins: A Fully Coupled Multi-Physics Approach
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Linking statistical shape models and simulated function in the healthy adult human heart
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Fedele, M., & Quarteroni, A. M. (2021) · International Journal for Numerical Methods in Biomedical Engineering · doi:10.1002/cnm.3435 · Cited by 65 · see citing works
From bits to bedside: entering the age of digital twins in cardiac electrophysiology
Bhagirath, P., Strocchi, M., Bishop, M. J., Boyle, P. M., & Plank, G. (2024) · EP Europace · doi:10.1093/europace/euae295 · Cited by 65 · see citing works
Self-citation3D–0D closed-loop model for the simulation of cardiac biventricular electromechanics
Piersanti, R., Regazzoni, F., Salvador, M., Corno, A. F., Dede’, L., Vergara, C., & Quarteroni, A. M. (2022) · Computer Methods in Applied Mechanics and Engineering · doi:10.1016/j.cma.2022.114607 · Cited by 61 · see citing works
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Self-citationCredibility assessment of in silico clinical trials for medical devices
Pathmanathan, P., Aycock, K., Badal, A., Bighamian, R., Bodner, J., Craven, B. A., & Niederer, S. (2024) · PLOS Computational Biology · doi:10.1371/journal.pcbi.1012289 · Cited by 62 · see citing works
Self-citationElectro-fluid-mechanics of the heart
Verzicco, R. (2022) · Journal of Fluid Mechanics · doi:10.1017/jfm.2022.272 · Cited by 55 · see citing works
Learning Whole Heart Mesh Generation From Patient Images for Computational Simulations
Kong, F., & Shadden, S. C. (2022) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2022.3219284 · Cited by 52 · see citing works
Salvador, M., Fedele, M., Africa, P. C., Sung, E., Dede’, L., Prakosa, A., Chrispin, J., Trayanova, N. A., & Quarteroni, A. M. (2021) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2021.104674 · Cited by 51 · see citing works
Global Sensitivity Analysis of Four Chamber Heart Hemodynamics Using Surrogate Models
Karabelas, E., Longobardi, S., Fuchsberger, J., Razeghi, O., Rodero, C., Strocchi, M., Rajani, R., Haase, G., Plank, G., & Niederer, S. (2022) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2022.3163428 · Cited by 50 · see citing works
Self-citationQian, S., Uğurlu, D., Fairweather, E., Toso, L. D., Deng, Y., Strocchi, M., Cicci, L., Jones, R. E., Zaidi, H. A., Prasad, S., et al. (2025) · Nature Cardiovascular Research · doi:10.1038/s44161-025-00650-0 · Cited by 47 · see citing works
Self-citationComparison of novel ventricular pacing strategies using an electro-mechanical simulation platform
Meiburg, R., Rijks, J. H. J., Beela, A. S., Bressi, E., Grieco, D., Delhaas, T., LUERMANS, J. G. L. M., Prinzen, F. W., Vernooy, K., & Lumens, J. (2023) · EP Europace · doi:10.1093/europace/euad144 · Cited by 46 · see citing works
Galappaththige, S., Gray, R. A., Costa, C. M., Niederer, S., & Pathmanathan, P. (2022) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1010541 · Cited by 45 · see citing works
Self-citationChokhandre, S. K., Schwartz, A., Klonowski, E., Landis, B., & Erdemir, A. (2022) · Annals of Biomedical Engineering · doi:10.1007/s10439-022-03074-0 · Cited by 44 · see citing works
A personalized real-time virtual model of whole heart electrophysiology
Gillette, K. K., Gsell, M. A. F., Strocchi, M., Grandits, T., Neic, A., Manninger, M., Scherr, D., Roney, C. H., Prassl, A. J., Augustin, C. M., et al. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.907190 · Cited by 41 · see citing works
Self-citationMarx, L., Niestrawska, J. A., Gsell, M. A. F., Caforio, F., Plank, G., & Augustin, C. M. (2022) · Journal of Computational Physics · doi:10.1016/j.jcp.2022.111266 · Cited by 48 · see citing works
Self-citationWhole-heart electromechanical simulations using Latent Neural Ordinary Differential Equations
Salvador, M., Strocchi, M., Regazzoni, F., Augustin, C. M., Dede’, L., Niederer, S., & Quarteroni, A. M. (2024) · npj Digital Medicine · doi:10.1038/s41746-024-01084-x · Cited by 39 · see citing works
Self-citationFresca, S., Manzoni, A., Dede’, L., & Quarteroni, A. M. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.679076 · Cited by 39 · see citing works
