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Discovering dispersion: How robust is automated model discovery for human myocardial tissue? 发现弥散:人类心肌组织的自动模型发现有多鲁棒?
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-27 DOI: 10.1007/s10237-025-02005-x
Denisa Martonová, Sigrid Leyendecker, Gerhard A. Holzapfel, Ellen Kuhl

Computational modeling has become an integral tool for understanding the interaction between structural organization and functional behavior in a wide range of biological tissues, including the human myocardium. Traditional constitutive models, and recent models generated by automated model discovery, are often based on the simplifying assumption of perfectly aligned fiber families. However, experimental evidence suggests that many fiber-reinforced tissues exhibit local dispersion, which can significantly influence their mechanical behavior. Here, we integrate the generalized structure tensor approach into automated material model discovery to represent fibers that are distributed with rotational symmetry around three mean orthogonal directions—fiber, sheet, and normal—by using probabilistic descriptions of the orientation. Using biaxial extension and triaxial shear data from human myocardium, we systematically vary the degree of directional dispersion and stress measurement noise to explore the robustness of the discovered models. Our findings reveal that up to a moderate dispersion in the fiber direction and arbitrary dispersion in the sheet and normal directions improve the goodness of fit and enable recovery of a previously proposed four-term model in terms of the isotropic second invariant, two dispersed anisotropic invariants, and one coupling invariant. Our approach demonstrates strong robustness and consistently identifies similar model terms, even in the presence of up to 7% random noise in the stress data. In summary, our study suggests that automated model discovery based on the powerful generalized structure tensors is robust to noise and captures microstructural uncertainty and heterogeneity in a physiologically meaningful way.

计算建模已经成为理解包括人类心肌在内的广泛生物组织结构组织和功能行为之间相互作用的不可或缺的工具。传统的本构模型,以及最近由自动模型发现生成的模型,通常基于完美排列纤维族的简化假设。然而,实验证据表明,许多纤维增强组织表现出局部分散,这可以显著影响其力学行为。在这里,我们将广义结构张量方法集成到自动材料模型发现中,通过使用方向的概率描述来表示围绕三个平均正交方向(纤维、薄片和法向)以旋转对称分布的纤维。利用人类心肌的双轴拉伸和三轴剪切数据,我们系统地改变了方向分散的程度和应力测量噪声,以探索所发现模型的鲁棒性。我们的研究结果表明,纤维方向上的中等色散以及薄片和法向方向上的任意色散提高了拟合的良好度,并使先前提出的四项模型能够恢复各向同性第二不变量,两个分散的各向异性不变量和一个耦合不变量。我们的方法具有很强的鲁棒性,即使在应力数据中存在高达7%的随机噪声的情况下,也能始终识别出相似的模型项。总之,我们的研究表明,基于强大的广义结构张量的自动模型发现对噪声具有鲁棒性,并以生理上有意义的方式捕获微观结构的不确定性和异质性。
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引用次数: 0
Numerical study on low-density lipoprotein transport in intracranial aneurysms and its association with wall enhancement 颅内动脉瘤低密度脂蛋白转运及其与壁增强关系的数值研究。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-27 DOI: 10.1007/s10237-025-02004-y
Yuqing Tian, Jianjian Zhang, Huilin Zhao, Xiao Li, Fuyou Liang

The frequent detection of wall enhancement by vessel wall imaging in unstable or ruptured intracranial aneurysms (IAs) implies the potential involvement of blood substance transport in the pathogenesis of IAs. In this study, we developed a new method for simulating the transport of low-density lipoprotein (LDL) in IAs. The method was characterized by the coupled solution of LDL transport behaviors in lumen, across endothelium, and within vessel wall, and the incorporation of a sub-model that accounts for the combined effect of wall shear stress (WSS) magnitude and oscillatory shear index (OSI) on endothelial permeability to LDL. Numerical simulations were conducted on the IAs of four patients with clinically confirmed wall enhancement status. Obtained results demonstrated the propensity of IAs for enhanced LDL deposition on the lumen surface and LDL accumulation within the wall compared to normal cerebral arteries. Notably, the spatial distributions of high LDL concentration on the lumen surface and within the vessel wall were not always consistent, indicating regional variations in biomechanical factors facilitating intraluminal retention and transmural transport of LDL. Furthermore, the IAs with wall enhancement exhibited remarkably larger area ratios of wall regions exposed to high LDL concentration than those without wall enhancement. Relatively, the area ratios of low WSS and high OSI were less predictive of aneurysm wall enhancement. These findings underscore the potential value of investigating mass transport over general hemodynamic behaviors in classifying the pathological state or assessing the risk of IAs.

