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PubMedDate not supplied

In vitro flow phantom analysis and clot-capturing ability of incompletely opened Vena Tech-LGM vena caval filters.

It has been shown recently that Vena Tech-LGM (B. Braun Vena Tech, Evanston, IL) filters inserted into the inferior vena cava via the jugular route may be deployed sometimes in an incompletely opened (IO) position. The flow characteristics and clot capturing ability of IO Vena Tech-LGM filters are not clearly understood. Using a vena cava flow phantom, the clot-capturing abilities of the IO and opened Vena Tech-LGM filters were assessed. For 5 x 5-mm clots, the IO Vena Tech-LGM filter captured only 40% of thrombi compared with a 90% capture rate for the opened filter. The capture rates were 90 and 100% for the IO and opened filter, respectively, for larger 5 x 15-mm clots. It was found that the IO filter could capture 2-7 x 25 mm thrombi prior to the development of a turbulent bypass channel which prevented subsequent clot capture. Using 5 x 15 mm clots, this same phenomenon occurred with the capture of 6 and 11 thrombi by the IO and opened Vena Tech-LGM filters, respectively. Our results suggest a significantly reduced filtering efficiency for the IO Vena Tech-LGM device. However, there is a high rate of clot capture with the opened Vena Tech-LGM filter.

Efficiency↗
PubMed1999

Are vascular factors involved in Alzheimer's disease? Facts and theories.

The hypothesis that vascular factors may contribute to the development of Alzheimer's disease (AD) is supported by epidemiologic and pathologic observations. Arterial hypertension and diabetes have been found to be associated not only with vascular dementia, but also with AD; in addition, the treatment of hypertension with calcium antagonists seems to prevent degenerative dementias. Hypertension and hyperinsulinemia favor the deposition of amyloid substance in the brain. The histopathology of AD is marked not only by neurofibrillary tangles and senile plaques, but also by macro and micro congophilic angiopathy and ischemic white matter rarefaction. The specific AD pathological lesions, if isolated, are not able to lead to an evident clinical picture of dementia, which, on the contrary, becomes evident when vascular, mainly subcortical, lesions are associated. These and other observations suggest that vascular factors may have a role in the development of AD. An aggressive approach to these factors could be of value in the prevention of AD.

Alzheimer Disease↗
PubMed2005

Amphiphile-induced tubular budding of the bilayer membrane.

Amphiphile-induced tubular budding of the erythrocyte membrane was studied using transmission electron microscopy. No chiral patterns of the intramembraneous particles were found, either on the cylindrical buds, or on the tubular nanoexovesicles. In agreement with these observations, the tubular budding may be explained by in-plane ordering of anisotropic membrane inclusions in the buds where the difference between the principal membrane curvatures is very large. In contrast to previously reported theories, no direct external mechanical force is needed to explain tubular budding of the bilayer membrane.

Cell Size↗
PubMed2002

Reconstruction of gated myocardial perfusion SPET incorporating temporal information during iterative reconstruction.

Reconstruction of gated single-photon emission tomography (gSPET) is intrinsically a four-dimensional (4D) problem. In practice, the time frames are reconstructed independently as a sequence of frame-by-frame reconstructions. This approach is not optimal since the strong signal correlations among the individual time frames are not exploited. In this study we propose a simple but efficient algorithm to improve the image quality of myocardial perfusion gSPET by incorporating the cyclic temporal information within the reconstruction using Fourier filtering. The gSPET images were reconstructed using the Ordered Subsets Expectation Maximisation (OSEM) algorithm employing six iterations with eight subsets. Temporal filtering was applied either before (PreOSEM) or after image reconstruction (PostOSEM) or was incorporated within the OSEM algorithm (OSEM4D). The effect of temporal filtering was compared with conventional frame-by-frame OSEM using clinical data. Image quality was evaluated by estimating the systematic and statistical error. The results indicated that temporal filtering introduces a small (<1%) systematic error, while the statistical error was reduced from 15.0%+/-3.1% when conventional frame-by-frame OSEM was applied to 12.6%+/-2.7%, 12.0%+/-2.5% and 9.3%+/-2.4% when PreOSEM, PostOSEM and OSEM4D were used, respectively. It is concluded that temporal filtering incorporated within OSEM reconstruction dramatically reduces noise in gated SPET myocardial images.

Adult↗
PubMed2002

Determinants of [13N]ammonia kinetics in hepatic PET experiments: a minimal recirculatory model.

