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Numerical simulation of electromechanical activity of the gastric smooth muscle 胃平滑肌机电活动的数值模拟
Pub Date : 2013-04-24 DOI: 10.2495/BIO130061
O. Al-Qabandi, R. Miftahof
A null-dimensional mathematical model of the myoelectrical activity of the gastric smooth muscle (myofiber) is studied numerically. Based on real morphological and electrophysiological data, the model assumes that: the kinetics of L- and T-type Ca 2+ , Ca 2+ -activated K + , voltage dependent K + and Cl
本文对胃平滑肌(肌纤维)肌电活动的零维数学模型进行了数值研究。基于真实的形态学和电生理数据,该模型假设:L型和t型ca2 +、ca2 +活化的K +、电压依赖性K +和Cl的动力学
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引用次数: 0
Investigation of image segmentation methods for intracranial aneurysm haemodynamic research 颅内动脉瘤血流动力学研究的图像分割方法研究
Pub Date : 2013-04-24 DOI: 10.2495/BIO130231
Y. Sen, Y. Zhang, Y. Qian, M. Morgan
Patient-specific haemodynamic technology has been applied in clinical applications. Computational haemodynamic simulation is performed by utilization of geometric results obtained via medical image segmentation. However, the geometry and volume of intracranial aneurysm models are highly dependent upon different segmentation methods, even when employed upon the same medical imaging data. Moreover, methods of vascular segmentation have been insufficiently validated. In this study, we compared three segmentation methods; the Region Growing Threshold (RGT), Chan-Vese model (CV) and Threshold-Based Level Set (TLS), to segment the aneurysm geometry through the use of CTA image data. The results were evaluated via measurement of arterial volume differences (VD), local geometric shapes, and haemodynamic simulation results. We found that the maximum VD of three segmentation methods sat at around ±15%. Local artery anatomical shapes of aneurysms were likewise found to significantly influence segmentation results. The computational haemodynamic simulation was performed modelling three types of geometries, with typical haemodynamic characteristics; i.e. energy loss and shear stress. We found that there was a maximum of 58% difference between segmentation methods. The results indicated that it is essential to validate segmentation methods in order to confirm the quality of segmentation processes in the application of patient-specific cerebrovascular haemodynamic analysis.
患者特异性血流动力学技术已应用于临床。利用医学图像分割得到的几何结果进行计算血流动力学模拟。然而,颅内动脉瘤模型的几何形状和体积高度依赖于不同的分割方法,即使采用相同的医学成像数据。此外,血管分割的方法还没有得到充分的验证。在本研究中,我们比较了三种分割方法;区域生长阈值(RGT)、Chan-Vese模型(CV)和基于阈值的水平集(TLS),通过使用CTA图像数据来分割动脉瘤的几何形状。通过测量动脉容积差(VD)、局部几何形状和血流动力学模拟结果来评估结果。我们发现三种分割方法的最大VD都在±15%左右。动脉瘤的局部动脉解剖形状同样对分割结果有显著影响。对三种具有典型血流动力学特征的几何形状进行了计算血流动力学模拟;即能量损失和剪应力。我们发现两种分割方法的最大差异为58%。结果表明,在患者特异性脑血管血流动力学分析应用中,为了确定分割过程的质量,对分割方法进行验证是必要的。
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引用次数: 2
Dermis Mechanical Behaviour:Influence Of Cell Removal Treatment 真皮力学行为:细胞去除处理的影响
Pub Date : 2013-04-24 DOI: 10.2495/BIO130161
A. Audenino, C. Bignardi, E. Businaro, C. Castagnoli, M. Terzini, E. Zanetti
The mechanical behaviour of skin is very important as regards dermatology, surgery and impact trauma. Engineered skin substitutes can bring significant medical benefit, in particular to patients with extensive burn wounds, even if current skin substitutes do not restore normal skin anatomy and its natural mechanical properties. This work considers the mechanical characterization of a particular layer of skin: dermis. Dermis can be used as a filling material and as support in different areas of reconstructive plastic surgery such as post mastectomy reconstructive surgery and abdominal surgery. The aim was to verify the influence of the decellularization treatment on its properties. The specimens were subjected to uniaxial static tests performed with Bose Electroforce ® 3200 and experimental data were represented with engineering and real time stress-strain curves. To begin, descriptive parameters were identified for stress vs. strain curves, such as ultimate tensile strength and maximum Young’s modulus, and they were subsequently compared through multivariate analysis of variance to determine the influence of specimen cut orientation and decellularization treatment duration. Dermis, that had been decellularized over 5 or 6 weeks, exhibited mechanical properties comparable with natural ones and ultimate tensile strength and maximum Young’s modulus were shown to be considerably higher in real time curves than in engineering ones.