Fast and robust parameter estimation with uncertainty quantification for the cardiac function
Salvador, M., Regazzoni, F., Dede’, L., & Quarteroni, A. M. (2023) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2023.107402 · Cited by 38 · see citing works
Whole-heart modelling with valves in a fluid–structure interaction framework
Feng, L., Gao, H., & Luo, X. (2024) · Computer Methods in Applied Mechanics and Engineering · doi:10.1016/j.cma.2023.116724 · Cited by 36 · see citing works
Effect of scar and His–Purkinje and myocardium conduction on response to conduction system pacing
Strocchi, M., Gillette, K., Neic, A., Elliott, M. K., Wijesuriya, N., Mehta, V., Vigmond, E. J., Plank, G., Rinaldi, C. A., & Niederer, S. A. (2023) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.15847 · Cited by 35 · see citing works
Self-citationA systematic review of cardiac in-silico clinical trials
Rodero, C., Baptiste, T. M. G., Barrows, R. K., Keramati, H., Sillett, C., Strocchi, M., Lamata, P., & Niederer, S. (2023) · Progress in Biomedical Engineering · doi:10.1088/2516-1091/acdc71 · Cited by 29 · see citing works
Self-citationlifex-fiber: an open tool for myofibers generation in cardiac computational models
Africa, P. C., Piersanti, R., Fedele, M., Dede’, L., & Quarteroni, A. M. (2023) · BMC Bioinformatics · doi:10.1186/s12859-023-05260-w · Cited by 28 · see citing works
Digital twinning of cardiac electrophysiology for congenital heart disease
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Moss, R., Wülfers, E. M., Schuler, S., Loewe, A., & Seemann, G. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.778872 · Cited by 30 · see citing works
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Self-citationRodero, C., Baptiste, T. M. G., Barrows, R. K., Lewalle, A., Niederer, S., & Strocchi, M. (2023) · Frontiers of Physics · doi:10.3389/fphy.2023.1306210 · Cited by 22 · see citing works
Self-citationSolving the Inverse Problem of Electrocardiography for Cardiac Digital Twins: A Survey
Li, L., Camps, J., Rodríguez, B., & Grau, V. (2024) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2024.3486439 · Cited by 25 · see citing works
A matrix–free high–order solver for the numerical solution of cardiac electrophysiology
Africa, P. C., Salvador, M., Gervasio, P., Dede’, L., & Quarteroni, A. M. (2023) · Journal of Computational Physics · doi:10.1016/j.jcp.2023.111984 · Cited by 24 · see citing works
Digital Twin Models in Atrial Fibrillation: Charting the Future of Precision Therapy?
Karakasis, P., Antoniadis, A. P., Theofilis, P., Vlachakis, P. K., Milaras, N., Patoulias, D., Karamitsos, T. D., & Fragakis, N. (2025) · Journal of Personalized Medicine · doi:10.3390/jpm15060256 · Cited by 21 · see citing works
High-fidelity model of the human heart: An immersed boundary implementation
Viola, F., Corso, G. D., & Verzicco, R. (2023) · Physical Review Fluids · doi:10.1103/physrevfluids.8.100502 · Cited by 21 · see citing works
Fan, L., Namani, R., Choy, J. S., Kassab, G. S., & Lee, L. C. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.744855 · Cited by 20 · see citing works
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Self-citationAn efficient isogeometric collocation approach to cardiac electrophysiology
Torre, M., Morganti, S., Nitti, A., Tullio, M. D. D., Pasqualini, F. S., & Reali, A. (2022) · Computer Methods in Applied Mechanics and Engineering · doi:10.1016/j.cma.2022.114782 · Cited by 18 · see citing works
The role of computational methods in cardiovascular medicine: a narrative review
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Self-citationA fast cardiac electromechanics model coupling the Eikonal and the nonlinear mechanics equations
Stella, S., Regazzoni, F., Vergara, C., Dede’, L., & Quarteroni, A. M. (2022) · Mathematical Models and Methods in Applied Sciences · doi:10.1142/s021820252250035x · Cited by 16 · see citing works
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Self-citationThe Effect of Ventricular Myofibre Orientation on Atrial Dynamics
Strocchi, M., Augustin, C. M., Gsell, M. A. F., Karabelas, E., Neic, A., Gillette, K. K., Roney, C. H., Razeghi, O., Behar, J. M., Rinaldi, C. A., et al. (2021) · Lecture notes in computer science · doi:10.1007/978-3-030-78710-3_63 · Cited by 11 · see citing works
