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Engineering the human tympanic membrane: lessons from mechanics, modelling, and materials 工程人类鼓膜:从力学,建模和材料的教训。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-12-16 DOI: 10.1007/s10237-025-02032-8
Sylvi F. R. Irnadiastputri, Yasna M. Tiurma, Siti F. Rahman, Buntara S. Gan, Puspita A. Katili

The tympanic membrane (TM) plays a pivotal role in auditory transduction by converting acoustic signals into mechanical energy. Damage to the TM, whether from chronic perforations, infections, trauma, or pathological changes such as tympanosclerosis, can significantly impair its biomechanical function and lead to conductive hearing loss. Tympanoplasty remains the standard intervention, traditionally utilising autologous grafts such as temporalis fascia or cartilage. However, these biological materials present limitations, including donor site morbidity, variable mechanical properties, and potential for long-term resorption. To overcome these challenges, synthetic scaffolds engineered from polymers such as polylactic acid (PLA), polycaprolactone (PCL), and silk fibroin have emerged as promising alternatives. This review provides a comprehensive examination of the mechanical characteristics of both healthy and diseased tympanic membranes, offering insights into their structural integrity and mechanical performance. Emphasis is placed on key parameters such as thickness, Young’s modulus, tensile strength, strain tolerance, and viscoelastic behaviour, drawing from ex vivo and in vivo studies. The discussion extends to computational strategies, particularly finite element modelling (FEM) and inverse FEM, which enable accurate simulation of TM responses under physiological and pathological conditions. By linking empirical mechanical data with computational analyses, this review supports the rational design of synthetic grafts that closely mimic native tissue properties. Additionally, emerging trends in TM tissue engineering, including 3D printing and biomimetic scaffolds, are also highlighted for their potential to improve surgical outcomes in tympanoplasty.

鼓膜通过将声信号转化为机械能,在听觉传导中起着关键作用。无论是慢性穿孔、感染、创伤还是病理变化(如鼓膜硬化)对中耳膜的损害,都可显著损害中耳膜的生物力学功能,导致传导性听力损失。鼓室成形术仍然是标准的干预措施,传统上使用自体移植物,如颞筋膜或软骨。然而,这些生物材料存在局限性,包括供体部位的发病率、可变的机械性能和长期吸收的潜力。为了克服这些挑战,由聚乳酸(PLA)、聚己内酯(PCL)和丝素蛋白等聚合物制成的合成支架已经成为有希望的替代品。本文综述了健康鼓膜和患病鼓膜的力学特性,并对其结构完整性和力学性能进行了深入研究。重点放在关键参数,如厚度,杨氏模量,抗拉强度,应变容限,粘弹性行为,从离体和体内研究绘制。讨论扩展到计算策略,特别是有限元建模(FEM)和逆FEM,可以准确模拟生理和病理条件下的TM响应。通过将经验力学数据与计算分析相结合,本综述支持合理设计接近模拟天然组织特性的合成移植物。此外,TM组织工程的新兴趋势,包括3D打印和仿生支架,也因其改善鼓室成形术的手术结果的潜力而受到强调。
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引用次数: 0
Uncertainty quantification for patient-specific domain in virtual aortic procedures: application to thoracic endovascular aortic repair 虚拟主动脉手术中患者特异性领域的不确定性量化:应用于胸椎血管内主动脉修复。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-12-14 DOI: 10.1007/s10237-025-02036-4
Vittorio Lissoni, Anna Ramella, Giulia Luraghi, Puck Stassen, Wouter Huberts, Santi Trimarchi, Francesco Migliavacca, Jose Felix Rodriguez Matas

