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A One-Dimensional (1D) Computational Fluid Dynamics Study of Fontan-Associated Liver Disease (FALD) fontan相关性肝病(FALD)的一维计算流体动力学研究。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-11 DOI: 10.1002/cnm.70128
Yaqi Li, Justin D. Weigand, Charles Puelz, Mette S. Olufsen, Alyssa Taylor-Lapole

Fontan-associated liver disease (FALD) is a disorder arising from hemodynamic changes and venous congestion in the liver. This disease is prominent in patients with hypoplastic left heart syndrome (HLHS). Although HLHS patients typically survive into adulthood, they have reduced cardiac output due to their univentricular physiology (i.e., a Fontan circuit). As a result, they have insufficient blood delivery to the liver. In comparison, patients with double outlet right ventricle (DORV), also having a univentricular circuit, have a lower incidence of FALD. In this study, we use a patient-specific, one-dimensional computational fluid dynamics (1D-CFD) model to predict hemodynamics in the liver of an HLHS patient and compare the predictions with an age- and size-matched single-ventricle Fontan DORV control patient. Additionally, we simulate FALD conditions in the HLHS patient to predict hemodynamic changes across various stages of disease progression. Our results show that the HLHS patient has higher hepatic arterial pressure compared to the DORV patient. This difference is exacerbated as FALD conditions progress. HLHS patients also have higher average portal pressures than DORV patients. The wall shear stress (WSS) is higher in the hepatic network for the simulated FALD patients. WSS is slightly decreased in the portal network for the HLHS patients, consistent with the development of portal hypertension. Perfusion analysis gives insight into regions of liver tissue at risk for fibrosis development, showing increasing pressures and reduced flow throughout the liver tissue fed by the portal vein under FALD conditions. Our results provide insight into the specific hemodynamic changes in Fontan circulation that can cause FALD.

方丹相关性肝病(FALD)是一种由肝脏血流动力学改变和静脉充血引起的疾病。此病在左心发育不全综合征(HLHS)患者中尤为突出。虽然HLHS患者通常存活到成年,但由于他们的单心室生理(即Fontan回路),他们的心输出量减少。因此,他们没有足够的血液输送到肝脏。相比之下,双出口右心室(DORV)患者,同样具有单心室回路,有较低的FALD发生率。在这项研究中,我们使用患者特异性的一维计算流体动力学(1D-CFD)模型来预测HLHS患者肝脏中的血流动力学,并将预测结果与年龄和大小匹配的单心室Fontan DORV对照患者进行比较。此外,我们模拟HLHS患者的FALD情况,以预测疾病进展不同阶段的血流动力学变化。我们的结果显示,HLHS患者的肝动脉压高于DORV患者。这种差异随着FALD病情的进展而加剧。HLHS患者的平均门静脉压力也高于DORV患者。模拟FALD患者肝网壁剪应力(WSS)较高。HLHS患者门静脉网络WSS略有下降,与门静脉高压症的发展相一致。灌注分析可以深入了解肝组织中存在纤维化发展风险的区域,显示在FALD条件下,门静脉供血的肝组织压力增加,血流减少。我们的研究结果为Fontan循环中可能导致FALD的特定血流动力学变化提供了见解。
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引用次数: 0
A Multiscale Computational Model of Endothelial-Immune Cell Interactions Regulated by Dynamic Wall Shear Stress 动态壁剪应力调控的内皮-免疫细胞相互作用的多尺度计算模型。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-11 DOI: 10.1002/cnm.70137
Yu-Yuan Zhang, Yi-Teng Wang, Yong-Jiang Li, Yan Qiu, Dong Chen, Kai-Rong Qin