The aim of this study was the development of a modelling approach for the analysis of the systemic kinetics of the tracer nitrogen-13 ammonia administered for dynamic liver scanning. The radioactive half-life of this tracer is 9.8 min, which limits the time span in which data are available in a positron emission tomography experimental setting. A circulatory pharmacokinetic model was applied to the metabolism of ammonia in anaesthetised pigs, which incorporated data from serial measurements of [(13)N]ammonia and [(13)N]metabolite activity in arterial and portal venous blood together with blood flow rates through the portal vein and through the hepatic artery obtained over 20 min after intravenous injection of [(13)N]ammonia. Model analysis showed that up to 20 min after injection the time course of [(13)N]ammonia concentration in arterial blood is primarily determined by distribution kinetics (steady-state volume of distribution 1,856+/-531 ml kg(-1)). Simultaneous fitting of arterial ammonia and metabolite blood concentrations allowed for estimation of the hepatic [(13)N]ammonia clearance (10.25+/-1.84 ml min(-1) kg(-1)), which accounted for the formation of the circulating metabolites.

Ammonia↗
PubMed2006

Rotating wave solutions of the FitzHugh-Nagumo equations.

This paper will treat the bifurcation and numerical simulation of rotating wave (RW) solutions of the FitzHugh-Nagumo (FHN) equations. These equations are often used as a simple mathematical model of excitable media. The dependence of the solutions on a uniformly applied current, and also on the diffusion coefficients or domain size will be studied. Ranges of applied current and/or diffusion coefficients in which RW solutions are observed will be described using bifurcation theory and continuation methods. The bifurcation of time-periodic solutions of these FHN equations without diffusion is described first. Similar methods are then used to find RW solutions on a circular ring and numerical simulations are described. These results are then extended to investigate RW solutions on annular rings of finite cross-section. Scaling arguments are used to show how the existence of solutions depends on either the diffusion coefficient or on the size of the region.

Action Potentials↗
PubMed1999

[Determination of left ventricular mass by transthoracic three-dimensional echocardiography in patients with dilated cardiomyopathy].

Conventional echocardiographic methods of measuring left ventricular mass (LVM) are limited by assumptions of ventricular geometry and image plane positioning. Three-dimensional (3D) echocardiography offers a promising new approach for more accurate determination of LVM. This study was performed to compare LVM measurement by one- (1D), two- (2D), and 3D echocardiography with magnetic resonance imaging (MRI) in patients (pts) with dilated cardiomyopathy (DCM). 36 pts (age 18-74) with DCM underwent imaging by conventional 1D and 2D echocardiography as well as transthoracic 3D echocardiographic data acquisition. Also, pts were imaged with cardiac MRI. Due to echocardiographic and MRI quality and because of exclusion criteria's for MRI, it was not possible to accomplish each LVM determination method for each patient. LVM was determined by Devereux and area-length algorithm for the conventional echocardiography. 3D echocardiographic data was calculated after manual delineation of endo- and epicardial boundaries--slice by slice (5 mm)--in 3 perpendicular cut planes. LVM was determined by multiplying the myocardial volume by the specific density of the myocardium. To determine LVM in MRI, the even summation of slices method for myocardial volume measurement was used defined by the endo- and epicardium in short axis images. There was no significant correlation (r = 0.42) for measuring LVM between 1D echocardiography and MRI in pts with DCM. A significant correlation was obtained between 2D (r = 0.64, p < 0.01) echocardiography and MRI as well between 3D (r = 0.78, p < 0.01) and MRI in determination of LVM. Compared with 1D and 2D echocardiography, the 3D analysis achieved a significantly higher agreement with the results of the MRI (1D: 399.2 g, 2D: 285.9 g, 3D: 172.6 g versus MRI: 199.1 g). Interobserver variability was 5.1% for measuring LVM by 3D echocardiography (1D: 11.2%, 2D: 9.1%). In conclusion, in pts with DCM the determination of LVM was incompletely characterized by 1D and 2D echocardiography compared with results of MRI. The best correlation and high agreement for determination of LVM was obtained with 3D echocardiography compared with MRI.

Adolescent↗
PubMed2001

[Rate of restenosis after coronary stent implantation depending on regional left ventricular function].

At present the rate of restenosis after PTCA and stent implantation is approximately 30% in clinical routine practice. The aim of the present study was to investigate the influence of regional disturbances of left ventricular contractility, e.g. due to scars, on the development of restenosis after PTCA and stent implantation. In 310 patients with single stent implantation in the LAD, quantitative coronary angiography and ventricular analysis with the centerline wall motion model (Cardiovascular measurement systems, Medis, The Netherlands) were performed before, immediately after stent implantation and at angiographic follow-up after 3 to 6 months. Thirty-nine percent of all patients (121 patients) showed regional dysfunction of the left ventricular anterior wall. Increase of percent stenosis (relative late lumen loss) between stent implantation and follow-up angiography showed no correlation to left ventricular wall motion abnormalities (r = 0.243). There was no significant difference in restenosis rates between patients with or without left ventricular wall motion abnormalities (28.9% vs. 30.7%, p = 0.74). In conclusion, this study provides evidence that kinetic disorders of the left ventricular wall have no significant influence on long-term results after PTCA and stent implantation.

