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A novel method is proposed to assess stress and strain distribution using the finite element (FE) analysis and <jats:italic>in vivo<\/jats:italic> patient\u2010specific dynamic 3D coronary arterial tree reconstruction from cine angiographic images. The local stresses were calculated on the diseased arterial wall which was modeled as consisting of a central fibrotic cap subjected to the cyclic flexion from cardiac contraction. Various parameters characterizing the plaque were chosen including vessel diameter, percentage narrowing, and lesion length. 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