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Assessing calcification effects in TEVAR procedures: a computational analysis 评估TEVAR手术中的钙化效应:一项计算分析。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-09-12 DOI: 10.1007/s10237-025-01998-9
Giulia De Campo, Anna Ramella, Sara Barati, Giulia Luraghi, Virginia Fregona, Maurizio Domanin, Robin Heijmen, Santi Trimarchi, Francesco Migliavacca

Thoracic endovascular aortic repair (TEVAR) procedure is sometimes discouraged from clinical guidelines in the presence of calcifications and thrombus along the sealing zones. This computational study aims to understand which is the effect of calcification on stent graft displacement after TEVAR procedure, simulated in a patient-specific anatomy with a penetrating aortic ulcer (PAU).

A patient-specific anatomy without calcification is taken as reference, and four models with idealized calcifications positioned in different regions and with different material properties are analyzed. Opening area, von Mises stresses and contact pressures are evaluated to provide a reliable comparison between the calcified (Ca) and the non-calcified models (noCa), and among the calcified models themselves.

Comparing qualitatively the Ca and noCa models, no particular changes in the stent graft apposition are observed. In addition, in the Ca models the opening area results lower with respect to the noCa models, but no significant differences are observed among the Ca models. Regarding the von Mises stresses, it seems that the calcifications act as load-bearing structures, absorbing the stresses and reducing them on the aorta. Decreasing the Young modulus of the calcifications, this effect is reduced. Higher contact pressures are observed when the highest Young’s modulus of calcification is adopted, with all Ca models having greater pressures than the noCa model.

From this analysis, the stent graft seems to be positioned correctly inside the aorta, even in the presence of calcifications. In this setting, the calcifications seem to reduce the stresses on the aorta, thus reducing the likelihood of aneurysm rupture.

在封闭区存在钙化和血栓的情况下,有时不建议采用胸椎血管内主动脉修复术(TEVAR)。本计算研究旨在了解钙化对穿透性主动脉溃疡(PAU)患者特异性解剖模拟TEVAR手术后支架移位的影响。以无钙化的患者特异性解剖为参考,分析了位于不同区域、具有不同材料特性的四种理想化钙化模型。为了在钙化模型(Ca)和非钙化模型(noCa)之间以及钙化模型本身之间提供可靠的比较,我们对开放面积、von Mises应力和接触压力进行了评估。定性比较Ca和noCa模型,没有观察到支架放置的特殊变化。Ca模型的开放面积比noCa模型的开放面积小,但Ca模型之间没有显著差异。关于冯·米塞斯应力,钙化似乎起到了承重结构的作用,吸收了主动脉上的应力并减少了它们。随着钙化杨氏模量的减小,这种影响减小。当采用最高钙化杨氏模量时,观察到较高的接触压力,所有Ca模型的压力都大于noCa模型。从这个分析来看,即使在存在钙化的情况下,支架移植似乎也能正确地定位在主动脉内。在这种情况下,钙化似乎减少了对主动脉的压力,从而降低了动脉瘤破裂的可能性。
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引用次数: 0
3D force microscopy for volumetric quantification of ultrasound-induced loading: applications for bone repair 三维力显微镜用于超声诱导载荷的体积量化:骨修复的应用。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-09-12 DOI: 10.1007/s10237-025-02009-7
Kevin P. Grassie, Fei Wang, Bryan D. Huey, Yusuf M. Khan

Mechanical forces on cells and tissues are known to play key roles in regulating cell fate, function, and tissue repair. In bone tissue engineering, mechanical stimulation of cell-hydrogel constructs with low-intensity ultrasound has become a promising therapy for improving the pace and extent of bone regeneration in challenging defects, though its physical and biological mechanisms are not fully understood. In particular, the local ultrasound-induced forces that are imparted to fully encapsulated cells have not been directly quantified. Here, we have developed, validated, and applied a novel 3D force microscopy technique (3D-FM) that extends established principles of unconstrained, regularized, Fourier domain traction force microscopy to reconstruct forces within ultrasound-displaced 3D cell-hydrogel constructs. Validation tests with simulated data demonstrated that the algorithm is capable of reconstructing simple and complex force-density fields from simulated displacements and is robust against corruption with noise. 3D-FM was then used to estimate the ultrasound-induced forces around a bone marrow stromal cell within a soft collagen hydrogel. Localized forces near the cell had magnitudes comparable to other reported cell-scale forces (~ 100 nN), with components both parallel and perpendicular to the direction of ultrasound propagation. This work demonstrates that 3D-FM can elucidate the microscopic physical effects of low-intensity ultrasound on cells in soft matrices used in bone regeneration applications, which can provide valuable insight into the relationship between applied physical forces and cellular responses.

