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Ontogeny of limb mass distribution in infant baboons (Papio cynocephalus).

Primates have more distally distributed limb muscle mass compared to most nonprimate mammals. The heavy distal limbs of primates are likely related to their strong manual and pedal grasping abilities, and interspecific differences in limb mass distributions among primates are correlated with the amount of time spent on arboreal supports. Within primate species, individuals at different developmental stages appear to differ in limb mass distribution patterns. For example infant macaques have more distally distributed limb mass at young ages. A shift from distal to proximal limb mass concentrations coincides with a shift from dependent travel (grasping their mother's hair) to independent locomotion. Because the functional demands placed on limbs may differ between taxa, understanding the ontogeny of limb mass distribution patterns is likely an essential element in interpreting the diversity of limb mass distribution patterns present in adult primates. This study examines changes in limb inertial properties during ontogeny in a longitudinal sample of infant baboons (Papio cynocephalus). The results of this study show that infant baboons undergo a transition from distal to proximal limb mass distribution patterns. This transition in limb mass distribution coincides with the transition from dependent to independent locomotion during infant development. Compared to more arboreal macaques, infant baboons undergo a faster transition to more proximal limb mass distribution patterns. These results suggest that functional demands placed on the limbs during ontogeny have a strong impact on the development of limb mass distribution patterns.

Animals↗

How best to consider the structure and function of the pedunculopontine tegmental nucleus: evidence from animal studies.

This review presents the hypothesis that the best way to consider the pedunculopontine tegmental nucleus is by analogy with the substantia nigra. The substantia nigra contains two main compartments: the pars compacta and the pars reticulata. The former contains dopamine neurons that project widely within the basal ganglia while the latter is in receipt of corticostriatal output. Similarly, the PPTg contains the Ch5 acetylcholine containing neurons that project to the thalamus and corticostriatal systems (notably the pars compacta of substantia nigra and the subthalamic nucleus) while the non-cholinergic neurons of the pedunculopontine are in receipt of corticostriatal output. Assessment of the location, composition and connections of the pedunculopontine tegmental nucleus is made to support the hypothesis that it has structural similarities with substantia nigra. Assessment of the motor, sensory and cognitive functions of the pedunculopontine is also made, suggesting functional similarities exist also. Having a clear model of pedunculopontine structure and function is a matter of some importance. It is clearly involved in Parkinson's disease and could potentially be a target for therapeutic intervention. If this is to be realized it will be best to have as clear an understanding as possible of pedunculopontine structure and function in order to maximize positive benefits.

Animals↗

A training model for lumbar discectomy.

Training models are becoming increasingly important for gaining surgical skills. We present an easy to prepare and cheap model using cadaver sheep spine appropriate to learn and practice various discectomy procedures.

Diskectomy↗

Orbital stress analysis--Part I: Simulation of orbital deformation following blunt injury by finite element analysis method.

PURPOSE: The purpose of this study was to develop a 3-dimensional finite element model (FEM) of the human orbit, housing the globe, to predict orbital deformation in subjects following a blunt injury. MATERIALS AND METHODS: A FEM of the human orbit including the eye, fatty tissues, and extraocular muscles was constructed. Simulations were performed with a computer using the finite element software NISA (EMRC, Troy, MI). The orbit was subjected to a blunt injury of a 0.5 kg missile with 30 m/s velocity. The FEM was then used to predict principal and shear stresses/strains at each node position. RESULTS: Two types of orbital deformation were predicted during different impact simulations: a) horizontal distortion and b) rotational distortion. Stress values ranged from 112.12 to 262.3 MPa for the maximum principal stress, from -226.8 to -552.1 MPa for the minimum principal stress, and from 111.3 to 343.3 MPa for the maximum shear stress. CONCLUSION: This is the first finite element study that demonstrates different and concurrent patterns of orbital deformation in subjects following a blunt injury. FEM is a powerful and invaluable tool to study the multifaceted phenomenon of orbital deformation.

