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Mechanical Evaluation for Dry Electrode Tip Geometry in Scalp Electroencephalography Measurements. 头皮脑电图测量中干电极尖端几何形状的力学评价。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2026-01-14 DOI: 10.1115/1.4070881
Shunya Araki, Shintaro Nakatani, Nozomu Araki

In electroencephalography (EEG) measurements using dry electrodes, a trade-off between signal stability and user comfort is a critical barrier to long-term, wearable applications. While various approaches have been proposed to address this issue, the mechanical impact of electrode tip geometry has not been adequately quantified, and most existing evaluations predominantly rely on subjective assessments. To address this gap with a quantitative, mechanics-based framework, the current study aimed to identify an optimized electrode tip geometry that minimizes mechanical stress on the scalp even under tilted contact conditions. Finite element analysis was conducted using strain energy density (SED), a mechanical index known to correlate with neural impulse activity, as a quantitative indicator of the mechanical influence of tip geometry on the skin. Six types of electrode tip geometries, ranging from flat to hemispherical, were defined based on the ratio of fillet radius to prong radius. These geometries were analyzed under inclination angles from 0 to 5 degree, and their peak SED values were compared. Additionally, a geometry optimization using an iterative search algorithm was performed to minimize peak SED under the 5 degree tillt. The findings revealed that intermediate fillet geometries with gently rounded edges more effectively reduce peak SED under inclined conditions. Optimization further identified a geometry ratio of Rrate* = 0.61875 as the most effective tip geometry for minimizing mechanical loading under the specified conditions. These results offer a potential geometric design guideline for dry EEG electrodes that can help maintain user comfort across varying inclination angles.

在使用干电极的脑电图(EEG)测量中,信号稳定性和用户舒适度之间的权衡是长期可穿戴应用的关键障碍。虽然已经提出了各种方法来解决这个问题,但电极尖端几何形状的机械影响尚未得到充分量化,而且大多数现有的评估主要依赖于主观评估。为了用定量的、基于力学的框架来解决这一差距,目前的研究旨在确定一种优化的电极尖端几何形状,即使在倾斜接触条件下,也能最大限度地减少头皮上的机械应力。有限元分析使用应变能密度(SED)进行,这是一种已知与神经冲动活动相关的力学指标,作为尖端几何形状对皮肤的力学影响的定量指标。根据圆角半径与尖头半径的比值,定义了从平面到半球形的六种电极尖端几何形状。在0 ~ 5度的倾角范围内对这些几何形状进行了分析,并比较了它们的峰值SED值。此外,使用迭代搜索算法进行几何优化,以最小化5度倾斜下的峰值SED。研究结果表明,在倾斜条件下,具有平缓圆角边缘的中间圆角几何形状更有效地降低了峰值SED。优化进一步确定了Rrate* = 0.61875的几何比是在指定条件下最小化机械载荷的最有效的尖端几何形状。这些结果为干式EEG电极提供了一个潜在的几何设计指导,可以帮助保持用户在不同倾角下的舒适性。
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引用次数: 0
Flexure-Based Locking Plates Can Modulate Interfragmentary Motion in Distal Femur and Diaphyseal Fractures: A Parametric Finite Element Analysis. 基于屈曲的锁定钢板可以调节股骨远端和骨干骨折的碎片间运动:参数有限元分析。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2026-01-01 DOI: 10.1115/1.4070406
Connor Huxman, Gary Updegrove, April Armstrong, Hwabok Wee, Mary I Frecker, Jared Butler, Gregory S Lewis

