# Predicting capillary vessel network hemodynamics in silico by machine learning

## TL;DR

This paper introduces machine learning models that accurately predict blood flow patterns in microvascular networks, enabling faster and detailed hemodynamic analysis.

## Contribution

The novel contribution is the development of ML models that efficiently predict 3D hemodynamic profiles in microvascular networks without expensive simulations.

## Key findings

- ML models accurately predict blood velocity and RBC concentration profiles in microvascular networks.
- The models reduce prediction time by several orders of magnitude compared to high-fidelity computational models.
- The approach enables organ-scale hemodynamic analysis with detailed physiological variables like wall shear stress and cell-free layer.

## Abstract

Blood velocity and red blood cell (RBC) distribution profiles in a capillary vessel cross-section in the microcirculation are generally complex and do not follow Poiseuille's parabolic or uniform pattern. Existing imaging techniques used to map large microvascular networks in vivo do not allow a direct measurement of full 3D velocity and RBC concentration profiles, although such information is needed for accurate evaluation of the physiological variables, such as the wall shear stress (WSS) and near-wall cell-free layer (CFL), that play critical roles in blood flow regulation, disease progression, angiogenesis, and hemostasis. Theoretical network flow models, often used for hemodynamic predictions in experimentally acquired images of the microvascular network, cannot provide the full 3D profiles either. In contrast, such information can be readily obtained from high-fidelity computational models that treat blood as a suspension of deformable RBCs. These models, however, are computationally expensive and not feasible for extension to the microvascular network at large spatial scales up to an organ level. To overcome such limitations, here we present machine learning (ML) models that bypass such expensive computations but provide highly accurate and full 3D profiles of the blood velocity, RBC concentration, WSS, and CFL in every vessel in the microvascular network. The ML models, which are based on artificial neural networks and convolution-based U-net models, predict hemodynamic quantities that compare very well against the true data but reduce the prediction time by several orders. This study therefore paves the way for ML to make detailed and accurate hemodynamic predictions in spatially large microvascular networks at an organ-scale.