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Validation of a computational biomechanical mouse brain model for rotational head acceleration 验证头部旋转加速度小鼠脑部生物力学计算模型
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-04-25 DOI: 10.1007/s10237-024-01843-5
Connor Bradfield, Liming Voo, Anindya Bhaduri, K. T. Ramesh

Recent mouse brain injury experiments examine diffuse axonal injury resulting from accelerative head rotations. Evaluating brain deformation during these events would provide valuable information on tissue level thresholds for brain injury, but there are many challenges to imaging the brain’s mechanical response during dynamic loading events, such as a blunt head impact. To address this shortcoming, we present an experimentally validated computational biomechanics model of the mouse brain that predicts tissue deformation, given the motion of the mouse head during laboratory experiments. First, we developed a finite element model of the mouse brain that computes tissue strains, given the same head rotations as previously conducted in situ hemicephalic mouse brain experiments. Second, we calibrated the model using a single brain segment, and then validated the model based on the spatial and temporal strain responses of other regions. The result is a computational tool that will provide researchers with the ability to predict brain tissue strains that occur during mouse laboratory experiments, and to link the experiments to the resulting neuropathology, such as diffuse axonal injury.

最近的小鼠脑损伤实验研究了头部加速旋转造成的弥漫性轴突损伤。评估这些事件中的大脑变形将为脑损伤的组织水平阈值提供有价值的信息,但在动态加载事件(如钝头撞击)中对大脑的机械响应成像存在许多挑战。为了弥补这一不足,我们提出了一个经过实验验证的小鼠大脑计算生物力学模型,该模型可根据实验室实验中小鼠头部的运动情况预测组织变形。首先,我们开发了一个小鼠大脑有限元模型,在头部旋转与之前进行的原位半头小鼠大脑实验相同的情况下,该模型可以计算组织应变。其次,我们使用单个脑区对模型进行了校准,然后根据其他区域的空间和时间应变反应对模型进行了验证。最终,研究人员可以利用这一计算工具预测小鼠实验室实验中出现的脑组织应变,并将实验与由此产生的神经病理学(如弥漫性轴索损伤)联系起来。
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引用次数: 0
Fracture mechanics modeling of aortic dissection 主动脉夹层的断裂力学模型。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-04-24 DOI: 10.1007/s10237-024-01845-3
Ram Hemanth Yeerella, Shengqiang Cai

Aortic dissection, a critical cardiovascular condition with life-threatening implications, is distinguished by the development of a tear and its propagation within the aortic wall. A thorough understanding of the initiation and progression of these tears, or cracks, is essential for accurate diagnosis and effective treatment. This paper undertakes a fracture mechanics approach to delve into the mechanics of tear propagation in aortic dissection. Our objective is to elucidate the impact of geometric and material parameters, providing valuable insights into the determinants of this pivotal cardiovascular event. Through our investigation, we have gained an understanding of how various parameters influence the energy release rate for tear propagation in both longitudinal and circumferential directions, aligning our findings with clinical data.

主动脉夹层是一种危及生命的严重心血管疾病,其特征是主动脉壁出现裂口并不断扩展。透彻了解这些撕裂或裂缝的形成和发展过程对于准确诊断和有效治疗至关重要。本文采用断裂力学方法深入研究主动脉夹层中撕裂扩展的力学原理。我们的目标是阐明几何参数和材料参数的影响,为这一关键心血管事件的决定因素提供有价值的见解。通过研究,我们了解了各种参数如何影响纵向和周向撕裂扩展的能量释放率,并将我们的研究结果与临床数据进行了比对。
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引用次数: 0
Determining a musculoskeletal system’s pre-stretched state using continuum–mechanical forward modelling and joint range optimization 利用连续机械前向建模和关节范围优化确定肌肉骨骼系统的预拉伸状态
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-04-15 DOI: 10.1007/s10237-024-01821-x
Okan Avci, Oliver Röhrle