Atherosclerotic plaque formation alters local vascular geometry, leading to disturbed blood flow patterns. These geometric irregularities produce spatial heterogeneity in wall shear stress (WSS), which plays a critical role in endothelial dysfunction and early immune cell recruitment during atherogenesis. However, the dynamic effect of spatial heterogeneity of wall shear stress on endothelial-immune interactions remains unclear. A multiscale computational model that integrates hemodynamics, endothelial cell phenotype transitions, and immune responses was developed. The model is used to investigate endothelial cell (EC) phenotype transitions and immune cell dynamics under varying damage threshold (DNO) conditions. Low-shear stress regions were found to expand with increasing DNO. Nitric oxide (NO) production was decreased, leading to accelerated EC activation and death. Monocyte Chemoattractant Protein-1 (MCP-1) expression was elevated, and monocyte recruitment and differentiation were enhanced, resulting in a higher proportion of pro-inflammatory M1 macrophages. The model reproduced experimental observations and provided robust predictions under different DNO scenarios. These results indicate that dynamic WSS drives EC state transitions and regulates immune cell recruitment and differentiation, providing a framework for studying vascular inflammation. Spatially heterogeneous WSS induces local NO depletion, which accelerates EC activation and death in low-shear stress regions, explaining focal endothelial dysfunction. EC injury further increases MCP-1 production, enhances monocyte recruitment, and promotes macrophage polarization toward a pro-inflammatory phenotype, demonstrating the ability of the model to capture flow-dependent vascular immune dynamics and inflammatory lesion development. This work provides mechanistic insight into the interplay between mechanical forces and vascular immune responses and may guide strategies for preventing endothelial injury and promoting anti-inflammatory therapy.

动脉粥样硬化斑块的形成改变了局部血管的几何形状,导致血流模式紊乱。这些几何不规则性导致壁剪切应力(WSS)的空间异质性,这在动脉粥样硬化过程中内皮功能障碍和早期免疫细胞募集中起关键作用。然而,壁面剪切应力的空间异质性对内皮-免疫相互作用的动态影响尚不清楚。一个集成了血流动力学、内皮细胞表型转变和免疫反应的多尺度计算模型被开发出来。该模型用于研究不同损伤阈值(DNO)条件下内皮细胞(EC)表型转变和免疫细胞动力学。低剪应力区随着DNO的增加而扩大。一氧化氮(NO)的产生减少,导致EC活化加速和死亡。单核细胞趋化蛋白1 (Monocyte Chemoattractant Protein-1, MCP-1)表达升高,单核细胞募集和分化增强,导致促炎M1巨噬细胞比例升高。该模型再现了实验观测结果,并在不同的DNO情景下提供了稳健的预测。这些结果表明,动态WSS驱动EC状态转变,调节免疫细胞募集和分化,为研究血管炎症提供了框架。空间异质性WSS诱导局部NO消耗,加速EC在低剪切应力区域的激活和死亡,解释了局灶性内皮功能障碍。EC损伤进一步增加MCP-1的产生,增强单核细胞募集,促进巨噬细胞向促炎表型极化,证明该模型能够捕捉血流依赖性血管免疫动力学和炎症病变发展。这项工作为机械力和血管免疫反应之间的相互作用提供了机制上的见解,并可能指导预防内皮损伤和促进抗炎治疗的策略。
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引用次数: 0
Mathematical Modeling and Simulation of Coupled Aqueous Humor Flow and Temperature Distribution in a Realistic 3D Human Eye Geometry 真实三维人眼几何中耦合房水流动和温度分布的数学建模与仿真。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-09 DOI: 10.1002/cnm.70132
Thomas Saigre, Vincent Chabannes, Christophe Prud'homme, Marcela Szopos

We present a comprehensive computational model to simulate the coupled dynamics of aqueous humor flow and heat transfer in the human eye. To manage the complexity of the model, we make significant efforts in meshing and efficient solution of the discrete problem using high-performance resources. The model accurately describes the dynamics of the aqueous humor in the anterior and posterior chambers and accounts for convective effects due to temperature variations. Results for fluid velocity, pressure, and temperature distribution are in good agreement with existing numerical results in the literature. Furthermore, the effects of postural changes and wall shear stress behavior are analyzed, providing new insights into the mechanical forces acting on ocular tissues. Overall, the present contribution provides a detailed three-dimensional simulation that enhances the understanding of ocular physiology and may contribute to further progress in clinical research and treatment optimization in ophthalmology.

