Goal

To develop two initial working models (one from Open Knee(s); one from Natural Knee Data) along with the documentation of modeling outputs, simulation outcomes, and modeling & simulation processes.

Timeline

Earmarked Data

Start with

• Specimen-specific medial imaging datasets (MRIs, CTs)
• Other specimen-specific anatomical information (digitization)
• Literature
• Earmarked data (provided in the downloads section of project site)
  • Specimen? - Open Knee(s) - MRI (general purpose, cartilage, three orthogonal connective tissue) in NIfTI format
  • Specimen? - DU - CT, MRI in DICOM format, anatomical landmarks + ligament insertion origin sites in text format

Deliverables

Modeling & Simulation Process Outputs

• Modeling and simulation outputs
  • Initial working models simulating passive flexion in native simulation software formats
  • Representation of anatomy for each included tissue component, e.g.,
    • Segmentation
    • Geometry
    • Mesh
  • Representation of material/structural behavior for each included tissue component, e.g.,
    • Constitutive models
    • Tissue stress-strain response
    • Tissue bulk response
  • Coordinate systems
  • Representation of loading and boundary conditions

Intermediate and Final M&S Outputs

• Outcomes (to be uploaded to the downloads section of project site)
  • Model 1 from Specimen? - Open Knee(s)
    • Working capacity, i.e., simulating passive flexion OR other type of activity?
    • Representation of anatomy (in formats preferred by modeling team)
      • Segmentations of modeled tissues, e.g., binary image label
      • Geometry of modeled tissues, e.g., triangulated surface representation
      • Mesh, e.g. tetrahedral/hexahedral volume mesh
    • Representation of tissue behaviour
      • Constitutive models, e.g. coefficients and equation of strain energy potential
      • Tissue stress-strain response, e.g. raw data or calculated from constitutive model
      • Tissue bulk response?, e.g. total ligament force under simplified loading
  • Model 2 from Specimen? - DU
    • Same as above.

Documentation of M&S Outputs

Process Documentation

• Workflow documentation (to be uploaded to the documents section of project site)
  • Specifications. A document describing individual steps to obtain outcomes from earmarked data. The detail should be provided in a manner that other teams can reproduce the decision making process of the modeler. Any subjective and arbitrary decisions should be noted and as much insight as possible should be provided for justification and reproduction this decision.
  • Protocol deviations. If specifications need to be updated during activities to go from earmarked data to outcomes, these should be documented as protocol deviations. As much insight as possible should be provided for justification of deviation.
  • Ideally, when a third-party modeler has the earmarked data, specifications, and protocol deviations, they can follow the steps of the modeling team to reproduce the outcomes.
  • The documentation should list all the resources used and note estimated and actual effort level of personnel (and the expertise level of personnel) to estimate cost burden.

Specifications

Protocol Deviations

Package for Comparative Analysis

Guidance

Where to get the Earmarked Data?

How to prepare and submit Specifications?

How to prepare and submit Protocol Deviations?

How to curate, document and submit Modeling and Simulation Outputs?

Preparing a package for Comparative Analysis

References

Erdemir, A., Mulugeta, L. and Lytton, W. W. Ten “not so” simple rules for credible practice of modeling and simulation in healthcare: a multidisciplinary committee perspective, 2015 Biomedical Engineering Society / Food and Drug Administration Frontiers in Medical Devices Conference: Innovations in Modeling and Simulation, May 18-20, 2015, Washington, DC. Available at: https://simtk.org/svn/cpms/doc/posters/fmd_2015.pdf.

Erdemir, A., Guess, T. M., Halloran, J. P., Tadepalli, S. C. and Morrison, T. M. (2012) Considerations for reporting finite element analysis studies in biomechanics, Journal of Biomechanics, 45, 625-633. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278509/.

U.S. Food and Drug Administration. Reporting of Computational Modeling Studies in Medical Device Submissions. Available at: https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM381813.

NASA-STD-7009: Standard for Models and Simulations. Available at: https://standards.nasa.gov/standard/nasa/nasa-std-7009.

ASME V&V American Society of Mechanical Engineers - Committee Pages - V&V 40 Verification and Validation in Computational Modeling of Medical Devices. Available at: https://cstools.asme.org/csconnect/CommitteePages.cfm?Committee=100108782.

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