The subject-specific range of motion (RoM) of a musculoskeletal joint system is balanced by pre-tension levels of individual muscles, which affects their contraction capability. Such an inherent pre-tension or pre-stretch of muscles is not measureable with in vivo experiments. Using a 3D continuum mechanical forward simulation approach for motion analysis of the musculoskeletal system of the forearm with 3 flexor and 2 extensor muscles, we developed an optimization process to determine the muscle fibre pre-stretches for an initial arm position, which is given human dataset. We used RoM values of a healthy person to balance the motion in extension and flexion. The performed sensitivity study shows that the fibre pre-stretches of the m. brachialis, m. biceps brachii and m. triceps brachii with (91%) dominate the objective flexion ratio, while m. brachiradialis and m. anconeus amount (7.8%) and (1.2%). Within the multi-dimensional space of the surrogate model, 3D sub-spaces of primary variables, namely the dominant muscles and the global objective, flexion ratio, exhibit a path of optimal solutions. Within this optimal path, the muscle fibre pre-stretch of two flexors demonstrate a negative correlation, while, in contrast, the primary extensor, m. triceps brachii correlates positively to each of the flexors. Comparing the global optimum with four other designs along the optimal path, we saw large deviations, e.g., up to 15(^{circ }) in motion and up to 40% in muscle force. This underlines the importance of accurate determination of fibre pre-stretch in muscles, especially, their role in pathological muscular disorders and surgical applications such as free muscle or tendon transfer.

肌肉骨骼关节系统的特定运动范围(RoM)是由个别肌肉的预张力水平平衡的,这影响到肌肉的收缩能力。这种肌肉固有的预张力或预拉伸是无法通过活体实验测量的。我们使用三维连续机械前向模拟方法对前臂肌肉骨骼系统(包括 3 块屈肌和 2 块伸肌)进行运动分析,开发了一个优化过程,以确定初始手臂位置(即人体数据集)的肌肉纤维预拉伸。我们使用健康人的 RoM 值来平衡伸屈运动。所进行的敏感性研究表明,肱二头肌、肱二头肌和肱三头肌的纤维预伸展量(91%)在客观屈伸比中占主导地位,而肱二头肌和肱三头肌的纤维预伸展量(7.8%)和(1.2%)则占主导地位。在代用模型的多维空间内,主要变量的三维子空间,即优势肌肉和总体目标屈伸比,呈现出最优解路径。在这一最优路径中,两块屈肌的肌肉纤维预拉伸呈负相关,而主要伸肌肱三头肌则与每块屈肌呈正相关。将全局最优与沿最优路径的其他四个设计进行比较,我们发现偏差很大,例如,运动偏差高达 15(^{circ }),肌力偏差高达 40%。这凸显了精确测定肌肉纤维预拉伸的重要性,特别是它们在病理肌肉失调和外科应用(如游离肌肉或肌腱转移)中的作用。
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引用次数: 0
The mechanical effects of chemical stimuli on neurospheres 化学刺激对神经球的机械效应
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-04-13 DOI: 10.1007/s10237-024-01841-7
Yun-Han Huang, Roza Vaez Ghaemi, James Cheon, Vikramaditya G. Yadav, John M. Frostad

The formulation of more accurate models to describe tissue mechanics necessitates the availability of tools and instruments that can precisely measure the mechanical response of tissues to physical loads and other stimuli. In this regard, neuroscience has trailed other life sciences owing to the unavailability of representative live tissue models and deficiency of experimentation tools. We previously addressed both challenges by employing a novel instrument called the cantilevered-capillary force apparatus (CCFA) to elucidate the mechanical properties of mouse neurospheres under compressive forces. The neurospheres were derived from murine stem cells, and our study was the first of its kind to investigate the viscoelasticity of living neural tissues in vitro. In the current study, we demonstrate the utility of the CCFA as a broadly applicable tool to evaluate tissue mechanics by quantifying the effect that oxidative stress has on the mechanical properties of neurospheres. We treated mouse neurospheres with non-cytotoxic levels of hydrogen peroxide and subsequently evaluated the storage and loss moduli of the tissues under compression and tension. We observed that the neurospheres exhibit viscoelasticity consistent with neural tissue and show that elastic modulus decreases with increasing size of the neurosphere. Our study yields insights for establishing rheological measurements as biomarkers by laying the groundwork for measurement techniques and showing that the influence of a particular treatment may be misinterpreted if the size dependence is ignored.