皮肤的力学行为在皮肤病学、外科和冲击创伤方面是非常重要的。工程皮肤替代品可以带来显著的医疗效益,特别是对大面积烧伤伤口的患者,即使目前的皮肤替代品不能恢复正常的皮肤解剖结构及其自然机械特性。这项工作考虑了一个特殊的皮肤层的机械特性:真皮层。真皮可以作为填充材料和支撑在不同领域的重建整形手术,如乳房切除术后重建手术和腹部手术。目的是验证脱细胞处理对其性质的影响。样品采用Bose Electroforce®3200进行单轴静态测试,实验数据用工程和实时应力-应变曲线表示。首先,确定了应力与应变曲线的描述性参数,如极限抗拉强度和最大杨氏模量,随后通过多变量方差分析对它们进行比较,以确定试样切割方向和脱细胞处理时间的影响。经过5或6周脱细胞处理的真皮,其力学性能与天然真皮相当,实时曲线显示的极限拉伸强度和最大杨氏模量明显高于工程曲线。
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引用次数: 0
Modeling of fractured clavicles and reconstruction plates using CAD, finite element analysis and real musculoskeletal forces input 使用CAD、有限元分析和真实肌肉骨骼力输入对骨折锁骨和重建板进行建模
Pub Date : 2013-04-24 DOI: 10.2495/BIO130211
Marie Cronskär, M. Bäckström
This doctoral thesis is devoted to studying the possibilities of using additive manufacturing (AM) and design based on computed tomography (CT), for the production of patient-specific implants within orthopedic surgery, initially in a broad perspective and, in the second part of the thesis focusing on customized clavicle osteosynthesis plates. The main AM method used in the studies is the Electron Beam Melting (EBM) technology. Using AM, the parts are built up directly from 3D computer models, by melting or in other ways joining thin layers of material, layer by layer, to build up the part. Over the last 20 years, this fundamentally new way of manufacturing and the rapid development of software for digital 3D reconstruction of anatomical models from medical imaging, have opened up entirely new opportunities for the design and manufacturing of patient-specific implants. Based on the information in a computed tomography (CT) scan, both digital and physical models of the anatomy can be created and of implants that are customized based on the anatomical models. The main method used is a number of case studies performed, focusing on different parts of the production chain, from CT-scan to final implant, and with several aims: learning about the details of the different steps in the procedure, finding suitable applications, developing the method and trying it out. The first study was on customized hip stems, focusing on the EBM method and its special preconditions and possibilities. It was followed by a study of bone plates, designed to follow the patient-specific bone contour, in this case a tibia fracture including the whole production chain. Further, four cases of patient-specific plates for clavicle fracture fixation were performed in order to develop and evaluate the method. The plates fit towards the patient’s bone were tested in cooperation with an orthopedic surgeon at Ostersund hospital. In parallel with the case studies, a method for finite element (FE) analysis of fixation plates placed on a clavicle bone was developed and used for the comparative strength analysis of different plates and plating methods. The loading on the clavicle bone in the FE model was defined on a muscle and ligament level using multibody musculoskeletal simulation for more realistic loading than in earlier similar studies. The initial studies (papers I and II) showed that the EBM method has great potential, both for the application of customized hip stems and bone plates; in certain conditions EBM manufacturing can contribute to significant cost reductions compared to conventional manufacturing methods due to material savings and savings in file preparation time. However, further work was needed in both of the application areas before implementation. The studies on the fracture fixation using patient-specific clavicle plates indicated that the method can facilitate the work for the surgeon both in the planning and in the operating room, with the potential of a smoothe