细胞和组织上的机械力在调节细胞命运、功能和组织修复中起着关键作用。在骨组织工程中,低强度超声对细胞-水凝胶结构的机械刺激已成为一种很有前景的治疗方法,可以提高具有挑战性缺陷的骨再生的速度和程度,尽管其物理和生物学机制尚不完全清楚。特别是,局部超声诱导的力传递给完全包裹的细胞还没有被直接量化。在这里,我们开发、验证并应用了一种新的3D力显微镜技术(3D- fm),该技术扩展了无约束、正则化、傅立叶域牵引力显微镜的既定原理,以重建超声位移3D细胞-水凝胶结构中的力。模拟数据验证试验表明,该算法能够从模拟位移中重建简单和复杂的力密度场,并且具有抗噪声破坏的鲁棒性。然后使用3D-FM来估计软胶原水凝胶中骨髓基质细胞周围的超声诱导力。细胞附近的局部力的大小与其他报道的细胞尺度力(~ 100 nN)相当,其分量平行于超声传播方向和垂直于超声传播方向。这项工作表明,3D-FM可以阐明用于骨再生应用的低强度超声对软基质细胞的微观物理效应,这可以为应用物理力和细胞反应之间的关系提供有价值的见解。
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引用次数: 0
A computational model-based study on the mechano-energetic characteristics of the left ventricle with obstructive hypertrophic cardiomyopathy before and after septal myectomy 梗阻性肥厚型心肌病左心室力学-能量特征的计算模型研究。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-09-05 DOI: 10.1007/s10237-025-02003-z
Taiwei Liu, Mi Zhou, Le Qin, Yuqing Tian, Fuyou Liang

Left ventricular outflow tract obstruction (LVOTO) is a representative phenotype of obstructive hypertrophic cardiomyopathy (OHCM). Septal myectomy has been extensively demonstrated as an effective surgery for treating OHCM. However, it remains incompletely understood how the surgery would alter the mechanical and energetic states of the left ventricle (LV). In this study, microstructure-based finite element (FE) models were built for the LVs of two patients with OHCM to compute myocardial mechanics before and after septal myectomy. In addition, energy metrices spanning multiple scales were defined and calculated based on the results of FE analysis. The results showed that septal myectomy facilitated a significant improvement in the mechanical state of the LV, characterized mainly by the overall decreased while more homogeneously distributed myocardial tissue and cardiomyocyte stresses. Energetically, the total mechanical energies at the scales of the entire LV, myocardial tissue, and cardiomyocyte all decreased remarkably after septal myectomy. Moreover, the surgery induced a moderate increase in the efficiencies of mechanical energy conversion at the myocardial tissue and cardiomyocyte levels in the septal region. Although the mechanical and energetic parameters of the LV differed quantitatively between the two patients, they exhibited similar trends of change following septal myectomy. These results suggest that septal myectomy can improve the mechano-energetic state of the LV, and thereby may exert favorable influence on postoperative cardiac remodeling and adaptation. The proposed modeling method may offer a promising means for optimizing surgical planning or evaluating the therapeutic effects of septal myectomy for patients with OHCM.