要建立更精确的模型来描述组织力学,就必须拥有能够精确测量组织对物理负荷和其他刺激的力学反应的工具和仪器。在这方面,由于缺乏有代表性的活体组织模型和实验工具,神经科学一直落后于其他生命科学。为了解决这两个难题,我们之前采用了一种名为悬臂毛细管力仪器(CCFA)的新型仪器来阐明小鼠神经球在压缩力作用下的机械特性。神经球来源于小鼠干细胞,我们的研究是首次在体外研究活体神经组织的粘弹性。在目前的研究中,我们通过量化氧化应激对神经球机械性能的影响,证明了 CCFA 作为一种广泛适用的评估组织机械性能的工具的实用性。我们用非细胞毒性水平的过氧化氢处理小鼠神经球,随后评估了组织在压缩和拉伸条件下的储存模量和损失模量。我们观察到神经球表现出与神经组织一致的粘弹性,并显示弹性模量随着神经球尺寸的增大而减小。我们的研究为流变学测量技术奠定了基础,并表明如果忽略了尺寸依赖性,可能会误解特定处理方法的影响,从而为将流变学测量结果确立为生物标志物提供了启示。
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引用次数: 0
A continuum model for the elongation and orientation of Von Willebrand factor with applications in arterial flow 冯-威廉因子伸长和定向的连续体模型及其在动脉流动中的应用
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-04-09 DOI: 10.1007/s10237-024-01840-8
E. F. Yeo, J. M. Oliver, N. Korin, S. L. Waters

The blood protein Von Willebrand factor (VWF) is critical in facilitating arterial thrombosis. At pathologically high shear rates, the protein unfolds and binds to the arterial wall, enabling the rapid deposition of platelets from the blood. We present a novel continuum model for VWF dynamics in flow based on a modified viscoelastic fluid model that incorporates a single constitutive relation to describe the propensity of VWF to unfold as a function of the scalar shear rate. Using experimental data of VWF unfolding in pure shear flow, we fix the parameters for VWF’s unfolding propensity and the maximum VWF length, so that the protein is half unfolded at a shear rate of approximately (5000,text {s}^{-1}). We then use the theoretical model to predict VWF’s behaviour in two complex flows where experimental data are challenging to obtain: pure elongational flow and stenotic arterial flow. In pure elongational flow, our model predicts that VWF is 50% unfolded at approximately (2000,text {s}^{-1}), matching the established hypothesis that VWF unfolds at lower shear rates in elongational flow than in shear flow. We demonstrate the sensitivity of this elongational flow prediction to the value of maximum VWF length used in the model, which varies significantly across experimental studies, predicting that VWF can unfold between (2000text { and }3200,text {s}^{-1}) depending on the selected value. Finally, we examine VWF dynamics in a range of idealised arterial stenoses, predicting the relative extension of VWF in elongational flow structures in the centre of the artery compared to high shear regions near the arterial walls.