Axial interfragmentary motion is known to stimulate fracture healing. A mechanically compliant fracture fixation plate incorporating flexures is proposed to provide controlled axial micromotion to long bone fractures. To explore the concept's feasibility, computational modeling of general diaphyseal and distal femur fractures treated with both rigid and compliant plates is conducted. In Part I of this study, a diaphyseal fracture finite element model for novel compliant plates is validated against experimental data with good agreement. In Part II, a parametric analysis is conducted using the validated model to characterize the performance of many compliant plate designs with varying geometry and materials. Under axial loading, all compliant plate configurations provided greater (1.03 mm versus 0.22 mm) and more symmetric (270-390%) axial interfragmentary motion than rigid plates. Steel compliant plates with thicker flexures (0.3-0.6 mm) may provide the best performance given their enhanced motion and comparable bending/torsional rigidity. In Part III, compliant plates are adapted for use in treating distal femur fractures. Results demonstrate that compared to a rigid plate, a compliant distal femur plate with increased thickness can effectively modulate interfragmentary motion-that is, increase the insufficient near cortex motion under low loads (from 0.14 mm to 0.23 mm) and reduce the excessive far cortex motion under large loads (from 7.96 mm to 2.54 mm). Flexure-based locking plates represent a promising new approach to treating diaphyseal and/or distal femur fractures. Additional research is needed to investigate in vivo performance.

轴向骨折块间运动可促进骨折愈合。提出了一种结合屈曲的机械柔性骨折固定钢板,为长骨骨折提供可控的轴向微运动。为了探索这一概念的可行性,我们对一般骨干骨折和股骨远端骨折进行了刚性和柔性钢板治疗的计算建模。在本研究的第一部分中,针对新型柔性钢板的骨干骨折有限元模型与实验数据进行了验证,结果吻合良好。在第二部分中,使用验证模型进行参数分析,以表征具有不同几何形状和材料的许多柔性板设计的性能。在轴向载荷下,所有柔性板构型均比刚性板具有更大的轴向碎片间运动幅度(1.03mm vs. 0.22mm)和对称性(270-390%)。具有较厚挠度(0.3-0.6mm)的钢柔性板可以提供最佳性能,因为它们具有增强的运动和相当的弯曲/扭转刚度。在第三部分中,柔性钢板适用于治疗股骨远端骨折。结果表明,与刚性钢板相比,增加厚度的柔顺股骨远端钢板可以有效调节骨折块间运动,即增加低负荷(从0.14mm到0.23mm)下不足的近端皮质运动,减少大负荷(从7.96mm到2.54mm)下过度的远端皮质运动。基于屈曲的锁定钢板是治疗骨干骨折和/或股骨远端骨折的一种很有前景的新方法。需要进一步研究其体内性能。
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引用次数: 0
Comparative Analysis of Open-Source Finite Element Method Solvers for Computational Fluid Dynamics Performance in a Carotid Artery Model. 开源有限元求解器对颈动脉模型CFD性能的比较分析。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2026-01-01 DOI: 10.1115/1.4070404
Alexis Throop, Nathan Sudbury, Lucas H Timmins, Hediyeh Baradaran, Jeffrey A Weiss, Amirhossein Arzani

Computational fluid dynamics (CFD) is commonly used to investigate hemodynamics in the cardiovascular system, particularly in regions prone to cardiovascular disease, such as the carotid artery bifurcation. Despite its potential, significant variability exists across different computational approaches, highlighting the need for systematic solver comparisons. This study provides a comprehensive evaluation of three open-source finite element method (FEM) solvers-SimVascular, FEBio, and FEniCS Oasis-for simulating blood flow in a subject-specific carotid artery model. We conducted a rigorous comparison using a model derived from 4D phase-contrast magnetic resonance imaging (4D Flow MRI), examining solver performance across multiple mesh resolutions. This analysis focused on key hemodynamic metrics, including velocity fields, time-averaged wall shear stress (TAWSS), oscillatory shear index (OSI), and wall shear stress (WSS) topology. By maintaining identical meshes, boundary conditions, and postprocessing methods, we isolated solver-specific characteristics while focusing on high-resolution mesh refinements. All solvers demonstrated similar capability in representing the 4D-Flow MRI data. Notably, all solvers consistently identified critical hemodynamic regions, such as flow disturbance zones in the carotid sinus. Mesh convergence analysis showed the ability of all solvers to achieve converged predictions at relatively lower mesh resolutions. The computational time was also compared across the three solvers. While demonstrating the capabilities of each solver in predicting physiologically relevant hemodynamic patterns, our study underscores the utility of open-source solvers for high-fidelity hemodynamic predictions.