我们提出了一个综合的计算模型来模拟人眼中房水流动和传热的耦合动力学。为了管理模型的复杂性,我们在网格划分和使用高性能资源高效解决离散问题方面做出了重大努力。该模型准确地描述了房水前房和后房的动力学,并解释了由于温度变化引起的对流效应。流体速度、压力和温度分布的结果与文献中已有的数值结果一致。此外,我们还分析了体位变化和眼壁剪切应力行为的影响,为研究作用于眼组织的机械力提供了新的见解。总的来说,本研究提供了详细的三维模拟,增强了对眼生理学的理解,并可能有助于眼科临床研究和治疗优化的进一步进展。
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引用次数: 0
Influence of Different Vibration Loads and Body Postures on Sacroiliac Joints: Implications for Low Back Pain 不同振动负荷和身体姿势对骶髂关节的影响:对腰痛的影响。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-09 DOI: 10.1002/cnm.70135
Chi Zhang, Li-Xin Guo

Sacroiliac joints (SIJ) injury has been recognised as a crucial cause of low back pain (LBP), but investigations on SIJ are insufficient. The aim of this study was to reveal the mechanism of SIJ injury induced by different vibration conditions and body inclinations and thus to analyse the relationship between vibration and LBP. Based on whole-body finite element models, eight load cases were analysed, where the multi-axis vibration loading cases were closer to the typical vehicle environment. In addition, three different body inclinations were involved to analyse the effect of body inclinations on vibration transmission of SIJ. The results showed that the vertical vibration would induce larger loads on SIJ than the fore-and-aft vibration. Single-axis vibrations tended to cause large fore-and-aft loads of SIJ, and multi-axis vibrations tended to cause large vertical loads. For the three body inclinations, static loads on SIJ were minimal at 100° and dynamic loads were minimal at 110°, which indicated that the 100° inclination was a recommended sitting posture for occupational drivers to reduce their incidence of LBP. These findings might be helpful for understanding the association between different vibration conditions and LBP, and provide reasonable ergonomics recommendations for occupational drivers to reduce the incidence of LBP.

骶髂关节(SIJ)损伤被认为是腰痛(LBP)的一个重要原因,但对骶髂关节的研究还不够。本研究的目的是揭示不同振动条件和身体倾斜度诱发的SIJ损伤机制,分析振动与LBP的关系。基于整车有限元模型,分析了8种载荷工况,其中多轴振动载荷工况更接近典型车辆环境。此外,采用三种不同的体倾角分析了体倾角对SIJ振动传递的影响。结果表明,竖向振动比前后振动对SIJ产生更大的载荷。单轴振动倾向于产生较大的SIJ前后载荷,多轴振动倾向于产生较大的垂直载荷。在三种身体倾斜度中,静载荷在100°时最小,动载荷在110°时最小,这表明100°倾斜度是职业驾驶员减少腰痛发生率的推荐坐姿。本研究结果有助于了解不同振动条件与腰痛的关系,并为职业驾驶员减少腰痛发生率提供合理的工效学建议。
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引用次数: 0
Meshless Computing Method for Simulating Bone Remodeling Process 模拟骨重塑过程的无网格计算方法。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-09 DOI: 10.1002/cnm.70134
Pei Qin, Jigang Chen, Huabin Huang, Lei Zhang, Cong Liu

Bone remodeling refers to the physiological behavior of bone tissue changes with changes in the biomechanical environment. Researches of bone remodeling process are significant for bone tissue engineering. The use of numerical simulation technology is an important means to analyze the bone remodeling process. The research of computational methods can deeply reveal the growth law of bone tissue under external load and environmental effects. This work aims to develop the computational model using a meshless method, and simulate an evolution of the porous structure of trabecular bone. The main research objectives include: (1) proposing a novel bone remodeling model based on the radial point interpolation method (RPIM), which integrates the mechanical and biological aspects of bone remodeling; (2) analyzing the theoretical foundations of the meshless method, including the mechanical model driven by strain energy stimulation and the biological model regulated by cell growth, death, and proliferation. This work and the presented cases are limited to two-dimensional areas. The results demonstrate that the proposed bone remodeling model can reflect the bone remodeling process and reflect the dynamic changes inside the bone throughout its life cycle. The developed computational algorithm is highly efficient, and can form the porous structure of trabecular bone through image fitting.