血液蛋白冯-威廉因子(VWF)是促进动脉血栓形成的关键。在病理性高剪切率下,该蛋白质会展开并与动脉壁结合,使血液中的血小板迅速沉积。我们基于改进的粘弹性流体模型提出了一种新的连续流动 VWF 动态模型,该模型采用单一的构成关系来描述 VWF 作为标量剪切率函数的展开倾向。利用VWF在纯剪切流中展开的实验数据,我们固定了VWF展开倾向和最大VWF长度的参数,从而使蛋白质在剪切速率约为(5000,text {s}^{-1} )时展开一半。然后,我们使用该理论模型来预测 VWF 在两种复杂流体中的行为,在这两种流体中,实验数据的获取具有挑战性:纯伸长流和狭窄动脉流。在纯伸长流中,我们的模型预测 VWF 在大约 (2000,text {s}^{-1}) 时会展开 50%,这与 VWF 在伸长流中展开的剪切速率低于剪切流的既定假设相吻合。我们证明了这种伸长流预测对模型中使用的最大 VWF 长度值的敏感性,该值在不同的实验研究中变化很大,预测 VWF 可以在 (2000text { and }3200,text {s}^{-1})之间展开,具体取决于所选值。最后,我们研究了一系列理想化动脉狭窄中的 VWF 动态,预测了与动脉壁附近的高剪切区域相比,VWF 在动脉中心的伸长流动结构中的相对延伸。
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引用次数: 0
Treatment for middle cerebral artery bifurcation aneurysms: in silico comparison of the novel Contour device and conventional flow-diverters 大脑中动脉分叉动脉瘤的治疗:新型 Contour 设备与传统分流器的硅学比较
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-04-08 DOI: 10.1007/s10237-024-01829-3
Mengzhe Lyu, Ryo Torii, Ce Liang, Thomas W. Peach, Pervinder Bhogal, Levansri Makalanda, Qiaoqiao Li, Yiannis Ventikos, Duanduan Chen

Endovascular treatment has become the standard therapy for cerebral aneurysms, while the effective treatment for middle cerebral artery (MCA) bifurcation aneurysms remains a challenge. Current flow-diverting techniques with endovascular coils cover the aneurysm orifice as well as adjacent vessel branches, which may lead to branch occlusion. Novel endovascular flow disruptors, such as the Contour device (Cerus Endovascular), are of great potential to eliminate the risk of branch occlusion. However, there is a lack of valid comparison between novel flow disruptors and conventional (intraluminal) flow-diverters. In this study, two in silico MCA bifurcation aneurysm models were treated by specific Contour devices and flow-diverters using fast-deployment algorithms. Computational fluid dynamic simulations were used to examine the performance and efficiency of deployed devices. Hemodynamic parameters, including aneurysm inflow and wall shear stress, were compared among each Contour device, conventional flow-diverter, and untreated condition. Our results show that the placement of devices can effectively reduce the risk of aneurysm rupture, while the deployment of a Contour device causes more flow reduction than using flow-diverters (e.g. Silk Vista Baby). Besides, the Contour device presents the flow diversion capability of targeting the aneurysm neck without occluding the daughter vessel. In summary, the in silico aneurysm models presented in this study can serve as a powerful pre-planning tool for testing new treatment techniques, optimising device deployment, and predicting the performance in patient-specific aneurysm cases. Contour device is proved to be an effective treatment of MCA bifurcation aneurysms with less daughter vessel occlusion.