本博士论文致力于研究在骨科手术中使用增材制造(AM)和基于计算机断层扫描(CT)的设计来生产患者特定植入物的可能性,最初是在一个广阔的视角,论文的第二部分侧重于定制锁骨骨合成板。研究中使用的主要增材制造方法是电子束熔化(EBM)技术。使用AM,零件直接从3D计算机模型中构建,通过熔化或以其他方式一层一层地连接薄层材料来构建零件。在过去的20年里,这种全新的制造方式和快速发展的软件,用于从医学成像中重建解剖模型的数字3D,为设计和制造特定患者的植入物开辟了全新的机会。基于计算机断层扫描(CT)中的信息,可以创建解剖结构的数字和物理模型,并根据解剖模型定制植入物。使用的主要方法是进行一些案例研究,重点关注生产链的不同部分,从ct扫描到最终植入,并有几个目标:了解程序中不同步骤的细节,找到合适的应用,开发方法并进行试验。第一项研究是定制髋关节干,重点是EBM方法及其特殊的前提条件和可能性。随后进行了骨板的研究,设计遵循患者特定的骨轮廓,在这种情况下,胫骨骨折包括整个生产链。此外,为了发展和评估该方法,我们进行了4例锁骨骨折患者特异性钢板固定。在Ostersund医院的一名骨科医生的合作下,这些钢板与病人的骨头吻合度进行了测试。在案例研究的同时,开发了一种对锁骨固定板进行有限元分析的方法,并将其用于不同钢板和不同电镀方法的强度比较分析。在有限元模型中,锁骨上的载荷是在肌肉和韧带水平上定义的,使用多体肌肉骨骼模拟,比早期的类似研究更真实地加载。最初的研究(论文I和II)表明,EBM方法具有巨大的潜力,无论是在定制髋关节茎和骨板的应用;在某些条件下,与传统制造方法相比,由于节省了材料和文件准备时间,EBM制造可以显著降低成本。然而,在实施之前,需要在这两个应用领域做进一步的工作。使用患者特异性锁骨钢板固定骨折的研究表明,该方法可以方便外科医生在计划和手术室的工作,并有可能获得更光滑的钢板,更好的配合和针对特定骨折量身定制的螺钉定位(论文VI)。然而,使用患者特异性钢板的临床益处还需要进行大规模的临床试验。有限元模拟显示,患者专用板和商业板中的应力分布和位移相似(论文III至VI)。总之:本文的结果有助于患者专用植入物的数字设计和增材制造领域,具有广泛的关于所使用技术的知识基础,以及需要进一步工作的领域,以便在更大规模地实施该技术。此外,已经开发并初步评估了一种方法用于锁骨骨折固定领域的实施,包括比较不同锁骨钢板强度的方法。
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引用次数: 4
Particle Motion In Coronary Serial Stenoses 冠状动脉系列狭窄的粒子运动
Pub Date : 2013-04-24 DOI: 10.2495/BIO130151
S. Bernad, A. Totorean, E. Bernad, R. Susan-Resiga
Atherosclerosis creating a constriction can significantly alter the local blood flow dynamics. From a biological aspect, the changes that take place in the flow have a profound effect on the structure and function of the arterial wall and the development of the disease. The purpose of this paper was to non-invasively assess hemodynamic parameters such as wall shear stress, wall pressure and particle depositions with computational fluid dynamics (CFD) in coronary artery serial stenoses. A 3-D model of a serial stenosed RCA was reconstructed based on multislice computerized tomography images. Energy loss associated with such flow expansion after each constriction will be large and consequently the pressure drop will be higher. Pressure drop across the stenoses ST1 and ST3 is lower (4.62 mmHg and 4.81 mmHg respectively) during the time T2 = 0.79s, but is significant during the peak systole T1 = 0.26s. The maximum WSS in the proximal stenosis ST1 is about 254 Pa, and in the distal stenosis ST3 are 232 Pa. One diameter downstream of the each stenosis, the WSS is low because of the formation of the recirculation zone.
动脉粥样硬化造成的收缩可显著改变局部血流动力学。从生物学角度来看,血流发生的变化对动脉壁的结构和功能以及疾病的发展有着深远的影响。应用计算流体动力学(CFD)方法对冠状动脉连续狭窄的血流动力学参数(如壁剪应力、壁压力和颗粒沉积)进行无创评估。基于多层ct图像重建了连续狭窄RCA的三维模型。每次收缩后,与这种流动膨胀相关的能量损失将很大,因此压降将更高。在T2 = 0.79s期间,ST1和ST3的压降较低(分别为4.62 mmHg和4.81 mmHg),但在收缩期峰值T1 = 0.26s期间,压降显著。近端狭窄ST1的最大WSS约为254 Pa,远端狭窄ST3的最大WSS约为232 Pa。在每个狭窄的下游一直径处,由于形成了再循环带,WSS较低。
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引用次数: 1
Modelling of blood coagulation in cerebral aneurysms 脑动脉瘤血凝模型的建立
Pub Date : 2013-04-24 DOI: 10.2495/BIO130051
Y. Aida, K. Shimano
A fatal subarachnoid haemorrhage occurs when an intracranial aneurysm ruptures and there are no guidelines for rupture risk assessment with perfect reliability. Thrombus formation in stagnant flow condition has been said to play an important role in rupture. However, there are, at present, no mathematical models that allow us to simulate the whole process of thrombus formation in aneurysms. In this study, the authors proposed a mathematical model of intraaneurysmal coagulation so that the amount of fibrin generated in the aneurysm can be calculated. It is known that coagulation is initiated by erythroelastase-IX (EE-IX) in stagnant flow condition. This process is different from contact and tissue factor pathways. In the present coagulation model, the reaction rate constant of factor IX activation by EE-IX was determined. A group of reactions in which anticoagulants are involved are treated as a whole so as to reduce computational cost, and a quantity for the combined reaction rate constant is also determined. It is demonstrated that the present coagulation model can reproduce the rate of fibrin generation in a reference experiment at a reasonable computational cost.