Simulating medical procedures requires accounting for inherent uncertainty in many numerical model parameters, such as material properties. Evaluating the impact of these uncertainties is crucial for identifying parameters needing precise definition and correctly interpreting simulation results. This study explores how uncertainties in modelling the aorta affect finite element outcomes of a thoracic endovascular aortic repair (TEVAR) procedure. Based on literature data, aortic wall thickness and mechanical properties were identified as the most uncertain. The aorta was modelled using shell elements with homogeneous thickness and assumed to behave as a linear elastic isotropic material. A design of experiments approach was used for uncertainty quantification and sensitivity analysis: wall thickness and Young’s modulus were varied over 11 levels in a full factorial design, resulting in 121 simulations. Uncertainty was quantified using statistical metrics such as mean, standard deviation, coefficient of variation, and 95% confidence intervals. Results indicate wall thickness significantly affects aortic wall stress (σaorta), with minimal influence on stent stress (σstent) and device opening area (OA). Conversely, Young’s modulus has limited impact on σaorta but affects σstent and OA to a greater extent. The highest uncertainty was observed in σaorta (~ 25% coefficient of variation), while σstent and OA showed lower variability (2.6% and 6.9%, respectively). These findings suggest that, in this model, accurate wall thickness definition is more critical than precise Young’s modulus for reducing uncertainty in wall stress predictions. Therefore, literature-based averages for Young’s modulus may be sufficient for simulating this procedure.

模拟医疗程序需要考虑许多数值模型参数(如材料特性)的固有不确定性。评估这些不确定性的影响对于确定需要精确定义的参数和正确解释模拟结果至关重要。本研究探讨了主动脉建模的不确定性如何影响胸血管内主动脉修复(TEVAR)手术的有限元结果。根据文献资料,主动脉壁厚度和力学性能是最不确定的。主动脉采用均匀厚度的壳单元进行建模,并假定其表现为线弹性各向同性材料。采用实验设计方法进行不确定性量化和敏感性分析:在全因子设计中,壁厚和杨氏模量变化超过11个水平,导致121次模拟。不确定度采用统计指标量化,如平均值、标准差、变异系数和95%置信区间。结果表明,壁厚对主动脉壁应力(σaorta)影响显著,对支架应力(σstent)和器械开口面积(OA)影响最小。相反,杨氏模量对σ主动脉的影响有限,但对σ支架和OA的影响较大。其中,σ主动脉的不确定性最大(变异系数为~ 25%),σ支架和OA的不确定性较小(变异系数分别为2.6%和6.9%)。这些发现表明,在该模型中,准确的壁厚定义比精确的杨氏模量更重要,以减少壁应力预测的不确定性。因此,基于杨氏模量的文献平均值可能足以模拟这一过程。
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引用次数: 0
Heat and low-density lipoprotein transfer in healthy aorta using fluid–structure interaction method 热与低密度脂蛋白在健康主动脉中的转移应用流固相互作用方法。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-12-13 DOI: 10.1007/s10237-025-02021-x
Yonghui Qiao, Su Wang, Hengjie Guo, Jianren Fan, Kun Luo

The abnormal accumulation of low-density lipoprotein (LDL) can lead to aortic atherosclerosis. However, the aortic LDL transfer and its relationship with hemodynamics are still not fully explored. This study aims to reveal the mechanism of heat and LDL transfer in healthy aortas, leveraging a fluid–structure interaction (FSI) model. Two healthy aortic geometry models were reconstructed based on clinical computed tomography angiography images. The flow rate used as the inlet boundary condition was taken from another previous publication, and non-invasive blood pressure measurement data were exploited to determine the parameters of the three-element Windkessel model for boundary conditions of the aortic outlets. The aortic wall was assumed to be uniform in thickness, and the hyperelastic material was simulated by Yeoh second-order model. Our two-way FSI method was further developed to predict the heat and LDL transfer. Results show that the correlation coefficients of time-averaged LDL, temperature, and wall shear stress (WSS)-related indices between the rigid and hyperelastic aortic wall are high (> 0.914) except for the topological shear variation index (TSVI). The interaction between the blood flow and the aortic wall is suggested to be considered to accurately capture the distribution of oscillatory shear index, relative residual time (RRT), and TSVI. Besides, we find that there is a positive correlation (> 0.596) between the concentration of LDL and aortic wall temperature. The long RRT region also coincides with the high LDL area, which negatively correlates with WSS and TSVI. This study demonstrates the heat and LDL transfer in healthy aortas using the FSI model, and the findings would inform novel strategies to measure LDL concentration and regulate its accumulation.