Self-citationComputational Modelling Enabling In Silico Trials for Cardiac Physiologic Pacing
Strocchi, M., Wijesuriya, N., Mehta, V. S., de Vere, F., Rinaldi, C. A., & Niederer, S. (2023) · Journal of Cardiovascular Translational Research · doi:10.1007/s12265-023-10453-y · Cited by 10 · see citing works
Self-citationPersonalized biomechanical insights in atrial fibrillation: opportunities & challenges
Telle, Å., Bargellini, C., Chahine, Y., del Álamo, J. C., AKOUM, N. W., & Boyle, P. M. (2023) · Expert Review of Cardiovascular Therapy · doi:10.1080/14779072.2023.2273896 · Cited by 10 · see citing works
Strocchi, M., Samways, J., Naraen, A., Ali, N., Shun-Shin, M. J., Gillette, K. K., Rinaldi, C. A., Arnold, A. D., Plank, G., Vigmond, E. J., et al. (2025) · EP Europace · doi:10.1093/europace/euaf089 · Cited by 9 · see citing works
Self-citationAvril, S., Goriely, A., Holzapfel, G. A., Ellen Kuhl, A., Nordsletten, D., & Ogden, R. W. (2026) · Acta Biomaterialia · doi:10.1016/j.actbio.2026.02.022 · Cited by 9 · see citing works
Rodero, C., Strocchi, M., Lee, A., Rinaldi, C. A., Vigmond, E. J., Plank, G., Lamata, P., & Niederer, S. (2021) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2021.105073 · Cited by 9 · see citing works
Self-citationStrocchi, M., Wijesuriya, N., Elliott, M. K., Gillette, K., Neic, A., Mehta, V., Vigmond, E. J., Plank, G., Rinaldi, C. A., & Niederer, S. A. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.1049214 · Cited by 8 · see citing works
Self-citationForCEPSS—A framework for cardiac electrophysiology simulations standardization
Gsell, M. A. F., Neic, A., Bishop, M. J., Gillette, K. K., Prassl, A. J., Augustin, C. M., Vigmond, E. J., & Plank, G. (2024) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2024.108189 · Cited by 8 · see citing works
Self-citationKaboudian, A., Gray, R. A., Uzelac, I., Cherry, E. M., & Fenton, F. H. (2024) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2024.108456 · Cited by 7 · see citing works
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Self-citationHow synergy between mechanistic and statistical models is impacting research in atrial fibrillation
Bai, J., Lu, Y., Wang, H., & Zhao, J. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.957604 · Cited by 7 · see citing works
Mathematical modeling of active contraction of the human cardiac myocyte: A review
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- Authors
- Strocchi, M., Augustin, C. M., Gsell, M. A. F., Karabelas, E., Neic, A., Gillette, K., Razeghi, O., Prassl, A. J., Vigmond, E. J., Behar, J. M., Gould, J., Sidhu, B., Rinaldi, C. A., Bishop, M. J., Plank, G., & Niederer, S. A.
- Affiliations
- King's College London (GB)
- Medical University of Graz (AT)
- Université de Bordeaux (FR)
- Corresponding author
- Strocchi, Marina
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2020-06-26
- Volume
- 15
- Issue
- 6
- Pages
- e0235145
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7319311
- OpenAlex
- W3037817333
- Cited by
- 112
- References
- 111
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 18 · 2023: 24 · 2022: 21 · 2021: 15 · 2020: 3
- FWCI
- 9.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- HAL (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Oskar-Bordeaux (Universite de Bordeaux) (submittedVersion)
- Unipub UB Graz (Universität Graz) (submittedVersion, cc-by)
- Funders
- Engineering and Physical Sciences Research Council (EP/M012492/1, NS/A000049/1, EP/L015226/1 and EP/P01268X/1)
- British Heart Foundation (PG/15/91/31812 and PG/13/37/30280)
- Kings Health Partners London National Institute for Health Research (NIHR) Biomedical Research Centre
- H2020 Marie Skłodowska-Curie Actions (750835)
- Austrian Science Fund (PI2760-B30)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- cardiac electromechanics, heart failure, tetrahedral meshes, ejection fraction, stroke volume
- MeSH terms
- Adult, Aged, Aged, 80 and over, Computer Simulation, Female, Heart Failure, Heart Ventricles, Humans, Male, Middle Aged, Surgical Mesh, Cohort Studies, Ventricular Function, Left, Ventricular Function, Right
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