在不稳定或破裂的颅内动脉瘤(IAs)中,血管壁成像经常检测到壁增强,这意味着IAs的发病机制可能涉及血液物质运输。在这项研究中,我们开发了一种新的方法来模拟低密度脂蛋白(LDL)在IAs中的运输。该方法的特点是耦合了LDL在管腔、内皮和血管壁内的运输行为,并结合了一个子模型,该模型考虑了壁剪切应力(WSS)大小和振荡剪切指数(OSI)对内皮细胞对LDL的渗透性的综合影响。数值模拟了4例临床证实有壁增强状态的患者的IAs。所得结果表明,与正常脑动脉相比,IAs倾向于增强LDL在管腔表面的沉积和LDL在管壁内的积累。值得注意的是,高LDL浓度在管腔表面和血管壁内的空间分布并不总是一致的,这表明促进LDL在腔内滞留和跨壁运输的生物力学因素的区域差异。此外,有壁增强的血管壁区暴露于高LDL浓度下的面积比明显大于没有壁增强的血管壁区。相对而言,低WSS和高OSI的面积比不能预测动脉瘤壁增强。这些发现强调了在分类病理状态或评估IAs风险方面,研究质量运输而不是一般血液动力学行为的潜在价值。
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引用次数: 0
Investigating Achilles tendon adaptation to mechanical load: a computational model integrating collagen fibre orientation heterogeneity 研究跟腱对机械负荷的适应:胶原纤维取向异质性的计算模型。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-24 DOI: 10.1007/s10237-025-02002-0
Renate Janssen, Anna Gustafsson, Viktor Jönsson, Lorenzo Grassi, Maria Pierantoni, Hanna Isaksson

Tendons are known to adapt their structural and mechanical properties in response to mechanical loading, but the precise mechanisms underlying this adaptation remain poorly understood. A previous study on rat Achilles tendons compared the effect of unloading (Botox injections and orthosis) with free cage activity (full loading) and revealed that unloading impaired the mechanical response and resulted in more dispersed collagen fibre orientations. The current study investigates tendon mechanobiology by integrating this experimental fibre data into a finite element model. The aim is to evaluate whether the altered mechanical response after unloading results from changes in collagen fibre orientation, tendon geometry, or material properties. Collagen fibre orientation analysis was performed based on phase-contrast enhanced synchrotron X-ray tomography images. Two levels of collagen fibre orientation detail were implemented into the finite element model: 1) global fibre orientation analysis that averaged fibre directions across the entire tendon and 2) local orientation analysis that introduced spatial heterogeneity by incorporating element-specific fibre distributions. Our results indicate that the impaired mechanical response in unloaded tendons is mainly due to changes in fibre orientation distribution and geometry. The local collagen orientation analysis showed a lower overall force response, but did not alter the relative differences between fully loaded and unloaded tendons. Incorporating the increased heterogeneity may still be important for future studies of tendon mechanobiology. The established framework provides a robust tool for exploring tendon biomechanics, capturing detailed fibre information, and offering valuable insights into tendon adaptation under various conditions.

Graphical abstract

众所周知,肌腱会根据机械载荷调整其结构和力学特性,但这种适应的确切机制仍然知之甚少。先前对大鼠跟腱的研究比较了卸载(肉毒杆菌注射和矫形)和自由笼活动(满载)的影响,发现卸载损害了机械反应,导致更分散的胶原纤维取向。目前的研究通过将实验纤维数据整合到有限元模型中来研究肌腱力学生物学。目的是评估卸载后机械反应的改变是否源于胶原纤维取向、肌腱几何形状或材料特性的变化。胶原纤维取向分析是基于相衬增强同步加速器x射线断层扫描图像。在有限元模型中实现了两个层次的胶原纤维取向细节:1)整体纤维取向分析,即在整个肌腱中平均纤维方向;2)局部取向分析,通过纳入特定元素的纤维分布来引入空间异质性。我们的研究结果表明,在卸载肌腱的力学响应受损主要是由于纤维的方向分布和几何形状的变化。局部胶原取向分析显示整体力响应较低,但没有改变满载和卸载肌腱之间的相对差异。考虑到增加的异质性对未来肌腱力学生物学的研究仍然很重要。所建立的框架为探索肌腱生物力学,获取详细的纤维信息,并为各种条件下的肌腱适应提供有价值的见解提供了强大的工具。
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引用次数: 0
Finite element analysis of stem migration after total hip replacement 全髋关节置换术后椎体迁移的有限元分析。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-18 DOI: 10.1007/s10237-025-01985-0
Marlis Reiber, Fynn Bensel, Nils Becker, Stefan Budde, Udo Nackenhorst