计算流体动力学(CFD)通常用于研究心血管系统的血流动力学,特别是在容易发生心血管疾病的区域,如颈动脉分叉。尽管它有潜力,但不同的计算方法存在显著的可变性,突出了系统求解器比较的必要性。本研究提供了三种开源有限元方法(FEM)求解器——SimVascular、FEBio和FEniCS Oasis——的综合评估,用于模拟受试者特定颈动脉模型中的血流。我们使用4D相对比磁共振成像(4D Flow MRI)模型进行了严格的比较,检查了求解器在多个网格分辨率下的性能。该分析侧重于关键的血流动力学指标,包括速度场、时间平均壁面剪切应力(TAWSS)、振荡剪切指数(OSI)和WSS拓扑。通过保持相同的网格、边界条件和后处理方法,我们分离了求解器特定的特征,同时专注于高分辨率的网格细化。所有求解器在表示4D-Flow MRI数据方面都表现出相似的能力。值得注意的是,所有求解器一致地确定了关键的血流动力学区域,例如颈动脉窦中的血流干扰区。网格收敛分析表明,所有求解器都能够在相对较低的网格分辨率下实现收敛预测。还比较了三种求解器的计算时间。在展示每个求解器在预测生理相关血流动力学模式方面的能力的同时,我们的研究强调了开源求解器在高保真血流动力学预测方面的实用性。
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引用次数: 0
Fascicular Elastin Impacts Tendon-Specific Ramp-to-Failure and Fatigue Mechanics. 筋束弹性蛋白影响肌腱特定的失效斜坡和疲劳力学。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2025-11-01 DOI: 10.1115/1.4069533
Shawn N Pavey, Jeremy D Eekhoff, Niyousha Karbasion, Nathan Xu, Matthew R Bersi, Jessica E Wagenseil, Spencer P Lake

Fascicular elastic fibers have recently been shown to play a significant role in tendon mechanics despite relatively low abundance, leading to increased linear modulus in ramp to failure mechanical testing with elastin knockdown. Despite elastin providing fatigue and recoil properties in a variety of tissues such as vasculature and lungs, its role in tendon fatigue mechanics is largely unknown. Therefore, this study validated and leveraged a novel murine model of local elastin knockout in the limbs (Prx1Cre+; Elnfl/fl) to study the impacts of elastin on tendon stress relaxation, ramp to failure, and fatigue mechanics for functionally distinct Achilles tendons (ATs) and tibialis anterior tendons (TBs). Elastin knockout was confirmed via gene expression analysis, biochemical protein quantification, immunofluorescence confocal imaging, and analysis of 3D two-photon image stacks. Consistent with previous results of elastin reduction or disruption in ramp to failure mechanical testing, Prx1Cre+; Elnfl/fl ATs exhibited increased linear modulus; in contrast, TBs exhibited decreased linear modulus, demonstrating tendon-specific effects. In agreement with previous results, mechanical changes corresponded to alterations in dynamic alignment of collagen fibers, suggesting elastin can mediate collagen fiber orientation and recruitment. Furthermore, elastin knockdown led to increased strain during fatigue testing in ATs but increased early hysteresis and decreased fatigue-life in both tendon types. Damage metrics showed opposite trends for collagen denaturation by tendon type, but consistent results for kinking after fatigue loading. Results suggest different mechanisms underly each type of damage and that the impact of elastic fiber knockdown is tendon-dependent.