左心室流出道梗阻(LVOTO)是梗阻性肥厚性心肌病(OHCM)的典型表型。室间隔肌切除术已被广泛证明是治疗OHCM的有效手术。然而,手术如何改变左心室(LV)的机械和能量状态仍不完全清楚。本研究对两例OHCM患者的左心室建立了基于微结构的有限元模型,计算了室间隔肌切除术前后的心肌力学。此外,根据有限元分析结果,定义并计算了跨多个尺度的能量度量。结果显示,室间隔肌切除术可显著改善左室力学状态,主要表现为心肌组织和心肌细胞应力整体降低,分布更加均匀。在能量上,整个左室、心肌组织和心肌细胞的总机械能均明显降低。此外,手术诱导心肌组织和间隔区心肌细胞水平的机械能转换效率适度增加。尽管两名患者的左室力学和能量参数在数量上存在差异,但在室间隔肌切除术后,它们表现出相似的变化趋势。上述结果提示,室间隔肌切除术可改善左室的力学-能状态,从而对术后心脏重构和适应产生有利影响。所提出的建模方法可能为优化手术计划或评估OHCM患者鼻中隔肌切除术的治疗效果提供一种有希望的手段。
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引用次数: 0
Quantifying the local strain energy density distribution in the mouse tibia: the critical role of the loading direction 定量小鼠胫骨局部应变能密度分布:加载方向的关键作用。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-09-03 DOI: 10.1007/s10237-025-02011-z
Saira Mary Farage-O’Reilly, Vee San Cheong, Peter Pivonka, Visakan Kadirkamanathan, Enrico Dall’Ara

Understanding how bone adapts to external forces is fundamental for exploring potential biomechanical interventions against skeletal diseases. This can be studied preclinically, combining in vivo experiments in rodents and in silico mechanoregulation models. While the in vivo tibial loading model is widely used to study bone adaptation, the common assumption of purely axial loading may be a simplification. This study quantifies the effect of the loading direction on the strain energy density (SED) distribution in the mouse tibia, a commonly used input for mechanoregulated bone remodelling models. To achieve this, validated micro-finite element (micro-FE) models were used to test the differences in local SED when the bone was loaded along different loading directions. In vivo micro-computed tomography (micro-CT) images were acquired from the tibiae of eleven ovariectomised mice at 18 weeks old before intervention and at 20 weeks old, after six mice underwent external mechanical loading. Micro-CT-based micro-FE models were generated for each tibia at both time points and loaded with a unit load in each Cartesian direction independently. The results from these unit load models were linearly combined to simulate various loading directions, defined by angles θ (inferior-superior) and ϕ (anterior–posterior). The results revealed a high sensitivity of the mouse tibia to the loading direction across both groups and time points. Several loading directions (e.g., θ = 10°, ϕ = 205–210°) resulted in lower medians of the top 5% SED values compared to those obtained for the nominal axial case (θ = 0°, ϕ = 0°). Conversely, higher values were observed for other directions (e.g., θ = 30°, ϕ = 35–50°). These findings emphasise the importance of considering the loading direction in experimental and computational bone adaptation studies.

了解骨骼如何适应外力是探索潜在的生物力学干预骨骼疾病的基础。这可以在临床前进行研究,结合啮齿动物体内实验和硅机械调节模型。虽然体内胫骨负荷模型被广泛用于研究骨适应,但通常的纯轴向负荷假设可能是一种简化。本研究量化了加载方向对小鼠胫骨应变能密度(SED)分布的影响,这是机械调节骨重构模型的常用输入。为了实现这一目标,使用经过验证的微有限元(micro-FE)模型来测试骨沿不同加载方向加载时局部SED的差异。在干预前18周龄和20周龄,6只小鼠接受外部机械负荷后,从11只切除卵巢的小鼠胫骨获得体内微计算机断层扫描(micro-CT)图像。在两个时间点对每个胫骨生成基于micro- ct的微有限元模型,并在每个笛卡尔方向上独立加载一个单位载荷。这些单元加载模型的结果被线性组合以模拟各种加载方向,由角度θ(下-上)和φ(前-后)定义。结果显示,小鼠胫骨在两组和时间点上对加载方向都有很高的敏感性。几个加载方向(例如,θ = 10°,ϕ = 205-210°)导致较低的前5% SED值的中位数相比,获得的标称轴向情况(θ = 0°,ϕ = 0°)。相反,在其他方向(例如,θ = 30°,ϕ = 35-50°)观察到更高的值。这些发现强调了在实验和计算骨适应研究中考虑载荷方向的重要性。
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引用次数: 0
Heart in a knot: unraveling the impact of the nested tori myofiber architecture on ventricular mechanics 结中的心脏:揭示嵌套环肌纤维结构对心室力学的影响。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-09-03 DOI: 10.1007/s10237-025-01995-y
Kasra Osouli, Francesco De Gaetano, Maria Laura Costantino, Mathias Peirlinck