After total hip replacement, the primary and secondary implant stability is critical to ensure long-term success. Excessive migration of the femoral stem can cause implant loosening. In this work, a novel approach for the simulation of the femoral stem migration using the finite element method is presented. Currently, only a few mostly contact-based models exist for this purpose. Instead, a bio-active interface model is used for the bone-stem interface which transforms from the Drucker–Prager to the von Mises plasticity criterion during the osseointegration process. As the position of the implant generally stabilises within one week after the implantation, the migration and osseointegration simulations are decoupled. To understand the effects on the migration, various parameter combinations are examined and a sensitivity analysis is performed. The results indicate that the joint force and the adhesion parameter have the most substantial influence on the migration. Furthermore, the influence of the migration on the subsequent osseointegration process is explored for a numerical example. The proposed model is able to depict the femoral stem migration with values up to 0.27 mm, which are in the order of magnitude of clinically observed values. Further, the model is provided as an open-source Abaqus user material subroutine. Numerical simulation of the stem migration could assist in clinical decision-making by identifying optimal parameter combinations to improve implant stability.

全髋关节置换术后,一次和二次假体的稳定性是确保长期成功的关键。股骨干过度移动可导致植入物松动。在这项工作中,提出了一种利用有限元方法模拟股骨干迁移的新方法。目前,只有几个主要基于接触的模型用于此目的。相反,骨-干界面采用生物活性界面模型,该模型在骨整合过程中从Drucker-Prager塑性准则转变为von Mises塑性准则。由于种植体的位置通常在植入后一周内稳定,因此迁移和骨整合模拟是解耦的。为了了解对迁移的影响,检查了各种参数组合并进行了灵敏度分析。结果表明,结合力和附着参数对迁移的影响最为显著。此外,通过数值算例探讨了迁移对后续骨整合过程的影响。所提出的模型能够描述股骨干迁移,其值可达0.27 mm,与临床观察值相当。此外,该模型作为开源Abaqus用户材料子例程提供。通过确定最佳的参数组合来提高种植体的稳定性,数值模拟可以帮助临床决策。
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引用次数: 0
Finite element analysis of bone remodeling induced by swelling anchors considering heterogeneous properties 考虑非均质性的膨胀锚诱导骨重塑的有限元分析。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-16 DOI: 10.1007/s10237-025-02001-1
Amirreza Sadighi, Mehrangiz Taheri, Nolan Black, Jordan Stolle, Moein Taghvaei, Madeline Boyes, Sorin Siegler, Thomas P. Schaer, Ahmad R. Najafi

This study explored the biomechanical behavior of co-polymeric swelling bone anchors and their bone remodeling induction using finite element analysis of a model with heterogeneous properties. First, a hygro-elastic finite element framework was developed to capture the swelling of the bone anchors over time by moisture gain, validated against the data from free swelling experiments. Afterward, finite element models were developed using micro-CT data to capture heterogeneous material properties, and finally, bone remodeling induced by the swelling, acting as a mechanical stimulus, was investigated. The study examined three co-polymeric ratios of methyl methacrylate and acrylic acid (MMA/AA)—80/20, 85/15, and 90/10—and assessed the impact of their associated swelling ratios on bone remodeling and fixation strength. Moreover, in parallel with the numerical investigations, an in vivo study using a sheep model was conducted to evaluate the biocompatibility of these anchors and bone remodeling response to the swelling. The numerical findings highlighted the importance of optimizing swelling ratios to enhance mechanical engagement without causing adverse resorption. More specifically, the results demonstrated that bone regeneration in the region of interest is highly sensitive to the swelling ratio. When the swelling is maintained within an optimal range—such as in the 85/15 composition—favorable densification occurs at the bone–implant interface, enhancing osteointegration. In contrast, excessive swelling (e.g., the 80/20 composition) induces localized overload resorption due to elevated stress concentrations at the interface, which may compromise implant success. Additionally, correlations found between the numerical and in vivo study outcomes supported the notion of an optimal swelling threshold and confirmed the predictive capabilities of the developed hygro-elastic finite element framework. To underscore the importance of favorable bone remodeling in the interface, a push-out study was performed to analyze the fixation strength prior and subsequent to bone remodeling. The significant difference in push-out forces before and after remodeling demonstrates that bone densification at the interface can substantially enhance fixation strength.