尽管丰度相对较低,但束状弹性纤维最近已被证明在肌腱力学中发挥重要作用,导致弹性蛋白敲除的失效力学测试中线性模量增加。尽管弹性蛋白在血管和肺等多种组织中提供疲劳和反冲特性,但其在肌腱疲劳力学中的作用在很大程度上是未知的。因此,本研究验证并利用了一种新的小鼠四肢局部弹性蛋白敲除模型(Prx1Cre+;Elnfl/fl)来研究弹性蛋白对功能不同的跟腱(ATs)和胫骨前腱(TBs)的肌腱应力松弛、逐渐失效和疲劳力学的影响。通过基因表达分析、生化蛋白定量、免疫荧光共聚焦成像和三维双光子图像叠加分析,证实了弹性蛋白敲除。与先前的结果一致,弹性蛋白减少或破坏斜坡到失效的机械测试,Prx1Cre+;Elnfl/fl at线性模量增加;相比之下,TBs表现出线性模量下降,表明肌腱特异性效应。与先前的结果一致,力学变化对应于胶原纤维动态排列的改变,表明弹性蛋白可以介导胶原纤维的取向和募集。此外,弹性蛋白敲低导致ATs疲劳测试期间的应变增加,但增加了两种肌腱类型的早期迟滞和疲劳寿命降低。损伤指标显示不同肌腱类型的胶原变性趋势相反,但疲劳载荷后扭结的结果一致。结果表明,每种损伤类型的机制不同,弹性纤维敲除的影响是肌腱依赖的。
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引用次数: 0
Sensor Fusion Algorithm to Improve Accuracy of Robotic Superposition Testing Using Six-Degree-of-Freedom Position Sensors. 提高机器人六自由度位置传感器叠加检测精度的传感器融合算法。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2025-11-01 DOI: 10.1115/1.4069591
Callan M Gillespie, Lesley R Arant, Joshua D Roth, Robb W Colbrunn

To quantify the contributions of specific ligaments to overall joint biomechanics, the principle of superposition has been used for nearly 30 years. This principle relies on a robotic test system to move a biological joint to the same pose before and after transecting a ligament. The difference in joint forces before and after transecting the ligament is assumed to be the transected ligament's tension. However, the robotic test system's ability to accurately return the joint to the commanded pose is dependent on the compliance of the system's various components, which is often neglected. An alternative approach to superposition testing is to use additional sensors attached directly to the joint to inform robot motion. Accordingly, there are two objectives: (1) describe a testing methodology with 6DOF position sensors to correct for system compliance and (2) demonstrate the effectiveness of this methodology to reduce uncertainty of in situ forces determined using superposition. A Sensor Fusion algorithm fuses 6DOF position sensors with robot pose measurements to compensate for system compliance. For the equipment, loading condition, and surrogate knee joint used in this study, the Traditional control method underestimated ligament tension by 23% while the Sensor Fusion control method brought that error down to 3%. Thus, this Sensor Fusion algorithm is a promising approach to minimize errors in superposition testing caused by compliance in a robotic test system.

为了量化特定韧带对整体关节生物力学的贡献,叠加原理已经使用了近30年。这个原理依赖于一个机器人测试系统,在横切韧带之前和之后将一个生物关节移动到相同的姿势。假设横断韧带前后关节力的差异为横断韧带的张力。然而,机器人测试系统准确地将关节恢复到命令姿态的能力取决于系统各部件的顺应性,而这一点经常被忽视。叠加测试的另一种方法是使用直接连接在关节上的附加传感器来通知机器人的运动。因此,有两个目标:1)描述一种使用6自由度位置传感器来纠正系统顺应性的测试方法,2)证明该方法的有效性,以减少使用叠加确定的原位力的不确定性。传感器融合算法融合六自由度位置传感器与机器人姿态测量,以补偿系统的顺应性。对于本研究所使用的设备、加载条件和替代膝关节,传统控制方法低估了23%的韧带张力,而Sensor Fusion控制方法将误差降低到3%。因此,这种传感器融合算法是一种很有前途的方法,可以最大限度地减少机器人测试系统中由于顺应性引起的叠加测试误差。
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引用次数: 0
Pipeline Validation for Rodent Gait Analysis Using deeplabcut. 基于DeepLabCut的啮齿动物步态分析管道验证。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2025-11-01 DOI: 10.1115/1.4069390
L Savannah Dewberry, Carlos J Cruz, Kaitlin M Southern, Kevin J Otto, Kyle D Allen