低密度脂蛋白(LDL)的异常积累可导致主动脉粥样硬化。然而,主动脉LDL转移及其与血流动力学的关系仍未得到充分探讨。本研究旨在利用流固相互作用(FSI)模型揭示健康主动脉中热量和LDL转移的机制。基于临床ct血管造影图像重建了两个健康主动脉的几何模型。作为入口边界条件的流速取自先前的另一篇文章,并利用无创血压测量数据来确定用于主动脉出口边界条件的三元素Windkessel模型的参数。假设主动脉壁厚度均匀,超弹性材料采用Yeoh二阶模型进行模拟。我们进一步发展了双向FSI方法来预测热量和LDL传递。结果表明:刚性和超弹性主动脉壁间除拓扑剪切变异指数TSVI外,时间平均LDL、温度和壁面剪切应力相关指数(WSS)相关系数均较高(> 0.914);建议考虑血流与主动脉壁之间的相互作用,以准确捕捉振荡剪切指数、相对残余时间(RRT)和TSVI的分布。此外,我们发现LDL浓度与主动脉壁温度之间存在正相关(> 0.596)。长RRT区域也与高LDL区域重合,与WSS和TSVI呈负相关。本研究使用FSI模型证明了健康主动脉中的热量和LDL转移,研究结果将为测量LDL浓度和调节其积累提供新的策略。
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引用次数: 0
Large-scale modeling of axonal dynamic responses via deep learning 基于深度学习的轴突动态响应大规模建模
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-12-12 DOI: 10.1007/s10237-025-02034-6
Chaokai Zhang, Adam Clansey, Lara Bartels, Daniel Bondi, Julian Kloiber, Alexander Jaffray, Paul van Donkelaar, Alexander Rauscher, Lyndia Wu, Songbai Ji

Large-scale axonal dynamic simulation is critical to study white matter injury but is prohibitive in computational cost. We solve this challenge by training a convolutional neural network (CNN) that takes fiber strain profiles as inputs to instantly estimate multimodal axonal injury parameters. First, tractography-based fiber strains are derived based on subject-specific simulations of N = 46 head impacts from a male ice hockey player. To generate the minimum training dataset, the brain is subdivided into coarse cubes (isotropic resolution of 6 mm; N = 4979 voxels). A stratified (one sample per cube) and adaptive (by controlling a similarity threshold) sampling strategy is devised to iteratively identify the most distinct profiles from N = 45 head impacts used for training (with the remaining one reserved for independent validation). They serve as the input to a male axonal injury model for simulation. A CNN is then trained to estimate the peak strains in microtubule and axolemma as well as the failure percentages of tau proteins and neurofilaments. The CNN is cross-validated to determine the minimum training samples of N = 2000 to reach ({R}^{2})>0.90. Under the “worst case scenario” for independent validation (N = 75 testing samples identified), the CNN achieves an ({R}^{2}) of 0.91–0.98 and a normalized root mean-squared error (NRMSE) of 2.7–5.0%. Finally, we showcase the CNN by generating high-resolution multimodal axonal responses for the entire white matter within 12 s (isotropic resolution of 2 mm with ~ 92,500 voxels), vs. an estimated ~ 12 years using conventional direct simulations (~ 31.5-million-fold efficiency gain). This study demonstrates the potential of deep learning to enable large-scale mechanistic investigations of white matter injury in the future.

大规模轴突动态模拟是研究脑白质损伤的重要手段,但计算成本高。我们通过训练卷积神经网络(CNN)来解决这一挑战,该网络将纤维应变曲线作为输入,以即时估计多模态轴突损伤参数。首先,基于纤维拉伸图的纤维应变是基于男性冰球运动员N = 46头部撞击的受试者特定模拟得出的。为了生成最小的训练数据集,大脑被细分为粗立方体(各向同性分辨率为6 mm; N = 4979体素)。设计了分层(每个立方体一个样本)和自适应(通过控制相似阈值)采样策略,以迭代地识别用于训练的N = 45个头部撞击中最明显的轮廓(其余一个保留用于独立验证)。它们作为雄性轴突损伤模型的输入进行模拟。然后训练CNN来估计微管和腋膜中的峰值菌株以及tau蛋白和神经丝的失效百分比。对CNN进行交叉验证,确定N = 2000的最小训练样本达到({R}^{2}) &gt;0.90。在独立验证的“最坏情况”下(N = 75个已识别的测试样本),CNN的准确率({R}^{2})为0.91-0.98,归一化均方根误差(NRMSE)为2.7-5.0%. Finally, we showcase the CNN by generating high-resolution multimodal axonal responses for the entire white matter within 12 s (isotropic resolution of 2 mm with ~ 92,500 voxels), vs. an estimated ~ 12 years using conventional direct simulations (~ 31.5-million-fold efficiency gain). This study demonstrates the potential of deep learning to enable large-scale mechanistic investigations of white matter injury in the future.
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引用次数: 0
A numerical framework for preprocedural prosthetic valve positioning and hemodynamic evaluation 手术前人工瓣膜定位和血流动力学评估的数值框架
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-12-12 DOI: 10.1007/s10237-025-02025-7
Jonas Lantz, Jeremy D. Collins, Shuai Leng, Cynthia H. McCollough, Anders Persson, Tino Ebbers