The intricate three-dimensional organization of cardiac myofibers and sheetlets plays a critical role in the mechanical behavior of the human heart. Despite extensive research and the development of various rule-based myofiber architecture surrogate models, the precise arrangement of these structures and their impact on cardiac function remain subjects of debate. In this study, we present a novel myofiber architecture surrogate inspired by Streeter’s nested tori conjecture, modeling the left ventricle as a series of smoothly twisting toroidal surfaces populated by continuous myofiber and sheetlet fields. Leveraging high-fidelity cardiac computational modeling approaches, we systematically evaluated the biomechanical performance of this nested tori architecture against conventional rule-based nested ellipsoidal models. Our results demonstrate that the nested tori architecture aligns more closely with experimental data on physiological myofiber and sheetlet angles. Notably, it enhances sheetlet mobility—a key mechanism for effective cardiac pumping—resulting in higher ejection fraction, greater global deformation, and a more physiological wall rotation pattern. Additionally, it produces a more homogeneous myofiber stress distribution and increased myofiber shortening during ejection. These findings suggest that the nested tori architecture provides a compelling alternative to conventional nested ellipsoidal models, offering a more physiologically consistent representation of myocardial structure and its functional implications. By enabling improved biomechanical performance in silico, this approach supports further investigation into how detailed myoarchitectural continuity shapes cardiac function. Ultimately, it may open promising avenues for advancing cardiac diagnosis, guiding the design of bioinspired implants and devices, and deepening our understanding of both healthy and diseased cardiac mechanics.

心肌纤维和薄片的复杂三维组织在人类心脏的力学行为中起着关键作用。尽管广泛的研究和各种基于规则的肌纤维结构替代模型的发展,这些结构的精确排列及其对心功能的影响仍然是争论的主题。在这项研究中,我们提出了一种新的肌纤维结构替代品,灵感来自Streeter的嵌套环面猜想,将左心室建模为一系列平滑扭曲的环面,由连续的肌纤维和薄片场填充。利用高保真心脏计算建模方法,我们系统地评估了这种嵌套环面结构与传统基于规则的嵌套椭球体模型的生物力学性能。我们的研究结果表明,嵌套环面结构与生理肌纤维和薄片角度的实验数据更接近。值得注意的是,它增强了薄片流动性——有效心脏泵送的关键机制——导致更高的射血分数、更大的整体变形和更生理的壁旋转模式。此外,它产生更均匀的肌纤维应力分布,并在射血过程中增加肌纤维缩短。这些发现表明,嵌套环面结构为传统的嵌套椭球体模型提供了一个令人信服的替代方案,为心肌结构及其功能意义提供了更生理一致的表征。通过提高生物力学性能,这种方法支持进一步研究详细的肌肉结构连续性如何影响心脏功能。最终,它可能为推进心脏诊断,指导生物启发植入物和设备的设计,以及加深我们对健康和患病心脏力学的理解开辟有希望的途径。
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引用次数: 0
Intestinal invagination caused by circumferential contraction with longitudinal relaxation of the wall 肠内陷是由肠壁纵向松弛引起的圆周收缩。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-09-03 DOI: 10.1007/s10237-025-02010-0
Hitomi Okino, Hironori Takeda, Shunichi Ishida, Yohsuke Imai

Pediatric intussusception is frequently observed in the ileocecal region, where the terminal ileum invaginates into the colon. Previous studies have indicated an association between pediatric intussusception and inflammation as well as intestinal motility. However, the underlying mechanisms remain unclear, particularly with regard to the mechanics. We hypothesized that invagination occurs when longitudinal and circular smooth muscles are not coordinated during peristalsis. To test the hypothesis from a mechanical perspective, we developed a computational model of the terminal ileum, where the terminal ileum is modeled as a hyperelastic tube. We showed that circumferential contraction with longitudinal relaxation of the hyperelastic tube wall caused invagination in the contracting region of the tube. We also found that invagination occurred when a square-shaped contracting region emerged in the hyperelastic tube. These results indicate that uncoordinated motion of the circular and longitudinal muscles can lead to invagination of the intestinal wall. In addition, the configuration of peristalsis may serve as an indicator of the risk of pediatric intussusception.