Biomechanical Phenomena↗

Structural organization of the perimysium in bovine skeletal muscle: Junctional plates and associated intracellular subdomains.

We analyzed the structural features of the perimysium collagen network in bovine Flexor carpi radialis muscle using various sample preparation methods and microscopy techniques. We first observed by scanning electron microscopy that perimysium formed a regular network of collagen fibers with three hierarchical levels including (i) a loose lattice of large interwoven fibers ramified in (ii) numerous collagen plexi attaching together adjacent myofibers at the level of (iii) specific structures that we call perimysial junctional plates. Second, we looked more closely at the intracellular organization underneath each plate using transmission electron microscopy, immunohistochemistry, and a three-dimensional reconstruction from serial sections. We observed the accumulation of myonuclei arranged in clusters surrounded by a high density of subsarcolemmal mitochondria and the proximity of capillary branches. Third, we analyzed the distribution of these perimysial junctional plates, subsarcolemmal mitochondria, and myonuclei clusters along the myofibers using a statistical analysis of the distances between these structures. This revealed a global colocalization and the existence of adhesion domains between endomysium and perimysium. Taken together, our observations give a better description of the perimysium organization in skeletal muscle, and provide evidence that perimysial junctional plates with associated intracellular subdomains may participate in the lateral transmission of contractile forces as well as mechanosensing.

Animals↗

Comparison of compact bone failure under two different loading rates: experimental and modelling approaches.

Understanding the mechanical behaviour of bones up to failure is necessary for diagnosis and prevention of accident and trauma. As far as we know, no authors have yet studied the tensile behaviour of compact bone including failure under dynamic loadings (1 m/s). The originality of this study comes from not only the analysis of compact bone failure under dynamic loadings, the results of which are compared to those obtained under quasi-static loadings, but also the development of a statistical model. We developed a protocol using three different devices. Firstly, an X-ray scanner to analyse bone density, secondly, a common tensile device to perform quasi-static experiments, and thirdly, a special device based upon a hydraulic cylinder to perform dynamic tests. For all the tests, we used the same sample shape which took into account the brittleness of the compact bone. We first performed relaxation and hysteresis tests followed by tensile tests up to failure. Viscous and plastic effects were not relevant to the compact bone behaviour so its behaviour was considered elastic and brittle. The bovine compact bone was three to four times more brittle under a dynamic load than under a quasi-static one. Numerically, a statistical model, based upon the Weibull theory, is used to predict the failure stress in compact bone.

Animals↗

Blood flow and structure interactions in a stented abdominal aortic aneurysm model.

Since the introduction of endovascular techniques in the early 1990s for the treatment of abdominal aortic aneurysms (AAAs), the insertion of an endovascular graft (EVG) into the affected artery segment has been greatly successful for a certain group of AAA patients and is continuously evolving. However, although minimally invasive endovascular aneurysm repair (EVAR) is very attractive, post-operative complications may occur. Typically, they are the result of excessive fluid-structure interaction dynamics, possibly leading to EVG migration. Considering a 3D stented AAA, a coupled fluid flow and solid mechanics solver was employed to simulate and analyze the interactive dynamics, i.e., pulsatile blood flow in the EVG lumen, pressure levels in the stagnant blood filling the AAA cavity, as well as stresses and displacements in the EVG and AAA walls. The validated numerical results show that a securely placed EVG shields the diseased AAA wall from the pulsatile blood pressure and hence keeps the maximum wall stress 20 times below the wall stress value in the non-stented AAA. The sac pressure is reduced significantly but remains non-zero and transient, caused by the complex fluid-structure interactions between luminal blood flow, EVG wall, stagnant sac blood, and aneurysm wall. The time-varying drag force on the EVG exerted by physiological blood flow is unavoidable, where for patients with severe hypertension the risk of EVG migration is very high.

Algorithms↗

Modelling the passive and nerve activated response of the rectus femoris muscle to a flexion loading: a finite element framework.