Aortic valve replacement is a cornerstone treatment for severe aortic valve diseases, including stenosis and regurgitation. Suboptimal valve seating can elevate the transvalvular pressure gradient, while valve orientation and size may produce flow jets that impinge on the ascending aorta, potentially weakening the vessel wall. Such hemodynamic complications can compromise valve performance and patient outcomes. This study presents a computational fluid dynamics framework, derived from medical CT images, for preprocedural hemodynamic assessment of aortic valve replacement. The framework minimizes user input and delivers rapid results, enabling efficient evaluation of valve types, orientations, and their hemodynamic impact. The results demonstrate that non-optimal implantation angles substantially increase pressure drop across the valve, thereby imposing higher workload on the heart. This automated and efficient simulation framework demonstrates strong potential for clinical application, supporting precise planning and execution of valve implantation procedures to improve patient care.

主动脉瓣置换术是治疗主动脉瓣狭窄和反流等严重疾病的基础疗法。不理想的瓣膜位置可以提高跨瓣压力梯度,而瓣膜的方向和大小可能会产生冲击升主动脉的射流,潜在地削弱血管壁。此类血流动力学并发症可损害瓣膜功能和患者预后。本研究提出了一种基于医学CT图像的计算流体动力学框架,用于主动脉瓣置换术前血流动力学评估。该框架最大限度地减少了用户输入,并提供了快速的结果,能够有效地评估阀门类型、方向及其血流动力学影响。结果表明,非最佳植入角度大大增加了瓣膜上的压降,从而增加了心脏的负荷。这种自动化和高效的模拟框架显示了强大的临床应用潜力,支持精确规划和执行瓣膜植入手术,以改善患者护理。
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引用次数: 0
An in silico mechanoregulatory model of depth-dependent adaptations to mechanical loading in intact and damaged cartilage: a proof of concept study 在完整和受损软骨中深度依赖的机械负荷适应的硅机械调节模型:概念研究的证明
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-12-12 DOI: 10.1007/s10237-025-02027-5
Seyed Ali Elahi, Rocio Castro-Viñuelas, Petri Tanska, Lauranne Maes, Nele Famaey, Rami K. Korhonen, Ilse Jonkers

Osteoarthritis induces profound structural degeneration of articular cartilage, with existing treatments remaining largely ineffective. This study pioneers a mechanoregulatory model utilizing histology-based finite element analysis to predict depth-dependent glycosaminoglycan (GAG) adaptations in both intact and damaged human cartilage under mechanical loading. Uniquely calibrated through rigorous one-week longitudinal in vitro experiments in intact cartilage, our model correctly predicts depth-dependent GAG content adaptation, also in damaged cartilage. Notably, the model reveals potential effects of fluid velocity and dissipated energy on an increase in GAG content, while highlighting the degenerative effects of maximum shear strain under physiological loading conditions. Interestingly, it replicates enhanced GAG production in damaged cartilage, consistent with our experimental observations. Beyond advancing the fundamental understanding of mechanical loading in cartilage homeostasis, this innovative model offers a robust platform for in silico trials, enabling the development of personalized rehabilitation protocols to optimize mechanical loading strategies for degenerative joint diseases. Our work represents a significant leap forward in leveraging computational tools to address the challenges of osteoarthritis treatment. All findings are based on human explants from one donor and should be interpreted as preliminary proof-of-concept.