小儿肠套叠常见于回肠盲区,此处回肠末端内陷到结肠内。先前的研究表明,儿童肠套叠与炎症和肠蠕动之间存在关联。然而,潜在的机制仍然不清楚,特别是在力学方面。我们假设当纵向和圆形平滑肌在蠕动过程中不协调时发生内陷。为了从力学角度检验这一假设,我们开发了一个回肠末端的计算模型,其中回肠末端被建模为一个超弹性管。我们发现,在超弹性管壁的纵向松弛的周向收缩引起内陷管的收缩区域。我们还发现,当超弹性管中出现方形收缩区域时,内陷发生。这些结果表明,环形和纵向肌肉的不协调运动可导致肠壁内陷。此外,肠蠕动的结构可以作为儿童肠套叠风险的一个指标。
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引用次数: 0
Atherosclerosis increases adventitial pressure and limits solute transport via fluid-balance mechanisms 动脉粥样硬化增加体表压力,并通过体液平衡机制限制溶质运输。
IF 2.7 3区 医学 Q2 BIOPHYSICS Pub Date : 2025-09-01 DOI: 10.1007/s10237-025-02000-2
Willy V. Bonneuil, Daniel J. Watson, Sarajo K. Mohanta, Andreas J. R. Habenicht, James E. Moore Jr, Jennifer Frattolin

The adventitia of blood vessels is their structural interface with surrounding tissues and may also contribute importantly to atherogenesis. Adventitial vasa vasorum and lymphatic vessels provide sources and sinks of interstitial fluid and solutes and remodel in disease. We constructed a mathematical model to investigate how soluble disease mediators, including lipoproteins and cytokines, are transported through the artery wall in healthy and atherosclerotic conditions. We derived model parameters from in vivo measurements where possible and extensively investigated the sensitivity of fluid flow and solute transport to them. Adventitial interstitial fluid pressure is predicted to increase in atherosclerosis because of a shift in transmural fluxes across vasa vasorum and lymphatics. In healthy conditions, 40–80% of the fluid gathered by lymphatics originates from vasa vasorum, and this increases to 60–90% in atherosclerosis. The increased dilution of fluid flowing from the inner layers in atherosclerosis implies that solute transport from the media to the adventitia is impaired. This implies increased concentration gradients near the external elastic lamina that may increase immune-cell retention there, and decreased gradients in the outer adventitia that may reduce immune-cell attraction from there.

血管外膜是其与周围组织的结构界面,也可能对动脉粥样硬化起重要作用。血管外血管和淋巴管提供间质液和溶质的来源和汇,并在疾病中重塑。我们构建了一个数学模型来研究包括脂蛋白和细胞因子在内的可溶性疾病介质如何在健康和动脉粥样硬化条件下通过动脉壁运输。我们尽可能从体内测量中获得模型参数,并广泛研究了流体流动和溶质运输对它们的敏感性。动脉粥样硬化时,由于血管血管和淋巴管的跨壁通量的改变,预计外膜间质液压力会升高。在健康状况下,淋巴管收集的液体中有40-80%来自血管,在动脉粥样硬化中,这一比例增加到60-90%。动脉粥样硬化中从内层流出的液体稀释增加,表明溶质从介质到外膜的运输受到损害。这意味着外弹性膜附近的浓度梯度增加,可能会增加免疫细胞在那里的滞留,而外外膜的浓度梯度降低,可能会减少免疫细胞在那里的吸引力。
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引用次数: 0
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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Biomechanics and Modeling in Mechanobiology
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