血管内治疗已成为脑动脉瘤的标准疗法,但如何有效治疗大脑中动脉(MCA)分叉动脉瘤仍是一项挑战。目前使用血管内线圈的血流分流技术会覆盖动脉瘤口以及邻近的血管分支,这可能会导致分支闭塞。新型血管内血流阻断器(如 Contour 装置(Cerus Endovascular))具有消除分支闭塞风险的巨大潜力。然而,新型血流阻断器与传统(腔内)血流分流器之间缺乏有效的比较。在这项研究中,采用特定的 Contour 设备和快速部署算法的血流阻断器治疗了两个硅学 MCA 分叉动脉瘤模型。计算流体动力学模拟用于检查部署装置的性能和效率。比较了每个 Contour 装置、传统分流器和未处理情况下的血流动力学参数,包括动脉瘤流入量和壁剪应力。我们的结果表明,放置装置能有效降低动脉瘤破裂的风险,而部署 Contour 装置比使用血流分流器(如 Silk Vista Baby)能减少更多血流。此外,Contour 装置还具有针对动脉瘤颈部的血流分流能力,而不会堵塞子血管。总之,本研究中介绍的硅学动脉瘤模型可作为强大的预规划工具,用于测试新的治疗技术、优化设备部署以及预测特定患者动脉瘤病例的性能。事实证明,Contour 装置能有效治疗 MCA 分叉动脉瘤,同时减少子血管闭塞。
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引用次数: 0
Biventricular finite element modeling of the fetal heart in health and during critical aortic stenosis 胎儿心脏健康时和主动脉瓣严重狭窄时的双心室有限元建模
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-04-08 DOI: 10.1007/s10237-024-01842-6
Meifeng Ren, Wei Xuan Chan, Laura Green, Martin L. Buist, Choon Hwai Yap

Finite Element simulations are a robust way of investigating cardiac biomechanics. To date, it has only been performed with the left ventricle (LV) alone for fetal hearts, even though results are likely different with biventricular (BiV) simulations. In this research, we conduct BiV simulations of the fetal heart based on 4D echocardiography images to show that it can capture the biomechanics of the normal healthy fetal heart, as well as those of fetal aortic stenosis better than the LV alone simulations. We found that performing LV alone simulations resulted in overestimation of LV stresses and pressures, compared to BiV simulations. Interestingly, inserting a compliance between the LV and right ventricle (RV) in the lumped parameter model of the LV only simulation effectively resolved these overestimations, demonstrating that the septum could be considered to play a LV-RV pressure communication role. However, stresses and strains spatial patterns remained altered from BiV simulations after the addition of the compliance. The BiV simulations corroborated previous studies in showing disease effects on the LV, where fetal aortic stenosis (AS) drastically elevated LV pressures and reduced strains and stroke volumes, which were moderated down with the addition of mitral regurgitation (MR). However, BiV simulations enabled an evaluation of the RV as well, where we observed that effects of the AS and MR on pressures and stroke volumes were generally much smaller and less consistent. The BiV simulations also enabled investigations of septal dynamics, which showed a rightward shift with AS, and partial restoration with MR. Interestingly, AS tended to enhance RV stroke volume, but MR moderated that down.

有限元模拟是研究心脏生物力学的可靠方法。尽管双心室(BiV)模拟的结果可能会有所不同,但迄今为止,这种模拟只针对胎儿心脏的左心室(LV)。在这项研究中,我们根据四维超声心动图图像对胎儿心脏进行了双心室模拟,结果表明它能比单用左心室模拟更好地捕捉正常健康胎儿心脏的生物力学,以及胎儿主动脉瓣狭窄的生物力学。我们发现,与 BiV 模拟相比,单独进行 LV 模拟会导致高估 LV 应力和压力。有趣的是,在仅左心室模拟的整块参数模型中插入左心室和右心室之间的顺应性可有效解决这些高估问题,这表明室间隔可被视为起着左心室-右心室压力沟通的作用。然而,加入顺应性后,应力和应变空间模式与 BiV 模拟相比仍有变化。BiV模拟证实了之前的研究,显示了疾病对左心室的影响,胎儿主动脉瓣狭窄(AS)使左心室压力急剧升高,应变和每搏容积降低,而二尖瓣反流(MR)的加入又使这一影响有所缓和。不过,BiV 模拟也能对 RV 进行评估,我们观察到 AS 和 MR 对压力和每搏容积的影响通常要小得多,而且不那么一致。双通道模拟还可以研究室间隔的动态变化,结果表明,AS 会导致室间隔右移,而 MR 则会导致室间隔部分恢复。有趣的是,AS 有增加 RV 搏出量的趋势,但 MR 则减缓了这一趋势。
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引用次数: 0
Acoustic emission applied to stochastic modeling of microdamage in compact bone 声发射应用于密实骨微损伤的随机建模。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-03-29 DOI: 10.1007/s10237-024-01838-2
D. Sánchez-Molina, S. García-Vilana