骨关节炎引起关节软骨的严重结构变性,现有的治疗方法在很大程度上仍然无效。本研究开创了一种机械调节模型,利用基于组织的有限元分析来预测在机械载荷下完整和受损的人软骨中深度依赖的糖胺聚糖(GAG)的适应性。通过在完整软骨中进行严格的为期一周的纵向体外实验进行独特校准,我们的模型正确地预测了深度依赖的GAG含量适应,也适用于受损软骨。值得注意的是,该模型揭示了流体速度和耗散能量对GAG含量增加的潜在影响,同时强调了生理加载条件下最大剪切应变的退化效应。有趣的是,它复制了受损软骨中增强的GAG产生,这与我们的实验观察一致。除了促进对软骨内稳态机械负荷的基本理解之外,这个创新的模型为硅试验提供了一个强大的平台,使个性化康复方案的发展能够优化退行性关节疾病的机械负荷策略。我们的工作代表了利用计算工具解决骨关节炎治疗挑战的重大飞跃。所有的发现都是基于来自同一供体的人体外植体,应该被解释为初步的概念证明。
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引用次数: 0
Biomechanical modeling of glioblastoma progression: a comprehensive review from classic mathematical frameworks to data-driven strategies 胶质母细胞瘤进展的生物力学建模:从经典数学框架到数据驱动策略的全面回顾
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-12-11 DOI: 10.1007/s10237-025-02028-4
Mohammadreza Ghahramani, Omid Bavi

Glioblastoma multiforme (GBM) remains a formidable challenge due to its aggressive proliferation, heterogeneity, and invasiveness. This review synthesizes biomechanical models for GBM prediction, from classic proliferation–invasion (PI) frameworks—based on reaction–diffusion equations—to continuum biomechanical models that quantify tumor-induced stress and tissue interactions. We highlight multiphysics approaches integrating fluid dynamics, nutrient transport, and solid mechanics to simulate the tumor microenvironment, alongside numerical methods like FEM and meshless techniques. Treatment modeling, including radiotherapy and emerging therapies, is critically evaluated for optimizing clinical strategies. Challenges in validation and parameterization are addressed, with a forward-looking emphasis on hybrid physics-informed and machine learning models to enable personalized prediction. By bridging biophysics, computation, and clinical needs, this work aims to guide future research toward improved GBM therapeutics.

多形性胶质母细胞瘤(GBM)由于其侵袭性增殖、异质性和侵袭性,仍然是一个艰巨的挑战。这篇综述综合了GBM预测的生物力学模型,从基于反应扩散方程的经典增殖-侵袭(PI)框架到量化肿瘤诱导的应激和组织相互作用的连续体生物力学模型。我们强调多物理场方法整合流体动力学,营养物质运输和固体力学来模拟肿瘤微环境,以及数值方法,如FEM和无网格技术。治疗模型,包括放射治疗和新兴疗法,被严格评估以优化临床策略。解决了验证和参数化方面的挑战,前瞻性地强调了混合物理信息和机器学习模型,以实现个性化预测。通过连接生物物理学、计算和临床需求,这项工作旨在指导未来研究改进GBM治疗方法。
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引用次数: 0
Nonlinear anisotropic constitutive description of the human basilic vein and comparison with the vein of the lower limb 人体基底静脉的非线性各向异性本构描述及其与下肢静脉的比较。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-10-29 DOI: 10.1007/s10237-025-02014-w
Nikola Petrová, Zbyněk Sobotka, Lukáš Horný, Karel Filip, Jiří Urban

The number of patients undergoing hemodialysis has been steadily increasing in recent decades. Arteriovenous fistula (AVF) is the gold standard for ensuring vascular access in these patients. Despite the prominent role of AVFs in hemodialysis treatment, their maturation and long-term functionality continue to pose challenges as less than a third of fistulas remain patent without further interventions in a 3-year follow-up. Computational biomechanics has become an essential tool for clarifying mechanical conditions accompanying the pathogenesis of various vascular complications, including suboptimal maturation and AVF stenosis. Constitutive description plays a crucial role in the design of computational models and without it simulations remain only at the rigid tube level. However, literature on the mechanical properties and constitutive modeling of upper extremity veins is lacking. This study aims to fill this gap by characterizing the mechanical properties of the human basilic vein (BV) and comparing it to the great saphenous vein (GSV). Uniaxial tensile tests in two perpendicular directions were used to obtain the mechanical response of the tissue. The results suggest that BVs do not significantly differ from GSVs in their elastic properties expressed by means of the tangent modulus. Overall anisotropy, understood as the difference in elastic moduli obtained in different directions, seems to be reduced in BVs. The 4-fiber family exponential model of the strain energy density function was adopted to fit the experimental data. The model fitted the data well, as suggested by the coefficients of determination R2, which ranged from 0.97 to 0.99 for the majority of the average curves. The resulting parameter values can be used within the modeling of the mechanical behavior of veins in computational simulations of vascular access performance.