骨重塑是指骨组织的生理行为随着生物力学环境的变化而发生变化。骨重塑过程的研究对骨组织工程具有重要意义。利用数值模拟技术是分析骨重塑过程的重要手段。计算方法的研究可以深入揭示骨组织在外载荷和环境作用下的生长规律。本工作旨在利用无网格方法建立计算模型,模拟骨小梁多孔结构的演化过程。主要研究目标包括:(1)提出一种基于径向点插值法(RPIM)的骨重建模型,该模型将骨重建的力学和生物学方面结合起来;(2)分析了无网格方法的理论基础,包括应变能刺激驱动的力学模型和细胞生长、死亡和增殖调控的生物学模型。这项工作和所提出的案例仅限于二维区域。结果表明,所建立的骨重塑模型能够反映骨重塑过程,反映骨在整个生命周期内的动态变化。所开发的计算算法效率高,可以通过图像拟合形成骨小梁的多孔结构。
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引用次数: 0
Mechanics-Oriented Coil Size Selection for an Internal Carotid Aneurysm With Fluid-Structure Interaction. 具有流固相互作用的颈内动脉瘤的力学导向线圈尺寸选择。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-01 DOI: 10.1002/cnm.70139
Jiakun Han, Na Zhao, Wei Li, Shiwei Zhao

The coil intervention is a common aneurysm treatment strategy, but the effect of coil size on aneurysm hemodynamics and mechanics is not fully understood. In this paper, how different sizes of coils affect the hemodynamic and mechanical properties of a real internal carotid artery (ICA) aneurysm was investigated. A fluid-structure interaction (FSI) method based on the Arbitrary Lagrangian-Eulerian (ALE) approach was used to consider non-Newtonian blood flow, linear elastic arterial wall and simulations. It is indicated that with the increase of coil size, the hemodynamic parameters related to aneurysm such as wall shear stress (WSS), time-averaged WSS (TAWSS) and oscillatory shear index (OSI) decreased significantly. However, too large coils will compress the parent artery, produce high TAWSS areas in adjacent branches, and cause stress concentration on the aneurysm wall. Moreover, both the average displacement and von Mises stress of the aneurysm dome initially decrease and then increase with coil size. The appropriate size of the coil is beneficial to minimize displacement and stress by reducing blood flow velocity and vortices. The effects of different coil sizes were predicted by computational fluid dynamics (CFD), and the individualized treatment plan was adjusted according to the aneurysm morphology and hemodynamic characteristics. Our results provide a new theoretical basis for interventional therapy and help to promote the transformation of coil intervention from empirical filling to mechanics-oriented precision treatment.

动脉瘤介入治疗是一种常见的动脉瘤治疗策略,但线圈大小对动脉瘤血流动力学和力学的影响尚不完全清楚。本文研究了不同尺寸线圈对真实颈内动脉(ICA)动脉瘤血流动力学和力学性能的影响。采用基于任意拉格朗日-欧拉(ALE)方法的流固相互作用(FSI)方法考虑非牛顿血流、线性弹性动脉壁和模拟。结果表明,随着线圈尺寸的增大,与动脉瘤相关的血流动力学参数壁面剪切应力(WSS)、时间平均剪切应力(TAWSS)和振荡剪切指数(OSI)均显著降低。然而,太大的线圈会压缩载动脉,在邻近分支产生高TAWSS区域,并导致动脉瘤壁应力集中。动脉瘤穹窿的平均位移和von Mises应力均随线圈尺寸的增大先减小后增大。适当的线圈尺寸有利于通过降低血流速度和漩涡来减少位移和应力。利用计算流体动力学(CFD)预测不同线圈尺寸的影响,并根据动脉瘤形态和血流动力学特征调整个体化治疗方案。本研究结果为介入治疗提供了新的理论依据,有助于推动线圈介入由经验填充向以力学为导向的精准治疗转变。
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引用次数: 0
A Macro–Micro FE and Machine Learning Based Design of Diamond Lattice Tibial Implant to Improve Biomechanical and Osseointegration Performance 基于宏微观有限元和机器学习的金刚石晶格胫骨种植体设计提高生物力学和骨整合性能。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-22 DOI: 10.1002/cnm.70133
Minku, Rajesh Ghosh