A muscle modelling framework is presented which relates the mechanical response of the rectus femoris muscle (at the organ level) to tissue level properties, with the capability of linking to the cellular level as part of the IUPS Physiome Project. This paper will outline our current approach to muscle modelling incorporating micro-structural passive and active properties including fibre orientations and nerve innervation. The technique is based on finite deformation (using FE analysis) coupled to electrical nerve initiated muscle activation, and we present the influence of active tension through an eccentric contraction at specific flexion angles. Finally we discuss the future goals of incorporating cell mechanics and validating at the organ level to provide a complete diagnostic tool with the ability to relate mechanisms of failure across spatial scales.

Action Potentials↗

Biphasic surface amorphous layer lubrication of articular cartilage.

The biphasic nature of articular cartilage has been acknowledged for some time and is known to play an important role in many of the biomechanical functions performed by this unique tissue. From the lubrication point of view however, a simple biphasic model is unable to account for the extremely low friction coefficients that have been recorded experimentally, particularly during start-up. In addition, research over the last decade has indicated the presence of a surface amorphous layer on top of articular cartilage. Here, we present results from a finite element model of articular cartilage that includes a thin, soft, biphasic surface amorphous layer (BSAL). The results of this study show that a thin BSAL, with lower elastic modulus, dramatically altered the load sharing between the solid and liquid phases of articular cartilage, particularly in the near-surface regions of the underlying bulk cartilage and within the surface amorphous layer itself where the fluid load support exceeded 85%. By transferring the load from the solid phase to the fluid phase, the biphasic surface layer improves lubrication and reduces friction, whilst also protecting the underlying cartilage surface by 'shielding' the solid phase from elevated stresses. The increase in lubrication effectiveness is shown to be greatest during short duration loading scenarios, such as shock loads.

Biomechanical Phenomena↗

Three-dimensional finite element modeling of ligaments: technical aspects.

The objective of this paper is to describe strategies for addressing technical aspects of the computational modeling of ligaments with the finite element (FE) method. Strategies for FE modeling of ligament mechanics are described, differentiating between whole-joint models and models of individual ligaments. Common approaches to obtain three-dimensional ligament geometry are reviewed, with an emphasis on techniques that rely on volumetric medical image data. Considerations for the three-dimensional constitutive modeling of ligaments are reviewed in the context of ligament composition and structure. A novel approach to apply in situ strain to FE models of ligaments is described, and test problems are presented that demonstrate the efficacy of the approach. Approaches for the verification and validation of ligament FE models are outlined. The paper concludes with a discussion of future research directions.

Algorithms↗

A patient-specific computational model of fluid-structure interaction in abdominal aortic aneurysms.

It is generally believed that knowledge of the wall stress distribution could help to find better rupture risk predictors of abdominal aortic aneurysms (AAAs). Although AAA wall stress results from combined action between blood, wall and intraluminal thrombus, previously published models for patient-specific assessment of the wall stress predominantly did not include fluid-dynamic effects. In order to facilitate the incorporation of fluid-structure interaction in the assessment of AAA wall stress, in this paper, a method for generating patient-specific hexahedral finite element meshes of the AAA lumen and wall is presented. The applicability of the meshes is illustrated by simulations of the wall stress, blood velocity distribution and wall shear stress in a characteristic AAA. The presented method yields a flexible, semi-automated approach for generating patient-specific hexahedral meshes of the AAA lumen and wall with predefined element distributions. The combined fluid/solid mesh allows for simulations of AAA blood dynamics and AAA wall mechanics and the interaction between the two. The mechanical quantities computed in these simulations need to be validated in a clinical setting, after which they could be included in clinical trials in search of risk factors for AAA rupture.

Aortic Aneurysm, Abdominal↗

Finite element modeling of multi-level cervical spinal segments (C3-C6) and biomechanical analysis of an elastomer-type prosthetic disc.