Exploring the stochastic intricacies of bone microstructure is a promising way to make progress on the practical issue of bone fracture. This study investigates the fracture of human complete ribs subjected to bending and using acoustic emission (AE) for microfailure detection. As the strain increases, the number of AE signals per unit of time rises until, beyond a certain threshold, an avalanche of signals occurs, indicating the aggregation of numerous microfailures into a macroscopic fracture. Since microfailures appear randomly throughout the bending test, and given the lack of a deterministic law and the random nature of microfailures during the bending test, we opted to develop a stochastic model to account for their occurrence within the irregular and random microstructure of the cortical bone. Notable discoveries encompass the significant correlation between adjusted parameters of the stochastic model and the total number of microfailures with anthropometric variables such as age and body mass index (BMI). The progression of microfailures with strain is significantly more pronounced with age and BMI, as measured by the rate of bone deterioration. In addition, the rate of microfailures is significantly impacted by BMI alone. It is also observed that the average energy of the identified AE events adheres to a precisely defined Pareto distribution for every specimen, with the principal exponent exhibiting a significant correlation with anthropometric variables. From a mathematical standpoint, the model can be described as a double Cox stochastic and explosive (coxplosive process) model. This further provides insight into the reason why the ribs of older individuals are considerably less resilient than those of younger individuals, breaking under a considerably lower maximum strain ((varepsilon _{max })).

探索骨微观结构的随机复杂性是在骨断裂这一实际问题上取得进展的一个可行方法。本研究调查了人体完整肋骨在弯曲条件下的断裂情况,并使用声发射(AE)进行微观断裂检测。随着应变的增加,单位时间内的声发射信号数量不断增加,直到超过一定的阈值,信号雪崩出现,表明无数微小断裂聚集成宏观断裂。由于微观断裂在整个弯曲试验过程中随机出现,而且在弯曲试验过程中缺乏确定性规律,微观断裂又具有随机性,因此我们选择建立一个随机模型,以解释在皮质骨的不规则和随机微观结构中出现的微观断裂。值得注意的发现包括随机模型的调整参数和微塌陷总数与年龄和体重指数(BMI)等人体测量变量之间的显著相关性。根据骨质退化的速度来衡量,随着年龄和体重指数的增加,微损伤随应变的增加明显增加。此外,仅体重指数就会对微损伤的发生率产生重大影响。还可以观察到,对于每个试样,已识别 AE 事件的平均能量都符合精确定义的帕累托分布,其主指数与人体测量变量有明显的相关性。从数学角度来看,该模型可被描述为双 Cox 随机和爆炸(共爆过程)模型。这进一步揭示了为什么老年人的肋骨比年轻人的肋骨弹性差得多,在更低的最大应变(ε max)下就会断裂。
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引用次数: 0
Correction to: Mathematical models of neuronal growth Correction to:神经元生长的数学模型。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-03-29 DOI: 10.1007/s10237-024-01831-9
Hadrien Oliveri, Alain Goriely

Correction to: Biomechanics and Modeling in Mechanobiology (2022) 21:89–118 https://doi.org/10.1007/s10237-021-01539-0

Correction to:生物力学和机械生物学建模(2022 年)21:89-118 https://doi.org/10.1007/s10237-021-01539-0。
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引用次数: 0
Preliminary establishment and validation of the inversion method for growth and remodeling parameters of patient-specific abdominal aortic aneurysm 初步建立和验证反演法,用于测量特定患者腹主动脉瘤的生长和重塑参数。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-03-28 DOI: 10.1007/s10237-024-01828-4
Chen Peng, Wei He, Jingyang Luan, Tong Yuan, Weiguo Fu, Yun Shi, Shengzhang Wang