Poor long-term implant–bone fixation remains a significant clinical problem for Total Ankle Replacement (TAR). Recent advancements in metal additive manufacturing technology facilitate the development of porous lattice-structured implants. However, the optimal porous structure parameter, especially porosity, for the designing of porous implants for TAR remains ambiguous. The objective of the present study is to design porous diamond-structured tibial implant for TAR using macro–micro FE and Machine Learning (ML) based approach to enhance biomechanical and osseointegration performance. Four porous diamond architectures were designed with porosity varying from 50% to 80%. The study entails the macro-microscale FE modelling of four different porous diamond structured tibial implants (PDSTI) to assess the biomechanical performance and to perform bone ingrowth simulations using a physics based progressive mechanoregulatory tissue differentiation algorithm. ML models were used to predict the value of site-specific bone ingrowth, and the average value was compared between these PDSTI. ML models were accurately able to predict the site-specific bone ingrowth for each PDSTI. Bone ingrowth results revealed that the PDSTI at 70% porosity is more conducive to bone formation as well as better load transfer (less stress shielding) to the bone in comparison to a traditional solid implant. The lowest value of bone ingrowth was noted for the PDSTI at 80% porosity, indicating that large porosity is not suitable for bone ingrowth. The findings ultimately contribute to improving the clinical outcomes for TAR by reducing the risk of aseptic loosening.

不良的长期植入骨固定仍然是全踝关节置换术(TAR)的重要临床问题。金属增材制造技术的最新进展促进了多孔晶格结构植入物的发展。然而,设计用于TAR的多孔植入物的最佳多孔结构参数,特别是孔隙率仍然不明确。本研究的目的是利用宏微观有限元和基于机器学习(ML)的方法设计用于TAR的多孔金刚石结构胫骨种植体,以提高生物力学和骨整合性能。设计了四种孔隙度从50%到80%不等的多孔金刚石结构。该研究需要对四种不同的多孔金刚石结构胫骨植入物(PDSTI)进行宏观微观有限元建模,以评估生物力学性能,并使用基于物理的渐进机械调节组织分化算法进行骨长入模拟。使用ML模型预测部位特异性骨长入值,并比较这些PDSTI的平均值。ML模型能够准确预测每个PDSTI的部位特异性骨长入。骨长入结果显示,与传统的实体种植体相比,70%孔隙度的PDSTI更有利于骨形成,并且更好地将载荷传递(更少的应力屏蔽)到骨。PDSTI的骨长入值在80%孔隙度时最低,说明大孔隙度不适合骨长入。研究结果最终有助于通过降低无菌性松动的风险来改善TAR的临床结果。
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引用次数: 0
Modeling Osteoporotic Spongy Bone Using Cellular Structures 利用细胞结构建模骨质疏松海绵状骨。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-19 DOI: 10.1002/cnm.70122
Alireza Mohammadi, Reza Hedayati, Mojtaba Sadighi

The mechanical properties of spongy bone are a function of the tissue's microstructure including the strength and microarchitecture of the trabeculae. The thickness and number of trabeculae (morphological data) are the most important parameters that can indicate the porosity of tissue. Osteoporosis is known as a decrease in the thickness or loss of trabeculae that causes a reduction in the density and strength of bone. This research aims to model osteoporosis using cellular (lattice) structures and also presents mechanical relationships to predict tissue behavior during osteoporosis using morphological data for spongy tissue. Experimental trendlines (Young's modulus and relative density) are developed and equivalent lattice structures for osteoporotic spongy bone are presented using eight different types of unit cells such as cubic, hexagonal, tesseract, diamond, BCC, truncated cube, octahedral, and rhombic dodecahedron. Also, structural damage modes including trabeculae thinning, trabeculae elimination, and hybrid mode are implemented for determining the optimum geometrical characteristics of lattice structures for modeling osteoporosis. Comparison between normalized elastic moduli for unit cell structures indicates that the diamond unit cell exhibits less than 5% difference with experimental values. Also, for a reduction of relative density from 0.3 to 0.1 as a result of the hybrid damage mode, the normalized elastic moduli of the diamond numerical model and experimental result were reduced by about 0.013 and 0.0186, respectively. Finally, results show that among all the unit cell types, the diamond unit cell when used alongside the hybrid damage mode can predict the osteoporosis behavior of bone with the best accuracy.