本研究通过异质模型的有限元分析,探讨了共聚膨胀骨锚的生物力学行为及其骨重塑诱导。首先,开发了一个水弹性有限元框架,通过水分增加来捕捉骨锚随时间的膨胀,并根据自由膨胀实验的数据进行验证。随后,利用micro-CT数据建立有限元模型来捕捉异质材料的特性,最后,研究由肿胀引起的骨重塑,作为一种机械刺激。该研究检测了甲基丙烯酸甲酯和丙烯酸的三种共聚物比例(MMA/AA)——80/20、85/15和90/10,并评估了它们相关的肿胀比例对骨重塑和固定强度的影响。此外,在进行数值研究的同时,还使用绵羊模型进行了一项体内研究,以评估这些锚的生物相容性和骨重塑对肿胀的反应。数值结果强调了优化膨胀比以增强机械接合而不引起不良吸收的重要性。更具体地说,结果表明,骨再生的兴趣区域是高度敏感的膨胀比。当肿胀保持在最佳范围内(例如85/15组合物)时,骨-种植体界面会发生有利的致密化,从而增强骨整合。相反,过度膨胀(例如,80/20比例)由于界面处应力浓度升高导致局部超载吸收,这可能会影响种植成功。此外,数值和体内研究结果之间的相关性支持了最佳膨胀阈值的概念,并证实了所开发的水弹性有限元框架的预测能力。为了强调界面中良好骨重塑的重要性,我们进行了一项推出研究来分析骨重塑之前和之后的固定强度。重构前后推出力的显著差异表明,界面处的骨密度可以显著提高固定强度。
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引用次数: 0
Development, characterization, and curve fitting of rate-dependent models of calcified cerebral embolus analogs for acute ischemic stroke 急性缺血性中风钙化脑栓塞类似物的发生率依赖模型的发展、表征和曲线拟合。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-16 DOI: 10.1007/s10237-025-01997-w
Jose L. Monclova, Daniel J. Walsh, Madelyn E. Hummel, Sophia Weatherwax, Francesco Costanzo, Scott D. Simon, Keefe B. Manning

Acute ischemic stroke (AIS) is a leading cause of death worldwide. In recent years, several studies have characterized the material properties of clot types that were removed from stroke patients, showing a highly nonlinear, asymmetric behavior in compression and tension. However, little is still known about the clot phenotype underlying complications in endovascular thrombectomy (EVT). In this study, we propose a spectrum of clot surrogates for highly stiff, red blood cell-rich, aged, calcified clots that may underpin the outcomes of AIS procedures, often called ‘hyperdense middle cerebral artery signs’ by clinicians. This study aims to characterize the high-strain, rate-dependent mechanical properties of a broad range of aged and calcified clot analogs. Blood from healthy donors was used to form aged and calcified clots, which were subjected to rate-dependent uniaxial testing and structural analyses. A method for curve fitting standard linear solids with multiple hyperelastic elements is considered, and a subsequent procedure is outlined for fitting rate-dependent data. High-strain clot analog peak stresses and moduli are on the same order of magnitude as previous studies, with the hypercalcified clots nearly an order of magnitude stiffer than previously recorded. The calcification was shown to be time dependent, as the longer the clots incubated in the calcium solutions, the stiffer they became. SEM images show drastic changes in clot morphology, with mineral nucleation evident around all components of the clot. The curve fitting produced parameters for a host of models that can be used in numerical implementation. The authors note that when curve fitting, energy state of the system should be taken into consideration, in addition to the minimization of the relative error. We demonstrate a wide spectrum of clot properties that are captured well by rate-dependent models for the full dataset, the compressive data, and the tensile data. In this study, we provide a method for creating and characterizing hypercalcified clot analogs as surrogates for the clot phenotype underlying EVT complications. The library of clot properties reported here can be used in numerical simulations, with careful considerations of the curve fitting methods that are employed. These data highlight the need for further investigation into this clot phenotype, which may be related to the subset of AIS patients where clots are unable to be removed.