This study aimed to integrate deeplabcut (dlc) with our Automatic Gait Analysis Through Hues and Areas (AGATHA) algorithm. Prior work with AGATHA shows that it can be used to understand spatiotemporal gait adaptations in multiple disease models. However, AGATHA cannot detect kinematic variables, like joint angles, which dlc was designed to measure. Here, these two approaches are integrated, and the gait variables that can be achieved with both methods are compared. To train dlc, hand digitization of high-speed videos was conducted to estimate the location of several key anatomical markers; then a neural network within dlc was used to automate the digitization of these same points in subsequent videos. A matlab pipeline was developed to calculate average stride profiles for toe height, back angle, and midfoot angle from dlc coordinates. Then, 418 videos of naïve Sprague-Dawley rats (12 w.o., n = 18) walking unprompted across an arena were collected. These videos were analyzed using dlc and AGATHA. For velocity, hind limb duty factor, stride length, and step width, variability was larger in dlc than in AGATHA. However, when used in conjunction, dlc and AGATHA have strong complementary datasets, where AGATHA can provide spatiotemporal and dynamic measures, and dlc can provide kinematic measures that AGATHA cannot currently measure. Decisions on whether to use AGATHA alone, dlc alone, or AGATHA-dlc in tandem are thus dependent on the gait variables being evaluated.

本研究旨在将DeepLabCut (DLC)与我们的自动步态分析通过色调和区域(AGATHA)算法相结合。先前对AGATHA的研究表明,它可以用来理解多种疾病模型中的时空步态适应。然而,AGATHA不能检测运动变量,如关节角度;而DLC的设计就是为了测量这些。本文将这两种方法结合起来,比较了两种方法所能得到的步态变量。为了训练DLC,对高速视频进行手部数字化,以估计几个关键解剖标记的位置;然后使用DLC中的神经网络在随后的视频中自动数字化这些相同的点。开发了一个MATLAB流水线,从DLC坐标计算脚趾高度、背角和足中角的平均步幅。然后,收集了418段naïve Sprague-Dawley大鼠(12只,n=18)在没有提示的情况下穿过竞技场的视频。使用DLC和AGATHA对这些视频进行分析。对于速度、后肢占空系数、步幅和步宽,DLC的变异性大于AGATHA。然而,当DLC和AGATHA结合使用时,它们具有很强的互补性数据集,其中AGATHA可以提供时空和动态测量,DLC可以提供AGATHA目前无法测量的运动学测量。因此,决定是否单独使用AGATHA,单独使用DLC,或AGATHA-DLC串联取决于正在评估的步态变量。
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引用次数: 0
Cone Beam Computed Tomography-Based Finite Element Analysis of Bone-Implant Constructs and Comparison With Experimental Measurements. 基于锥形束计算机断层扫描的骨植入体有限元分析及与实验测量的比较。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2025-11-01 DOI: 10.1115/1.4069393
Chengyao Gao, Chenxu Yue, Kangning Su, Mahir Tiro, Jie Yang, Mehran Hossaini Zadeh, Xiaolin Yu, Jing Du

The biomechanical environment around implants plays a crucial role in the stability and success of dental implants. In our previous studies, laboratory-based micro X-ray computed tomography (micro-CT) was used to conduct in situ biomechanical experiments and finite element method (FEM) analyses of bone-implant biomechanics. Compared to micro-CT, cone beam computed tomography (CBCT) is more commonly used in dental clinics. This study uses CBCT to investigate peri-implant bone biomechanics. Voxel-based finite element models were constructed from CBCT images of five human cadaveric bone-tooth specimens. The three-dimensional strain distribution in bone surrounding immediately loaded implants was computed and quantitatively compared with experimental results. Our findings revealed significant strain concentration at bone-implant contact (BIC) areas (greater than 0.8%), extending to both buccal and lingual bone plates. Notably, the thinner buccal plate exhibited greater strain concentration (greater than 0.8%) than the thicker lingual plate (approximately 0.6%). The comparison of FEM-computed averaged maximum principal strain values and experimental results showed good agreement for both buccal (slope 0.892, R-squared 0.9607) and lingual plates (slope 1.0965, R-squared 0.9633). However, CBCT-based FEM overestimated strain at BIC locations by a factor of 1.7. CBCT-based FEM is effective in predicting strain in both buccal and lingual plates. This strain concentration in the buccal plate may contribute to observed buccal bone resorption. Insights from this work could inform development of biomechanics-guided preclinical assessments and CBCT-based implant planning.