海绵骨的力学性能是组织微观结构的功能,包括小梁的强度和微结构。小梁的厚度和数量(形态学数据)是反映组织孔隙度的最重要参数。骨质疏松症是指骨小梁厚度减少或丢失,从而导致骨密度和强度降低。本研究旨在利用细胞(晶格)结构模拟骨质疏松症,并利用海绵组织的形态学数据提出力学关系,以预测骨质疏松症期间的组织行为。实验趋势线(杨氏模量和相对密度)的发展和骨质疏松海绵体骨等效晶格结构呈现使用八种不同类型的单位细胞,如立方体,六边形,立方体,菱形,BCC,截立方,八面体,和菱形十二面体。此外,还实现了结构损伤模式,包括小梁变薄、小梁消除和混合模式,以确定用于骨质疏松建模的晶格结构的最佳几何特征。对单胞结构的归一化弹性模量进行比较表明,金刚石单胞结构与实验值的差异小于5%。当相对密度由0.3降低到0.1时,金刚石数值模型和实验结果的归一化弹性模量分别降低了约0.013和0.0186。最后,研究结果表明,在所有单元格类型中,金刚石单元格与混合损伤模式一起使用时,可以最准确地预测骨的骨质疏松行为。
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引用次数: 0
Orthodontic Force Modeling of Upper-Shape Loop Combined With Micro-Implant for the Treatment of Molar Arch Adduction 上颌牙环联合微种植体治疗磨牙弓内收的正畸力模拟。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-18 DOI: 10.1002/cnm.70129
Jiawei Zhang, Jingang Jiang, Shuojian Zhai, Liang Yao, Yujian Tan, Yongde Zhang
<p>Malocclusion mainly manifested as crowded dentition and lordosis of the roof of the mouth. In order to treat malocclusion, it is necessary to guide and control the position of the teeth. Usually, the first premolars are removed to provide enough space for correction, and the upper-shape loop combined with micro-implant anchorage (USL-MIA) technology is adopted to achieve the purpose of adduction correction of the dental arch of the patient's oral grinding. In the treatment of malocclusion with USL or MIA, physicians rely on experience to approximate the magnitude and direction of the correction force generated by the USL or MIA deformation, and there will be bias. The purpose of this paper is to provide theoretical reference for doctors in the treatment of USL-MIA. The elastic deformation of the USL-MIA is analyzed, and the theoretical corresponding relationship between the USL-MIA deformation and the therapeutic force is calculated by using Castigliano's theorem so as to establish a theoretical model of the therapeutic force of the USL-MIA. In order to verify the accuracy of the theoretical model of correcting force, the theoretical value calculation, finite element simulation analysis, and experimental measurement of the archwire combined with MIA with different materials, section sizes, and section shapes were carried out. The correlation analysis of the obtained values shows that the Pearson correlation coefficient between the theoretical data and the simulation data is <span></span><math> <semantics> <mrow> <msub> <mi>ξ</mi> <mi>A</mi> </msub> <mo>≥</mo> <mn>89.7</mn> <mo>%</mo> </mrow> <annotation>$$ {xi}_{mathrm{A}}ge 89.7% $$</annotation> </semantics></math>, the Pearson correlation coefficient between the theoretical data and the experimental data is <span></span><math> <semantics> <mrow> <msub> <mi>ξ</mi> <mi>B</mi> </msub> <mo>≥</mo> <mn>88.9</mn> <mo>%</mo> </mrow> <annotation>$$ {xi}_{mathrm{B}}ge 88.9% $$</annotation> </semantics></math> and Pearson correlation coefficient between the simulation data and the experimental data is <span></span><math> <semantics> <mrow> <msub> <mi>ξ</mi> <mi>C</mi> </msub> <mo>≥</mo> <mn>87.2</mn> <mo>%</mo> </mrow> <annotation>$$ {xi}_Cge 87.2% $$</annotation> </semantics></math>. This model can help
错牙合主要表现为牙列拥挤、上颌前凸。为了治疗错牙合,有必要引导和控制牙齿的位置。通常将第一前臼齿拔除,为矫正提供足够的空间,采用上形环结合微种植体支抗(USL-MIA)技术,达到患者口腔磨牙牙弓内收矫正的目的。在治疗USL或MIA错牙合时,医生依靠经验来估计USL或MIA变形所产生的矫正力的大小和方向,会有偏差。本文旨在为医生治疗USL-MIA提供理论参考。分析了USL-MIA的弹性变形,利用Castigliano定理计算了USL-MIA变形与治疗力之间的理论对应关系,建立了USL-MIA治疗力的理论模型。为了验证修正力理论模型的准确性,对不同材料、不同截面尺寸、不同截面形状的弓丝结合MIA进行了理论值计算、有限元仿真分析和实验测量。对所得值进行相关性分析,理论数据与仿真数据的Pearson相关系数ξ A≥89.7 % $$ {xi}_{mathrm{A}}ge 89.7% $$ , the Pearson correlation coefficient between the theoretical data and the experimental data is ξ B ≥ 88.9 % $$ {xi}_{mathrm{B}}ge 88.9% $$ and Pearson correlation coefficient between the simulation data and the experimental data is ξ C ≥ 87.2 % $$ {xi}_Cge 87.2% $$ . This model can help doctors to provide theoretical parameter support on the basis of original experience and can provide a faster and more convenient basis for doctors in orthodontic treatment and provide a safer treatment plan for patients.
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引用次数: 0
Modelling the Squishy Effect in Interstitial Pulmonary Fibrosis 间质性肺纤维化的黏性效应模拟。
IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-18 DOI: 10.1002/cnm.70130
Raffaella Rizzoni, Roberto Tonelli, Alessandro Marchioni