急性缺血性中风(AIS)是世界范围内的主要死亡原因。近年来,一些研究描述了从中风患者身上移除的血块类型的材料特性,显示出高度非线性、不对称的压缩和张力行为。然而,对于血管内血栓切除术(EVT)中潜在并发症的血块表型知之甚少。在这项研究中,我们提出了一种高硬度、红细胞丰富、老化、钙化的凝块替代物,这些凝块可能是AIS手术结果的基础,临床医生通常称之为“大脑中动脉高密度征象”。本研究的目的是表征高应变,速率依赖的机械性能的广泛老化和钙化凝块类似物。来自健康献血者的血液被用来形成老化和钙化的血块,并对其进行率相关的单轴测试和结构分析。考虑了一种具有多个超弹性单元的标准线性固体曲线拟合方法,并概述了拟合速率相关数据的后续程序。高应变凝块模拟峰值应力和模量与以前的研究在同一个数量级上,高钙化凝块几乎比以前记录的硬一个数量级。钙化与时间有关,因为凝块在钙溶液中培养的时间越长,它们就变得越硬。扫描电镜图像显示了血块形态的剧烈变化,在血块的所有成分周围都有明显的矿物成核。曲线拟合产生了一系列可用于数值实现的模型参数。作者指出,在拟合曲线时,除了考虑相对误差的最小化外,还应考虑系统的能量状态。我们展示了广泛的凝块特性,通过速率相关模型可以很好地捕获完整数据集、压缩数据和拉伸数据。在这项研究中,我们提供了一种方法来创建和表征高钙化凝块类似物,作为EVT并发症的凝块表型的替代品。这里报告的凝块属性库可以用于数值模拟,并仔细考虑所采用的曲线拟合方法。这些数据强调了对这种血块表型进行进一步研究的必要性,这可能与血块无法清除的AIS患者亚群有关。
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引用次数: 0
Mechanobiology of gastric needle insertions: a combined experimental and numerical study 胃针插入的力学生物学:实验与数值结合的研究。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-13 DOI: 10.1007/s10237-025-01986-z
Sif Julie Friis, Torben Strøm Hansen, Mette Poulsen, Peter Helding Kvist, Ansgar Petersen, Hans Gregersen, Jens Vinge Nygaard

The rising use of biologic drugs has increased the demand for alternative gastric administration methods. Inception of devices engineered to insert medication into the mucosal lining overcomes limitations of traditional administration methods. Mechanical forces from such microneedle insertions can affect tissue and cellular behavior, particularly mechanotransduction markers. This study investigates the effects of needle insertion in gastric tissue to inform the design of alternative drug delivery devices. Experimental and computational approaches were utilized, using tension and radial compression tests on porcine gastric tissue to inform a finite element analysis (FEA) model. This model was validated with atomic force microscopy (AFM)-based micro-indentation to examine stiffness variations near the insertion site, and yes-associated-protein-1 (YAP-1) expression was analyzed to assess cellular mechanotransduction. AFM results revealed a distance-dependent decrease in tissue stiffness from the insertion site (p < 0.05), with significant differences in needle geometry (p < 0.05). The FEA model correlated well with AFM findings, confirming its validity for further cellular simulations. Mechanical stresses from needle insertion were shown to propagate through the tissue, affecting both cytoplasmic and nuclear stress distributions and altering nuclear morphology near the insertion site. The blunt needle produced a higher localized stress field compared to the sharp needle. Additionally, YAP-1 expression was lower in the injected samples than in control samples showing distance-dependent responses observed. This study demonstrates a validated model linking tissue mechanics and cellular responses, highlighting how needle geometry impacts gastric tissue mechanics and mechanotransduction, providing insights essential for designing gastric drug delivery devices.

生物药物的使用增加了对替代胃给药方法的需求。设计将药物插入粘膜衬里的装置的开始克服了传统给药方法的局限性。来自这种微针插入的机械力可以影响组织和细胞行为,特别是机械转导标记物。本研究探讨了针插入胃组织的影响,为设计替代给药装置提供信息。采用实验和计算相结合的方法,对猪胃组织进行拉伸和径向压缩试验,建立有限元分析模型。该模型通过基于原子力显微镜(AFM)的微压痕来验证,以检查插入部位附近的刚度变化,并分析yes-相关蛋白1 (YAP-1)的表达以评估细胞力学转导。AFM结果显示,与插入部位距离相关的组织刚度降低(p
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引用次数: 0
Impact of calcifications on paravalvular leakage by transcatheter aortic valve prostheses: findings from a new in silico clinical trial framework 经导管主动脉瓣置换术中钙化对瓣旁渗漏的影响:来自一项新的计算机临床试验框架的发现。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-09 DOI: 10.1007/s10237-025-01984-1
Laura Supp, Jan Oldenburg, Matthias Leuchter, Jan Brüning, Claudio Capelli, Alper Öner, Klaus-Peter Schmitz, Michael Stiehm, Finja Borowski