A three-dimensional finite element (FE) model for the multi-level lower cervical spinal segment C3-C6 has been developed using computed tomography (CT) data, and applied to study of the effects of the fusion and the artificial disc prosthesis on the biomechanical behavior of the lower cervical spine. The NURBS computer adided dedsig (CAD) data used in this study for modeling the vertebrae facilitate adding surface patch layouts for seamless attachment of the soft tissues, such as intervertebral discs onto the vertebrae. A FE model was completed by generating mesh out of this geometry. Its accuracy was validated by comparing with previously published experimental and numerical results for the flexion-extension, axial rotation, and lateral bending moments. An implantation of an elastomer-type disc prosthesis or fused graft between C4-C5 vertebrae was considered in the FE model by modifying the intact disc. It is shown that the fusion reduced the mobility at its level by about 50-70% for the considered loading cases. It is numerically demonstrated that an elastomer with Young's modulus of 5.9 MPa for the artificial disc prosthesis well restores the biomechanical behavior of the intact spine.

Arthroplasty, Replacement↗

Application of soft tissue modelling to image-guided surgery.

The deformation of soft tissue compromises the accuracy of image-guided surgery based on preoperative images, and restricts its applicability to surgery on or near bony structures. One way to overcome these limitations is to combine biomechanical models with sparse intraoperative data, in order to realistically warp the preoperative image to match the surgical situation. We detail the process of biomechanical modelling in the context of image-guided surgery. We focus in particular on the finite element method, which is shown to be a promising approach, and review the constitutive relationships which have been suggested for representing tissue during surgery. Appropriate intraoperative measurements are required to constrain the deformation, and we discuss the potential of the modalities which have been applied to this task. This technology is on the verge of transition into clinical practice, where it promises to increase the guidance accuracy and facilitate less invasive interventions. We describe here how soft tissue modelling techniques have been applied to image-guided surgery applications.

Algorithms↗

Investigation of thoracolumbar T12-L1 burst fracture mechanism using finite element method.

A finite element model of the T12-L1 motion segment was subjected to dynamic vertical impact to investigate vertebral burst fracture mechanism at the thoracolumbar junction. A rigid ball was directed vertically towards a rigid plate fixed on top of the T12 vertebral body to simulate the axial impact. The results show that upon impact, the T12 vertebra exhibited a vibratory motion. At its maximum compression, the endplates bulged towards their vertebral bodies. The central parts of the endplates adjacent to the nucleus experienced the highest effective stress, and localized stress concentration developed correspondingly within the central parts of the cancellous bone adjacent to the endplates. This appears to confirm the hypothesis that nucleus material is forced to enter the vertebral body, pressurizing it further and squeezing the fat and marrow contents out of the cancellous bone. When the nucleus material enters the vertebral body faster than fat and marrow being expulsed, the vertebral body could burst through the anterior and posterior cortical shell. Upon sudden posterior cortex fracture, the transient fragment encroachment could be further into the spinal canal than the final observed locations, as the fragments are retropulsed to the vertebral body during the bursting process.

Biomechanical Phenomena↗

Tetrahedral versus hexahedral finite elements in numerical modelling of the proximal femur.

The objective of this study was to evaluate and compare tetrahedral and hexahedral finite element meshes of simplified and realistic proximal intact femur geometries. Theoretical expressions of stresses and strains were derived for the simplified model of the femur. For the analysis of the realistic geometry of the proximal femur, a CAD model of the third generation composite femur (Pacific Research Labs, Vashion Island, WA) was used and simulations were performed with Hyperworks (Altair Engineering, Inc., Troy, MI) finite element analysis software. Convergence tests with hexahedral (8- and 20-node brick-elements) and tetrahedral (4- and 10-node tetrahedrons) elements were analysed by comparing the periosteal von Mises stresses and principal strains at a selected point of the femur. The numerical periosteal strains were also compared with experimental ones to determine the accuracy of the finite elements. Overall, we concluded, for the simplified femur, that tetrahedral linear element allowed results more closely to theoretical ones, but hexahedral quadratic elements seem to be more stable and less influenced to the degree of refinement (NDOF) of the mesh. It was not possible to correlate these findings with those observed for the realistic proximal femur simulations where no significant differences were seen using refined meshes, with more than NDOF=20,000 for hexahedral elements.