Angioplasty, Balloon, Coronary↗
PubMed2003

Self-affine fractal variability of human heartbeat interval dynamics in health and disease.

The complexity of the cardiac rhythm is demonstrated to exhibit self-affine multifractal variability. The dynamics of heartbeat interval time series was analyzed by application of the multifractal formalism based on the Cramèr theory of large deviations. The continuous multifractal large deviation spectrum uncovers the nonlinear fractal properties in the dynamics of heart rate and presents a useful diagnostic framework for discrimination and classification of patients with cardiac disease, e.g., congestive heart failure. The characteristic multifractal pattern in heart transplant recipients or chronic heart disease highlights the importance of neuroautonomic control mechanisms regulating the fractal dynamics of the cardiac rhythm.

Circadian Rhythm↗
PubMed2005

Age-associated alteration of sympatho-vagal balance in a female population assessed through the tone-entropy analysis.

Through our recent studies on heart rate variability (Oida et al. J Appl Physiol 82:1794-1801, 1997; J Gerontol 54A:M219-M224, 1999a; Acta Physiol Scand 165:129-134, 1999b; Acta Physiol Scand 165:421-422, 1999c), we discover that autonomic functions could be assessed quantitatively in time domain by the tone-entropy (T-E) methodology, where the tone represents sympatho-vagal balance, and the entropy, autonomic regulatory activity. The purpose of this study was then to elucidate an age-associated alteration of sympatho-vagal balance in a female population through this T-E method. ECG R-R time intervals at rest were acquired on 10 min for 73 female subjects. Ageing influence was examined by comparisons between two groups: middle-aged group (40-50), (51.5 +/- 0.7 year, n = 28) and old-aged (60-70), (69.5 +/- 0.8 year, n = 45)]. Evaluated tone: [-0.058 +/- 0.011 (40-50), and 0.027 +/- 0.003 (60-70) (P < 0.01)], and entropy: [3.46 +/- 0.11 (40-50), and 3.06 +/- 0.08 bit (60-70) (P<0.01)]. The result showed that the tone was high and the entropy was low in the old-aged compared with the middle-aged group. When the result was plotted in two-dimensional T-E space, it revealed a curvi-linear relation between the tone and the entropy, consistent with our previous studies on pharmacological blockades, on heart recovery after dynamic exercise and on a male ageing. In conclusion, the result suggested that the sympatho-vagal balance altered or the vagal predominance was impaired with age significantly in this female population. Interestingly, comparing with corresponding male, the female had better autonomic functions.

Adaptation, Physiological↗
PubMed2004

Fuzzy logic automatic control of the Phoenix-7 total artificial heart.

Automatic physiological control of the pneumatic Phoenix-7 total artificial heart (TAH) occupies a pivotal position for clinical application of the device. We developed a fuzzy logic automatic control algorithm for the Phoenix-7. The object of the automatic control system is to regulate the cardiac output at a level desirable for the given preload. The system uses cardiac output-type fuzzy pressure control combined with expert knowledge, most of which is of the form "If condition, then action." As a demonstration of the utility of the control algorithm, the effects of inlet air pressures, aortic pressure, pulmonary artery pressure, and heart rate on the cardiac output were analyzed. In addition, an in vitro experiment was carried out that verified good performance of the control algorithm. This fuzzy logic control algorithm possesses the potential for totally automatic operation, eliminating any need for manual intervention under variable hemodynamic conditions.

Automation↗
PubMed2004

Computational analysis of the three-dimensional hemodynamics of the blood sac in the twin-pulse life-support system.

Blood flow in the twin-pulse life-support system (T-PLS) pulsatile blood pump was simulated using a three-dimensional rigid body-fluid-solid interaction model. This model can delineate the blood flow in the T-PLS resulting from operation of a moving actuator. The numerical method used in this study was a commercial finite element package called ADINA. We used a contact and fluid-solid interaction model to compute the blood hemodynamics in the sac. Blood flow is generated by the motion of the actuator, which strongly interacts with the solid material surrounding the blood. To obtain basic bioengineering data on the optimum operation of the T-PLS, we simulated four models in which the actuator moved at different speeds and investigated both the flow pattern and the distribution of shear stress. During the contraction phase, a strong axial flow is observed around the outlet, whereas there is stagnant flow around the inlet. The maximum shear stress in each model depends on the operation mode; however, all four models have similar flow rates. The sinusoidal mode exhibited the lowest maximum shear stress and is thus considered the most efficient of the four operating modes.

Blood Flow Velocity↗
PubMed2004

Towards in vivo aorta material identification and stress estimation.