Transcatheter aortic valve replacement (TAVR) has revolutionized the treatment of severe aortic stenosis, yet paravalvular leakage (PVL) remains a significant complication, associated with increased mortality. Clinical studies have identified correlations between PVL and both anatomical features and calcification patterns. Numerical simulations, particularly patient-specific models, offer valuable insights into PVL, but the limited scale of these studies hinders robust statistical analysis. This study introduces a novel in silico clinical trial (ISCT) framework to investigate the correlation between calcification severity, localization and PVL. For this purpose, a synthetic cohort of calcified aortic roots was generated. A conditional convolutional variational autoencoder was used to create calcification patterns for an existing virtual cohort of the aortic root. The workflow includes finite element analyses for pre-dilation and deployment simulations as well as computational fluid dynamic simulations for PVL calculations of 243 virtual TAVR patients. The results show that the absolute amount of calcification in the device landing zone has no significant influence, but its regional distribution does, especially in the combined leaflet regions. In addition, sinotubular junction diameter, annular eccentricity index, oversizing as well as the combination of aortic angle and calcification in the combined non and left coronary leaflet region influence the occurrence of PVL. This framework not only advances our understanding of PVL mechanisms but also demonstrates the potential of ISCT to complement traditional clinical studies, enabling systematic exploration of complex factors influencing TAVR outcomes.

经导管主动脉瓣置换术(TAVR)已经彻底改变了严重主动脉瓣狭窄的治疗方法,但瓣旁漏(PVL)仍然是一个重要的并发症,与死亡率增加有关。临床研究已经确定了PVL与解剖特征和钙化模式之间的相关性。数值模拟,特别是患者特定模型,为PVL提供了有价值的见解,但这些研究的有限规模阻碍了稳健的统计分析。本研究引入了一种新颖的计算机临床试验(ISCT)框架来研究钙化严重程度、定位和PVL之间的关系。为此,我们制作了一个钙化主动脉根部的合成队列。使用条件卷积变分自编码器为主动脉根部的现有虚拟队列创建钙化模式。该工作流程包括对243例虚拟TAVR患者进行预膨胀和展开模拟的有限元分析,以及PVL计算的计算流体动力学模拟。结果表明,装置着陆区钙化的绝对数量对其影响不显著,但其区域分布有显著影响,特别是在联合小叶区域。此外,左、非联合冠状动脉小叶区主动脉夹角和钙化的合并、左、非联合冠状动脉小叶区窦管结径、环形偏心率指数、过大等因素均影响PVL的发生。该框架不仅促进了我们对PVL机制的理解,而且还展示了ISCT补充传统临床研究的潜力,使系统探索影响TAVR结果的复杂因素成为可能。
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引用次数: 0
Modeling dynamic impact, shock waves, and injury in liver tissue with a constrained mixture theory 用约束混合理论模拟肝组织的动态冲击、冲击波和损伤。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-07 DOI: 10.1007/s10237-025-01990-3
J. D. Clayton

A nonlinear continuum theory is advanced for high-rate mechanics and thermodynamics of liver parenchyma. The homogenized continuum is idealized as a solid–fluid mixture of dense viscoelastic tissue and liquid blood. The solid consists of a matrix material comprising the liver lobules and a collagenous fiber network. Under high loading rates pertinent to impact and blast, the velocity difference between solid and fluid is assumed negligible, leading to a constrained mixture theory. The model captures nonlinear isotropic elasticity, viscoelasticity, temperature changes from thermoelasticity and dissipation, and tissue damage, the latter via a scale-free phase-field representation. Effects of blood volume and initial constituent pressures are included. The model is implemented in 3-D finite element software. Analytical and numerical solutions for planar shock loading are compared with observations of liver trauma from shock-tube experiments. Finite-element simulations of dynamic impact are compared with cylinder drop-weight experiments. Model results, including matrix damage exceeding fiber damage at high rates and reduced mechanical stiffness with higher perfused blood volume, agree with experimental trends. Viscoelasticity is important at modest impact speeds.