颅内动脉瘤破裂时可发生致命的蛛网膜下腔出血,目前尚无可靠的破裂风险评估指南。停滞流动条件下的血栓形成据说在破裂中起重要作用。然而,目前还没有数学模型可以模拟动脉瘤血栓形成的全过程。在这项研究中,作者提出了一个动脉瘤内凝固的数学模型,从而可以计算动脉瘤内产生的纤维蛋白的数量。已知凝血是由红细胞弹性酶ix (EE-IX)在停滞流动条件下启动的。这一过程不同于接触途径和组织因子途径。在本凝血模型中,测定了EE-IX活化因子IX的反应速率常数。为了减少计算成本,将抗凝剂参与的一组反应作为一个整体处理,并确定组合反应速率常数的数量。结果表明,本凝血模型可以在合理的计算成本下再现参考实验中的纤维蛋白生成速率。
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引用次数: 2
Investigating implantable glucose biosensors pitfalls: a fault tree analysis approach 研究植入式葡萄糖生物传感器的缺陷:故障树分析方法
Pub Date : 2013-04-24 DOI: 10.2495/BIO130091
C. Siontorou, F. Batzias
Implantable sensors for glucose monitoring are the first step towards the development of an implantable closed-loop diabetes control system. Although significant advances in the designs and chemistries employed to prepare intravascular and subcutaneous devices have been achieved, the biological responses can have a dramatic impact on the analytical accuracy of such probes. With a view to assisting the effective design of such devices for assuring clinical performance, the causes of implantable glucose sensor failure have been investigated by means of Fault Tree Analysis (FTA) relying on fuzzy reasoning to account for uncertainty. The approach suggested may contribute significantly to the self-optimisation of the measuring equipment from one generation to the next as it supports the flexible, ad hoc, and tailor made sensor development, thus potentiating the progress of epidemics from statistics to individualisation.
用于血糖监测的植入式传感器是开发植入式闭环糖尿病控制系统的第一步。尽管用于制备血管内和皮下装置的设计和化学已经取得了重大进展,但生物反应可能对此类探针的分析准确性产生巨大影响。为了帮助有效设计此类设备以保证临床性能,本文采用故障树分析法(Fault Tree Analysis, FTA)对植入式葡萄糖传感器失效的原因进行了研究,该方法依靠模糊推理来解释不确定性。所建议的方法可能对测量设备从一代到下一代的自我优化作出重大贡献,因为它支持灵活、特别和定制的传感器开发,从而促进流行病从统计到个性化的进展。
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引用次数: 0
Psychophysiological determinants of drivers' condition 司机状况的心理生理决定因素
Pub Date : 2013-04-24 DOI: 10.2495/BIO130081
K. Rózanowski, Z. Piotrowski, M. Bernat
The psychophysiological state of vehicle drivers is of key importance for road safety and for the life and health of other users of the transport infrastructure. A number of external factors may contribute to gradual deterioration of the driver’s condition and undiagnosed illness may result in abrupt health disorders. The objective of this paper is to establish, on the basis of tests, surveys, and measurements, an index reflecting the psychophysiological state of a vehicle driver. The research was based on a database of results for a group of 15 rested volunteer drivers. The results were classified into two subgroups corresponding to two components of the index: physiological and psychological. On the basis of arranged data, a method was proposed to calculate the FIZ and PSY indices. As a result of the research, we have obtained determinants of the psychophysiological condition of the subject drivers and a group of correlated indices. They are candidate items (inter alia) of a short survey aimed to verify the short-term condition of a driver.