近几十年来,接受血液透析的患者数量一直在稳步增加。动静脉瘘(AVF)是确保这些患者血管通路的金标准。尽管avf在血液透析治疗中发挥着重要作用,但其成熟度和长期功能仍然存在挑战,因为在3年随访中,只有不到三分之一的瘘管在没有进一步干预的情况下保持通畅。计算生物力学已成为阐明伴随各种血管并发症发病机制的力学条件的重要工具,包括次优成熟和AVF狭窄。本构描述在计算模型的设计中起着至关重要的作用,没有本构描述,模拟只停留在刚性管的水平上。然而,关于上肢静脉的力学特性和本构建模的文献是缺乏的。本研究旨在通过表征人基底静脉(BV)的力学特性并将其与大隐静脉(GSV)进行比较来填补这一空白。采用两个垂直方向的单轴拉伸试验获得组织的力学响应。结果表明,用切线模量表示的BVs与gvs的弹性性能没有显著差异。总体各向异性,即在不同方向上获得的弹性模量的差异,似乎在bv中减小了。采用应变能密度函数的四纤维族指数模型拟合实验数据。该模型与数据拟合良好,如决定系数R2所示,大多数平均曲线的决定系数在0.97 ~ 0.99之间。所得到的参数值可用于血管通道性能的计算模拟中静脉力学行为的建模。
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引用次数: 0
Correction: Finite element analysis of the interaction between high-compliant balloon catheters and non-cylindrical vessel structures: towards tactile sensing balloon catheters 修正:高柔性球囊导管与非圆柱形血管结构相互作用的有限元分析:面向触觉传感球囊导管。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-10-27 DOI: 10.1007/s10237-025-02017-7
Ashish Bhave, Benjamin Sittkus, Gerald Urban, Ulrich Mescheder, Knut Möller
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引用次数: 0
Flow characteristics of the drainage cannula in venoarterial extracorporeal membrane oxygenation: a comparison between normal and collapsed vessel conditions 静脉动脉体外膜氧合引流管的血流特性:血管正常和血管塌陷的比较。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-10-22 DOI: 10.1007/s10237-025-02018-6
Mehrdad Khamooshi, Avishka Wickramarachchi, Aidan J. C. Burrell, Shaun D. Gregory

Venoarterial extracorporeal membrane oxygenation (VA ECMO) is an advanced life-saving therapy for patients with severe cardiopulmonary failure. Understanding the performance of the drainage cannula is critical to minimizing complications such as thrombosis formation, platelet activation, and circuit failure. This study utilizes computational fluid dynamics (CFD) to analyze the flow characteristics within the drainage cannula under both normal vessel conditions and vessel collapse scenarios. The simulations focus on flow behavior, shear stress distribution, and regions prone to platelet accumulation and thrombus formation. In the collapsed vessel scenario, significant alterations in flow patterns were observed, including elevated shear stress, increased velocities near the cannula tip, and flow redistribution along the cannula holes. While the collapsed condition exhibited higher mechanical platelet activation due to increased shear forces, improved washout resulted in a lower accumulation of activated platelets compared to the normal condition. Additionally, thrombosis-prone regions were identified, particularly near the cannula tip for normal drainage condition. The findings of this study highlight the fluid flow mechanisms contributing to thrombosis risk in the drainage cannula during VA ECMO. These insights can inform cannula design improvements to minimize thrombosis and optimize ECMO performance.