提出了肝实质高速力学和热力学的非线性连续介质理论。均质连续体被理想化为致密粘弹性组织和液态血液的固体-流体混合物。该固体由包含肝小叶和胶原纤维网络的基质材料组成。在与冲击和爆炸有关的高加载率下,假定固体和流体之间的速度差可以忽略不计,从而导致约束混合理论。该模型捕获了非线性各向同性弹性、粘弹性、热弹性和耗散引起的温度变化以及组织损伤,后者通过无标度相场表示。包括血容量和初始组织压力的影响。该模型在三维有限元软件中实现。将平面冲击载荷的解析解和数值解与激波管实验中肝损伤的观察结果进行了比较。将动态冲击有限元模拟与圆柱落锤试验进行了比较。模型结果与实验趋势一致,包括基质损伤以高速率超过纤维损伤,高灌注血容量降低机械刚度。在适度的冲击速度下,粘弹性是很重要的。
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引用次数: 0
Patient-specific numerical simulation of compression therapy effects on interstitial fluid motion in lower limb lymphedema 下肢淋巴水肿患者特异性压缩治疗对间质液运动影响的数值模拟。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-08-05 DOI: 10.1007/s10237-025-01996-x
Maha Reda, Stéphane Avril

Lymphedema is a chronic condition characterized by impaired lymphatic drainage, leading to fluid accumulation, swelling, and progressive tissue remodeling. Compression therapy is the primary treatment used to alleviate swelling and enhance fluid drainage, yet its precise impact on interstitial fluid dynamics remains to be understood. In this study, we developed a poroelastic computational model that simulates fluid flow and tissue deformation in the lower limb under different compression strategies and compression levels. A key feature of our work is the integration of patient-specific geometries, allowing for a more physiologically accurate representation of tissue mechanics and fluid redistribution. We simulated edema formation induced by venous insufficiency by increasing blood capillary pressure from a baseline of 10–80 mmHg, and we observed that interstitial fluid pressure (IFP) increased from a baseline value of 0 mmHg to 8 mmHg, highlighting the impact of vascular dysfunction on fluid accumulation. Simulating complete blockage of lymphatic capillaries resulted in even higher IFP values (40 mmHg) compared to models with functional lymphatics, where IFP remained around 8 mmHg for high capillary pressures, underscoring the critical role of lymphatic drainage. We further showed that an increase in tissue permeability increases gravity-driven fluid pooling, potentially exacerbating swelling in lymphedematous limbs. Additionally, we incorporated an interface pressure derived from Laplace’s law to offer a more realistic estimation of IFP and volume changes, emphasizing its importance for refining compression models and optimizing treatment strategies. These findings contribute to a deeper understanding of compression therapy’s role in interstitial fluid drainage and provide a foundation for improving patient-specific lymphedema management.

淋巴水肿是一种慢性疾病,其特征是淋巴排水受损,导致液体积聚、肿胀和进行性组织重塑。压缩治疗是缓解肿胀和加强液体引流的主要治疗方法,但其对间质流体动力学的确切影响仍有待了解。在这项研究中,我们建立了一个孔隙弹性计算模型,模拟了不同压缩策略和压缩水平下下肢的流体流动和组织变形。我们工作的一个关键特征是整合了患者特定的几何形状,允许更准确地表示组织力学和流体再分配的生理。我们模拟了由静脉功能不全引起的水肿形成,将毛细血管压力从基线值10-80 mmHg增加,我们观察到间质液压力(IFP)从基线值0 mmHg增加到8 mmHg,突出了血管功能障碍对液体积聚的影响。与功能淋巴模型相比,模拟淋巴毛细血管完全堵塞导致更高的IFP值(40 mmHg),在功能淋巴模型中,高毛细血管压力时IFP保持在8 mmHg左右,强调淋巴引流的关键作用。我们进一步表明,组织通透性的增加增加了重力驱动的液体池,可能加剧淋巴水肿肢体的肿胀。此外,我们结合了来自拉普拉斯定律的界面压力,以提供更现实的IFP和体积变化估计,强调其对精炼压缩模型和优化处理策略的重要性。这些发现有助于更深入地了解压迫疗法在间质液引流中的作用,并为改善患者特异性淋巴水肿管理提供基础。
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引用次数: 0
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Biomechanics and Modeling in Mechanobiology
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