种植体周围的生物力学环境对种植体的稳定和成功起着至关重要的作用。在我们之前的研究中,我们使用基于实验室的微x射线计算机断层扫描(micro- ct)进行了原位生物力学实验和骨种植体生物力学有限元分析。与微型ct相比,锥形束计算机断层扫描(CBCT)在牙科诊所中更常用。本研究使用CBCT研究种植体周围骨生物力学。基于体素的有限元模型建立了5个人尸体骨牙标本的CBCT图像。计算了即刻加载种植体周围骨的三维应变分布,并与实验结果进行了定量比较。我们的研究结果显示,骨-种植体接触(BIC)区域的应变浓度显著(大于0.8%),延伸到颊骨和舌骨板。值得注意的是,较薄的颊板表现出更大的应变浓度(大于0.8%),而较厚的舌板(约0.6%)。结果表明,颊板(斜率0.892,r平方0.9607)和舌板(斜率1.0965,r平方0.9633)的最大主应变平均值与实验结果吻合较好。然而,基于cbct的FEM高估了BIC位置的应变1.7倍。基于cbct的有限元法对颊板和舌板应变均有较好的预测效果。这种在颊板上的应变集中可能有助于观察到的颊骨吸收。这项工作的见解可以为生物力学指导的临床前评估和基于cbct的植入物计划的发展提供信息。
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引用次数: 0
Physics-Informed In-Silico Dynamic Computed Tomography of Human Lungs: Generation, Evaluation, and Refinement. 人体肺部的物理信息计算机动态CT:生成、评估和改进。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2025-10-01 DOI: 10.1115/1.4069391
Sunder Neelakantan, Kyle J Myers, Reza Avazmohammadi

Lung injuries lead to heterogeneous ventilation behavior in the lung parenchyma, and conventional methods used to assess lung health, such as spirometry, fall short of providing regional information about lung function. Dynamic medical imaging and image registration offer a powerful tool for estimating the kinematic behavior of lung parenchyma in vivo. However, the difficulty of validating lung deformation estimated by image registration has curbed widespread adoption in the clinic. In-silico images, reconstructed from finite element (FE) simulations, provide a method to verify the results estimated through image registration (IR). Our objective in this study was to use in-silico computed tomography (CT) images, reconstructed from FE simulations, to assess the accuracy of an image registration method. In this study, we used dynamic CT (4DCT) images from human patients to reconstruct the lungs and generate an FE mesh. In-silico simulations were performed using the lung FE mesh, and the results were used to generate in-silico dynamic CT images matching the resolution of the actual 4DCT images. Image registration was performed on the actual and in-silico images, and the results were compared to those from the FE simulation. Results indicated good agreement in displacement estimated by the FE simulations and the image registration of the actual and in-silico CT images. The difference in predicted displacement image registration of the actual CT images and the FE simulations was greatest at the main bronchi, with a value of 2.7 mm. This result highlighted the effectiveness of the FE simulation-based method to generate in-silico CT images. The volumetric strain comparisons between actual 4DCT and the in-silico images were used to assess the method's accuracy. A new set of in-silico images was generated at a higher spatial resolution, resulting in improved agreement for the volumetric strain contours. We expect the method reported in this study to be applied to optimize medical imaging methods and investigate the behavior of various lung diseases under medical imaging.

肺损伤导致肺实质不均匀通气,而用于评估肺健康的传统方法,如肺活量测定法,无法提供有关肺功能的区域信息。动态医学成像和图像配准为估计活体肺实质的运动行为提供了有力的工具。然而,验证由图像配准估计的位移和变形的困难阻碍了广泛的临床应用。建立在有限元(FE)模拟基础上的硅影提供了一种验证图像配准估计结果的方法。在这项研究中,我们使用来自人类患者的动态CT (4DCT)图像来重建肺部并生成FE网格。利用肺FE网格进行计算机模拟,并利用模拟结果生成匹配4DCT分辨率的动态计算机CT图像。对原始图像和计算机模拟图像进行配准,并与有限元仿真结果进行对比。结果表明,三种方法得到的位移吻合较好,图像配准与有限元模拟的误差为2.7 mm。使用4DCT和幻肢之间的体积应变比较来评估幻肢?年代的准确性。在更高的空间分辨率下产生了一组新的幻影,从而提高了体积应变轮廓的一致性。我们期望本研究报告的方法可以应用于优化医学影像学方法,研究各种肺部疾病在医学影像学下的行为。
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引用次数: 0
Quantifying Neuromuscular and Pressure Force Dynamics in Obstructive Sleep Apnea: A Novel Computational Fluid Dynamics Approach Using Airway Wall Acceleration. 量化阻塞性睡眠呼吸暂停的神经肌肉和压力动力学:一种基于气道壁加速度的新型计算流体动力学方法。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2025-10-01 DOI: 10.1115/1.4069664
Qiwei Xiao, Alister Bates