Traditional medical imaging and biomechanical studies have challenges in analyzing the long-term evolution process of abdominal aortic aneurysm (AAA). The homogenized constrained mixture theory (HCMT) allows for quantitative analysis of the changes in the multidimensional morphology and composition of AAA. However, the accuracy of HCMT still requires further clinical verification. This study aims to establish a patient-specific AAA growth model based on HCMT, simulate the long-term growth and remodeling (G&R) process of AAA, and validate the feasibility and accuracy of the method using two additional AAA cases with five follow-up datasets. The media and adventitia layers of AAA were modeled as mixtures composed of elastin, collagen fibers, and smooth muscle cells (SMCs). The strain energy function was used to describe the continuous deposition and degradation effect of the mixture during the AAA evolution. Multiple sets of growth parameters were applied to finite element simulations, and the simulation results were compared with the follow-up data for gradually selecting the optimal growth parameters. Two additional AAA patients with different growth rates were used for validating this method, the optimal growth parameters were obtained using the first two follow-up imaging data, and the growth model was applied to simulate the subsequent four time points. The differences between the simulated diameters and the follow-up diameters of AAA were compared to validate the accuracy of the mechanistic model. The growth parameters, especially the stress-mediated substance deposition gain factor, are highly related to the AAA G&R process. When setting the optimal growth parameters to simulate AAA growth, the proportion of simulation results within the distance of less than 0.5 mm from the baseline models is above 80%. For the validating cases, the mean difference rates between the simulated diameter and the real-world diameter are within 2.5%, which basically meets the clinical demand for quantitatively predicting the AAA growth in maximum diameters. This study simulated the growth process of AAA, and validated the accuracy of this mechanistic model. This method was proved to be used to predict the G&R process of AAA caused by dynamic changes in the mixtures of the AAA vessel wall during long-term, assisting accurately and quantitatively predicting the multidimensional morphological development and mixtures evolution process of AAA in the clinic.

传统的医学成像和生物力学研究在分析腹主动脉瘤(AAA)的长期演变过程方面存在挑战。均质化约束混合物理论(HCMT)可对 AAA 的多维形态和组成变化进行定量分析。然而,HCMT 的准确性仍需要进一步的临床验证。本研究旨在建立基于 HCMT 的患者特异性 AAA 生长模型,模拟 AAA 的长期生长和重塑(G&R)过程,并使用两个额外的 AAA 病例和五个随访数据集验证该方法的可行性和准确性。AAA 的介质层和边缘层被模拟为由弹性蛋白、胶原纤维和平滑肌细胞(SMC)组成的混合物。应变能函数用于描述 AAA 演变过程中混合物的连续沉积和降解效应。在有限元模拟中应用了多组生长参数,并将模拟结果与随访数据进行比较,以逐步选择最佳生长参数。为验证该方法,又使用了两名不同生长速度的 AAA 患者,利用前两次随访成像数据获得了最佳生长参数,并将生长模型用于模拟随后的四个时间点。比较模拟直径与 AAA 随访直径之间的差异,以验证机理模型的准确性。生长参数,尤其是应力介导的物质沉积增益因子与 AAA G&R 过程高度相关。在设定最佳生长参数模拟 AAA 生长时,模拟结果与基线模型距离小于 0.5 毫米的比例超过 80%。在验证病例中,模拟直径与实际直径的平均差异率在2.5%以内,基本满足了定量预测AAA最大直径生长的临床需求。本研究模拟了 AAA 的生长过程,并验证了这一机理模型的准确性。该方法被证明可用于预测 AAA 血管壁混合物长期动态变化引起的 AAA 生长和再生长过程,有助于临床准确定量预测 AAA 的多维形态发育和混合物演变过程。
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引用次数: 0
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Biomechanics and Modeling in Mechanobiology
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