Algorithms↗

Effects of mesh style and grid convergence on particle deposition in bifurcating airway models with comparisons to experimental data.

A number of research studies have employed a wide variety of mesh styles and levels of grid convergence to assess velocity fields and particle deposition patterns in models of branching biological systems. Generating structured meshes based on hexahedral elements requires significant time and effort; however, these meshes are often associated with high quality solutions. Unstructured meshes that employ tetrahedral elements can be constructed much faster but may increase levels of numerical diffusion, especially in tubular flow systems with a primary flow direction. The objective of this study is to better establish the effects of mesh generation techniques and grid convergence on velocity fields and particle deposition patterns in bifurcating respiratory models. In order to achieve this objective, four widely used mesh styles including structured hexahedral, unstructured tetrahedral, flow adaptive tetrahedral, and hybrid grids have been considered for two respiratory airway configurations. Initial particle conditions tested are based on the inlet velocity profile or the local inlet mass flow rate. Accuracy of the simulations has been assessed by comparisons to experimental in vitro data available in the literature for the steady-state velocity field in a single bifurcation model as well as the local particle deposition fraction in a double bifurcation model. Quantitative grid convergence was assessed based on a grid convergence index (GCI), which accounts for the degree of grid refinement. The hexahedral mesh was observed to have GCI values that were an order of magnitude below the unstructured tetrahedral mesh values for all resolutions considered. Moreover, the hexahedral mesh style provided GCI values of approximately 1% and reduced run times by a factor of 3. Based on comparisons to empirical data, it was shown that inlet particle seedings should be consistent with the local inlet mass flow rate. Furthermore, the mesh style was found to have an observable effect on cumulative particle depositions with the hexahedral solution most closely matching empirical results. Future studies are needed to assess other mesh generation options including various forms of the hybrid configuration and unstructured hexahedral meshes.

Computer Simulation↗

Scale-invariant registration of monocular endoscopic images to CT-scans for sinus surgery.

In this paper, we present a novel method for intra-operative registration directly from monocular endoscopic images. This technique has the potential to provide a more accurate surface registration at the surgical site than existing methods. It can operate autonomously from as few as two images and can be particularly useful in revision cases where surgical landmarks may be absent. A by-product of video registration is an estimate of the local surface structure of the anatomy, thus providing the opportunity to dynamically update anatomical models as the surgery progresses. Our approach is based on a previously presented method [Burschka, D., Hager, G.D., 2004. V-GPS (SLAM):--Vision-based inertial system for mobile robots. In: Proceedings of ICRA, 409-415] for reconstruction of a scaled 3D model of the environment from unknown camera motion. We use this scaled reconstruction as input to a PCA-based algorithm that registers the reconstructed data to the CT data and recovers the scale and pose parameters of the camera in the coordinate frame of the CT scan. The result is used in an ICP registration step to refine the registration estimates. The details of our approach and the experimental results with a phantom of a human skull and a head of a pig cadaver are presented in this paper.

Algorithms↗

A comprehensive shape model of the heart.

Domain knowledge about the geometrical properties of cardiac structures is an important ingredient for the segmentation of these structures in medical images or for the simulation of cardiac physiology. So far, a strong focus was put on the left ventricle due to its importance for the general pumping performance of the heart and related functional indices. However, other cardiac structures are of similar importance, e.g., the coronary arteries with respect to diagnosis and treatment of arteriosclerosis or the left atrium with respect to the treatment of atrial fibrillation. In this paper we describe the generation of a geometric cardiac model including the four cardiac chambers and the trunks of the connected vasculature, as well as the coronary arteries and a set of cardiac landmarks. A mean geometric model for the end-diastolic heart has been built based on 27 cardiac CT datasets and has been evaluated with respect to its capability to estimate the position of cardiac structures. Allowing a similarity transformation to adapt the model to image data, cardiac surface positions can be predicted with an accuracy of below 5mm.

Computer Simulation↗