Obstructive sleep apnea (OSA) is characterized by recurrent upper airway collapse during sleep, resulting from interactions between aerodynamic forces, and neuromuscular activation of structures surrounding the airway. This study introduces a novel methodology for inferring the neuromuscular activity noninvasively from airway wall acceleration. The results will allow identification of the triggers for movements such as genioglossus advancement and to assess why they fail in patients with OSA. A patient with OSA underwent magnetic resonance imaging (MRI) to capture airway anatomy and motion under sleeplike sedation. A virtual airway model was segmented from high-resolution MRI and animated by registering dynamic cine MRI sequences. Computational fluid dynamics (CFD) simulations with this prescribed wall motion were used to compute airflow pressure forces acting on the airway wall. By quantifying airway wall acceleration and comparing it to airflow pressure forces, we inferred the contribution of internal forces, consisting of neuromuscular activation and tissue elasticity. Pressure-acceleration analysis at the soft palate, tongue, and epiglottis revealed distinct force imbalances leading to airway collapse and dilation. During inhalation, airway collapse started before peak negative pressure, suggesting insufficient neuromuscular activation. During exhalation, substantial neuromuscular-driven motion occurred. The relationship between airway pressure and acceleration was nonlinear, indicating that internal forces vary dynamically throughout the respiratory cycle. This study demonstrates a novel approach for assessing neuromuscular activation in OSA using airway wall acceleration. By analyzing pressure-acceleration relationships, passive collapse was distinguished from active neuromuscular motion, enabling more precise phenotyping of OSA patients.

阻塞性睡眠呼吸暂停(OSA)的特点是在睡眠中反复出现上呼吸道塌陷,这是由空气动力、神经肌肉激活和组织特性之间的相互作用造成的。本研究引入了一种新的方法,通过将基于加速度的指标纳入计算流体动力学(CFD)模拟来分析气道壁动力学,以更好地了解OSA气道塌陷的病理生理。一名OSA患者在睡眠样镇静下接受磁共振成像(MRI)以捕捉气道解剖和运动。从高分辨率MRI中分割虚拟气道模型,并通过注册动态电影MRI序列进行动画化。利用这一规定的壁面运动进行CFD模拟,并计算作用在气道壁面上的气流压力。通过量化气道壁加速度并将其与气流压力力进行比较,我们推断了内力的贡献,包括神经肌肉激活和组织弹性。软腭、舌和会厌处的压力-加速度分析显示明显的力失衡导致气道塌陷和扩张。吸入时,气道塌陷开始于负压峰值前,提示神经肌肉激活不足。在呼气过程中,大量的神经肌肉驱动运动发生。气道压力和加速度之间的关系是非线性的,表明内力在整个呼吸周期中是动态变化的。本研究展示了一种利用气道壁加速度来评估OSA患者气道壁动力学的新方法。通过分析压力-加速度关系,我们区分了被动塌陷和主动神经肌肉运动,从而实现了OSA患者更精确的表型。未来的研究可能会将这种方法扩展到更大的人群中,并探索其个性化治疗计划的潜力。
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引用次数: 0
Special Issue: Respiratory BiomechanicsA Collection of Research and Review Articles From Leaders in the Field of Respiratory Biomechanics. 呼吸生物力学领域领军人物的研究和评论文章汇编。
IF 1.7 4区 医学 Q4 BIOPHYSICS Pub Date : 2025-10-01 DOI: 10.1115/1.4069675
Jessica M Oakes, Mona Eskandari, Catherine A Fromen
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引用次数: 0
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Journal of Biomechanical Engineering-Transactions of the Asme
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