Descriptors of Flow in Computational Hemodynamics

A considerable amount of scientific evidence demonstrates that the regime of magnitude, direction, and/or frequency of wall shear stress (WSS) modulates endothelial cell function and structure, influencing vascular biology in health and disease. Advances in computational fluid dynamics (CFD) and fluid–structure interaction (FSI) simulations in cardiovascular medicine have enabled accurate WSS quantification, correlating flow behavior and its interaction with the vessel wall with disease progression. To effectively analyze and interpret the results of numerical simulations, various descriptors of blood flow were defined. Such indicators allow researchers to quantify and characterize key aspects of blood flow, facilitating the study of healthy and pathological conditions, medical device design, and treatment planning. However, a very fast-growing collection of hemodynamic metrics were defined and used: whether called indicators, parameters, metrics, or indexes, they will be here referred to as hemodynamic descriptors. This narrative review was aimed at synthesizing scientific literature about the descriptors used to analyze blood flow in computational cardiovascular studies, highlighting their significance, applications, and advancements.