This paper addresses the problem of constructing a mechanical model for the abdominal aorta and calibrating its parameters to in vivo measurable data. The aorta is modeled as a pseudoelastic, thick-walled, orthotropic, residually stressed cylindrical tube, subjected to an internal pressure. The model parameters are determined by stating a minimization problem for the model pressure and computing the optimal solution by a minimization algorithm. The data used in this study is in vivo pressure-diameter data for the abdominal aorta of a 24-year-old man. The results show that the axial, circumferential and radial stresses have magnitudes in the span 0 to 180 kPa. Furthermore, the results show that it is possible to determine model parameters directly from in vivo measurable data. In particular, the parameters describing the residual stress distribution can be obtained without interventional procedures.

Adult↗
PubMed2005

Aorta in vivo parameter identification using an axial force constraint.

It was shown in a previous study by Stålhand et al. (2004) that both material and residual strain parameters for an artery can be identified noninvasively from an in vivo clinical pressure-diameter measurement. The only constraints placed on the model parameters in this previous study was a set of simple box constraints. More advanced constraints can also be utilized, however. These constraints restrict the model parameters implicitly by demanding the state of the artery to behave in a specified way. It has been observed in vitro that the axial force is nearly invariant to the pressure at the physiological operation point. In this paper, we study the possibility to include this behaviour as a constraint in the parameter optimization. The method is tested on an in vivo obtained pressure-diameter cycle for a 24-year-old human. Presented results show that the constrained parameter identification procedure proposed here can be used to obtain good results, and we believe that it may be applied to account for other observed behaviours as well.

Adult↗
PubMed2005

Modeling initial strain distribution in soft tissues with application to arteries.

A general theory for computing and identifying the stress field in a residually stressed tissue is presented in this paper. The theory is based on the assumption that a stress free state is obtained by letting each point deform independently of its adjacent points. This local unloading represents an initial strain, and can be described by a tangent map. When experimental data is at hand in a specific situation, the initial strain field may be identified by stating a nonlinear minimization problem where this data is fitted to its corresponding model response. To illustrate the potential of such a method for identifying initial strain fields, the application to an in vivo pressure-radius measurement for a human aorta is presented. The result shows that the initial strain is inconsistent with the strain obtained with the opening-angle-method. This indicates that the opening-angle-method has a too restrictive residual strain parameterization, in this case.

Algorithms↗
PubMed2006

Stress-driven collagen fiber remodeling in arterial walls.

A stress-driven model for the relation between the collagen morphology and the loading conditions in arterial walls is proposed. We assume that the two families of collagen fibers in arterial walls are aligned along preferred directions, located between the directions of the two maximal principal stresses. For the determination of these directions an iterative finite element based procedure is developed. As an example the remodeling of a section of a human common carotid artery is simulated. We find that the predicted fiber morphology correlates well with experimental observations. Interesting outcomes of the model including local shear minimization and the possibility of axial compressions due to high blood pressure are revealed and discussed.

Anisotropy↗
PubMed2005

A finite volume method for modeling discontinuous electrical activation in cardiac tissue.

This paper describes a finite volume method for modeling electrical activation in a sample of cardiac tissue using the bidomain equations. Microstructural features to the level of cleavage planes between sheets of myocardial fibers in the tissue are explicitly represented. The key features of this implementation compared to previous modeling are that it represents physical discontinuities without the implicit removal of intracellular volume and it generates linear systems of equations that are computationally efficient to construct and solve. Results obtained using this method highlight how the understanding of discontinuous activation in cardiac tissue can form a basis for better understanding defibrillation processes and experimental recordings.

Action Potentials↗
PubMed2005

Bistability and correlation with arrhythmogenesis in a model of the right atrium.

Rapid pacing is an important tool for understanding cardiac arrhythmias. A recent experiment involving rapid pacing of sheep atria indicated that the initiation of atrial arrhythmias may be related to the 1:1/2:1 bistability. To elucidate the mechanism of this relation, this study applied the pacing protocol from the sheep study to an idealized model of the right atrium. The model included all major anatomical features, the sino-atrial node, and the regional differences in the action potential duration (APD). A pacing protocol was applied, in which the basic cycle length (BCL) was decreased in steps of 10 ms until the response switched to 2:1, then BCL was increased. The 1:1-to-2:1 transitions occurred at shorter BCLs than the 2:1-to-1:1 transitions yielding a global bistability window of 60ms. As in the sheep study, idiopathic waves were observed at BCLs within or near the bistability window. The model was used to quantify the types, prevalence, and persistence of idiopatic waves, study their initiation and termination, and relate them to the model components. The results demonstrate that idiopatic waveforms move with the shift of the bistability window and that they disappear when bistability is eliminated. Thus, this modeling study supports causal relationship between the 1:1/2:1 bistability and the initiation of arrhythmias.

Action Potentials↗