PT - JOURNAL ARTICLE AU - C.J. Arthurs AU - R. Khlebnikov AU - A. Melville AU - M. MarĨan AU - A. Gomez AU - D. Dillon-Murphy AU - F. Cuomo AU - M.S. Vieira AU - J. Schollenberger AU - S.R. Lynch AU - C. Tossas-Betancourt AU - K. Iyer AU - S. Hopper AU - E. Livingston AU - P. Youssefi AU - A. Noorani AU - S. Ben Ahmed AU - F.J.H. Nauta AU - T.M.J. van Bakel AU - Y. Ahmed AU - P.A.J. van Bakel AU - J. Mynard AU - P. Di Achille AU - H. Gharahi AU - K. D. Lau AU - V. Filonova AU - M. Aguirre AU - N. Nama AU - N. Xiao AU - S. Baek AU - K. Garikipati AU - O. Sahni AU - D. Nordsletten AU - C.A. Figueroa TI - CRIMSON: An Open-Source Software Framework for Cardiovascular Integrated Modelling and Simulation AID - 10.1101/2020.10.14.339960 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.10.14.339960 4099 - http://biorxiv.org/content/early/2020/10/15/2020.10.14.339960.short 4100 - http://biorxiv.org/content/early/2020/10/15/2020.10.14.339960.full AB - In this work, we describe the CRIMSON (CardiovasculaR Integrated Modelling and SimulatiON) software environment. CRIMSON provides a powerful, customizable and user-friendly system for performing three-dimensional and reduced-order computational haemodynamics studies via a pipeline which involves: 1) segmenting vascular structures from medical images; 2) constructing analytic arterial and venous geometric models; 3) performing finite element mesh generation; 4) designing, and 5) applying boundary conditions; 6) running incompressible Navier-Stokes simulations of blood flow with fluid-structure interaction capabilities; and 7) post-processing and visualizing the results, including velocity, pressure and wall shear stress fields. A key aim of CRIMSON is to create a software environment that makes powerful computational haemodynamics tools accessible to a wide audience, including clinicians and students, both within our research laboratories and throughout the community. The overall philosophy is to leverage best-in-class open source standards for medical image processing, parallel flow computation, geometric solid modelling, data assimilation, and mesh generation. It is actively used by researchers in Europe, North and South America, Asia, and Australia. It has been applied to numerous clinical problems; we illustrate applications of CRIMSON to real-world problems using examples ranging from pre-operative surgical planning to medical device design optimization. CRIMSON binaries for Microsoft Windows 10, documentation and example input files are freely available for download from www.crimson.software, and the source code with compilation instructions is available on GitHub https://github.com/carthurs/CRIMSONFlowsolver (CRIMSON Flowsolver) under the GPL v3.0 license, and https://github.com/carthurs/CRIMSONGUI (CRIMSON GUI), under the AGPL v3.0 license. Support is available on the CRIMSON Google Groups forum, located at https://groups.google.com/forum/#!forum/crimson-users.Competing Interest StatementCJA and CAF have a joint interest in CRIMSON Technologies LLC, a supporting company for CRIMSON, providing software and services to researchers. This is in addition to the open-source version of CRIMSON which is freely available.