车辆驾驶员的心理生理状态对道路安全以及其他交通基础设施使用者的生命和健康至关重要。许多外部因素可能导致司机的状况逐渐恶化,未确诊的疾病可能导致突然的健康失调。本文的目的是在测试、调查和测量的基础上,建立一个反映车辆驾驶员心理生理状态的指标。这项研究基于一个数据库,其中包含了15名休息好的志愿司机的结果。结果被分为两个亚组,对应于指数的两个组成部分:生理和心理。在整理数据的基础上,提出了一种计算FIZ和PSY指数的方法。通过研究,我们得到了主体驾驶员心理生理状况的决定因素和一组相关指标。它们是一个短期调查的候选项目(除其他外),旨在核实司机的短期状况。
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引用次数: 0
Computational technologies in tissue engineering 组织工程中的计算技术
Pub Date : 2013-04-24 DOI: 10.2495/BIO130111
H. Almeida, P. Bártolo
In last decades, many advances have been made in order to aid the medical community. Numerous computational technologies have been developed and improved the efficiency in diagnostic and treatment of many diseases. Many of the technologies were developed with the main goal of aiding in the research of genetic and viral diseases. Tissue engineering is a multidisciplinary field that requires the combined effort of cell biologists, engineers, material scientists, mathematicians, geneticists, and clinicians toward the development of biological substitutes that restore, maintain, or improve tissue function. The success of this emerging medical domain relies on the current technological advances. This paper presents an overview of the existing computational technologies that have been implemented in tissue engineering and the design of scaffolds for tissue engineering applications. These computational technologies contemplate medical imaging processing, numerical calculations (structural, vascular and topological) and biofabrication techniques necessary for the scaffolds optimum design and production.
在过去的几十年里,为了帮助医学界,已经取得了许多进步。许多计算技术已经发展起来,提高了许多疾病的诊断和治疗效率。许多技术的开发主要目的是帮助研究遗传疾病和病毒性疾病。组织工程是一个多学科领域,需要细胞生物学家、工程师、材料科学家、数学家、遗传学家和临床医生共同努力,以发展恢复、维持或改善组织功能的生物替代品。这一新兴医疗领域的成功依赖于当前的技术进步。本文概述了组织工程中已经实现的现有计算技术以及组织工程应用的支架设计。这些计算技术考虑了医学成像处理、数值计算(结构、血管和拓扑)以及支架优化设计和生产所必需的生物制造技术。
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引用次数: 5
Arterial pulse waves measured with EMFi and PPG sensors and comparison of the pulse waveform spectral and decomposition analysis in healthy young and elderly subjects 用EMFi和PPG传感器测量健康青年和老年人动脉脉搏波,对比脉搏波形频谱和分解分析
Pub Date : 2013-04-24 DOI: 10.2495/BIO130011
M. Huotari, A. Vehkaoja, Kari Määttä, J. Kostamovaara, J. Röning
The purpose of this study is to show the time domain and frequency domain analysis of signals recorded with electromechanical film (EMFi) and photoplethysmographic (PPG) sensors in arterial elasticity estimation via pulse wave decomposition and spectral components obtained from left forefinger, left wrist, and left second toe arteries. ECG and pulse waves from the subjects were recorded firstly from 20 voluntaries by PPG sensors and from 7 persons (30– 60 y) by parallel EMFi and PPG sensors in supine position. Decomposition of the pulse waves produces five components: percussion wave, tidal wave, dicrotic wave, and 1st and 2nd presystolic waves. Pulse wave decomposition parameters between EMFi and PPG are compared to find out information on a person’s arterial elasticity. Results show that elastic information in the form of pulse wave decomposition from PPG waves is obtainable and shows clear shortening between percussion wave and tidal wave time with age. The spectral information obtained with frequency domain analysis could also be valuable in assessing the arterial elasticity.
本研究的目的是展示机电薄膜(EMFi)和光电体积脉搏波(PPG)传感器记录的信号的时域和频域分析,通过从左食指,左手腕和左第二脚趾动脉获得的脉冲波分解和频谱成分来估计动脉弹性。首先用PPG传感器记录20名志愿者的心电图和脉搏波,然后用EMFi和PPG传感器并联记录7名(30 - 60岁)仰卧位受试者的心电图和脉搏波。脉冲波的分解产生五种成分:冲击波、潮汐波、dicrotic波和第一和第二收缩前波。比较EMFi和PPG之间的脉搏波分解参数,以了解人体动脉弹性的信息。结果表明,从PPG波中获得了脉冲波分解形式的弹性信息,并且随着年龄的增长,冲击波和潮汐波的时间明显缩短。通过频域分析获得的频谱信息在评估动脉弹性方面也很有价值。
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引用次数: 2
期刊
WIT Transactions on Biomedicine and Health
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