In idiopathic pulmonary fibrosis (IPF), the juxtaposition of preserved regions and fibrotic areas creates heterogeneous lung mechanics and abnormal stress environments, which are hypothesized to activate mechanotransduction pathways and drive fibrosis progression. This study uses the “squishy ball lung” concept to quantify the potentially injurious mechanical stimuli arising from this heterogeneity. We developed a mechanical model that simulates the static inflation of an alveolus. This is described as a hyperelastic membrane with surface tension that is partially confined by springs representing fibrotic tissue. Finite element analysis (FEA) was used to assess the mechanical state under various confinement conditions. FEA revealed bulging deformation and significant meridian stress/strain peaks at transitions between confined and unconfined zones, which could potentially exceed safe physiological limits. To rigorously evaluate the predicted stress and strain environment, as well as its sensitivity to parameter uncertainty, such as material properties and the extent of confinement, we performed comprehensive uncertainty quantification (UQ) and quantitative sensitivity analysis (QSA). UQ confirmed the robustness of these localized stress peaks across parameter variations, while QSA identified the angle of confinement and spring stiffness as the primary determinants of peak stress magnitude. By quantifying these potentially injurious stress peaks, this study provides insights into the mechanical environment hypothesized to initiate mechanotransduction pathways in idiopathic pulmonary fibrosis (IPF), laying the groundwork for future studies that incorporate biological responses such as growth and remodeling.

在特发性肺纤维化(IPF)中,保存区域和纤维化区域的并放在一起会产生不均匀的肺力学和异常的应激环境,这被假设为激活机械转导途径并驱动纤维化进展。本研究使用“湿球肺”概念来量化由这种异质性引起的潜在有害机械刺激。我们开发了一个机械模型来模拟肺泡的静态膨胀。这被描述为具有表面张力的超弹性膜,其部分被代表纤维化组织的弹簧所限制。采用有限元分析(FEA)对不同约束条件下的力学状态进行了评估。有限元分析显示,在承压区和非承压区之间的过渡处,试样出现了胀形变形和明显的经络应力/应变峰值,可能超过了安全的生理极限。为了严格评估预测的应力应变环境及其对材料性能和约束程度等参数不确定性的敏感性,我们进行了综合不确定性量化(UQ)和定量敏感性分析(QSA)。UQ证实了这些局部应力峰值在参数变化中的稳健性,而QSA则确定了约束角和弹簧刚度是峰值应力大小的主要决定因素。通过量化这些潜在的有害应激峰值,本研究提供了对特发性肺纤维化(IPF)中启动机械转导途径的机械环境的见解,为未来研究纳入生长和重塑等生物反应奠定了基础。
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International Journal for Numerical Methods in Biomedical Engineering
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