静脉体外膜氧合(VA ECMO)是一种先进的挽救重症心肺衰竭患者生命的治疗方法。了解引流管的性能对于减少血栓形成、血小板活化和电路失效等并发症至关重要。本研究利用计算流体力学(CFD)分析了正常血管状态和血管塌陷情况下引流管内的流动特性。模拟的重点是流动行为,剪切应力分布,以及易于血小板积聚和血栓形成的区域。在血管塌陷的情况下,观察到血流模式的显著变化,包括剪切应力升高,导管尖端附近的速度增加,以及沿套管孔的血流重新分布。虽然由于剪切力的增加,塌陷状态表现出更高的机械血小板活化,但与正常状态相比,改善的冲洗导致活化血小板的积累减少。此外,确定血栓易发区域,特别是在正常引流条件下的套管尖端附近。本研究结果强调了VA ECMO期间引流管内液体流动机制对血栓形成风险的影响。这些见解可以为改进套管设计提供信息,以最大限度地减少血栓形成并优化ECMO性能。
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引用次数: 0
期刊
Biomechanics and Modeling in Mechanobiology
全部 Atmos. Meas. Tech. Appl. Geochem. ENVIRONMENT ACTA GEOL POL IZV-PHYS SOLID EART+ ARCHAEOMETRY Clean-Soil Air Water Contrib. Plasma Phys. 2012 9th International Conference on Electrical Engineering/Electronics, Computer, Telecommunications and Information Technology Ecol. Indic. 2008 International Conference on Electronic Packaging Technology & High Density Packaging ECOTOXICOLOGY Geol. J. 国际生物医学工程杂志 Aust. J. Earth Sci. Classical Quantum Gravity Archaeol. Anthropol. Sci. Int. J. Astrobiol. «Узбекский физический журнал» Environ. Eng. Manage. J. GROUNDWATER Gulhane Medical Journal J. Atmos. Sol. Terr. Phys. J. Atmos. Chem. Geostand. Geoanal. Res. Environmental Control in Biology ECOL RESTOR 2012 SC Companion: High Performance Computing, Networking Storage and Analysis ACTA CIR BRAS Environ. Chem. J. Cosmol. Astropart. Phys. 2013 IEEE MTT-S International Microwave Workshop Series on RF and Wireless Technologies for Biomedical and Healthcare Applications (IMWS-BIO) Chin. Phys. B CANCER EPIDEMIOL 2000 Symposium on VLSI Circuits. Digest of Technical Papers (Cat. No.00CH37103) EUR PHYS J-SPEC TOP Miner. Deposita Commun. Phys. [Hokkaido igaku zasshi] The Hokkaido journal of medical science 17th International Photodynamic Association World Congress PERIOD MINERAL Contrib. Mineral. Petrol. Can. J. Phys. ACTA MEDICA PORT Nat. Rev. Phys. Ann. Glaciol. 2011 Annual Report Conference on Electrical Insulation and Dielectric Phenomena ACTA PETROL SIN ERN: Stock Market Risk (Topic) 2013 IEEE 39th Photovoltaic Specialists Conference (PVSC) Sudebno-Meditsinskaya Ekspertisa [Sanfujinka chiryo] Obstetrical and gynecological therapy Gondwana Res. Atmos. Res. Am. Mineral. Ecol. Processes Adv. Atmos. Sci. Acta Oceanolog. Sin. 2009 IEEE Congress on Evolutionary Computation Am. J. Sci. Clean Technol. Environ. Policy Acta Geochimica ECOSYSTEMS COMP BIOCHEM PHYS C J. Geog. Sci. Big Earth Data Annu. Rev. Earth Planet. Sci. J. Atmos. Oceanic Technol. Am. J. Phys. Anthropol. Environ. Eng. Res. J STAT MECH-THEORY E J PHYS B-AT MOL OPT ATMOSPHERE-BASEL Gaceta Medica de Bilbao ACTA GEOL SIN-ENGL J. Afr. Earth. Sci. Org. Geochem. Basin Res. APL Photonics Atmos. Chem. Phys. J. Hydrol. Geochim. Cosmochim. Acta Eurasian Journal of Emergency Medicine AAPG Bull. Int. J. Biometeorol. Clim. Change Geobiology Communications Earth & Environment Adv. Meteorol. Aquat. Geochem. Astrophys. Space Sci. BIOGEOSCIENCES Appl. Clay Sci. 2009 12th International Symposium on Design and Diagnostics of Electronic Circuits & Systems Geophys. Prospect. Conserv. Genet. Resour. Carbon Balance Manage. 2009 16th International Conference on Industrial Engineering and Engineering Management 2012 38th IEEE Photovoltaic Specialists Conference ECOLOGY
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