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PubMed2005

[Numerical simulations of pulsating flow in intracranial blood vessels with aneurysms using Lattice Boltzmann methods].

A major prerequisite for successful planning and control of the medical treatment of blood vessels with stenoses or aneurysms is the detailed knowledge of the individual situation in the damaged vessels. Modern tomography methods provide good spatial resolution, so that vessel walls as well as prostheses can be easily and rapidly identified. However, the mechanical loads of the walls remain largely unknown. In the past few years, tomography data have been used for spatial and temporal simulations of the blood flow in such vessels and to predict the mechanical loads of the vessel walls. The methodologies used so far, however, involve elaborate grid generation and simulation steps, most often relying on commercial software suited for engineering projects. These require specific knowledge and experience in mechanics and numerical simulation, and are therefore inappropriate for clinical applications. It is now shown, by example of an intracranial aneurysm, that employing a Lattice Boltzmann method for the flow simulation allows to avoid all mentioned drawbacks and to simulate blood flows in a fast and simple way that is also appropriate for clinical use. The practical relevance of such simulations will be enhanced by a better understanding of the correlations between pathology and specific mechanical loads. The paper discusses also some aspects of fluid mechanics that are relevant for the study of aneurysms.

Blood Flow Velocity↗

PubMed2002

The benefits of 3D modelling and animation in medical teaching.

Three-dimensional models created using materials such as wax, bronze and ivory, have been used in the teaching of medicine for many centuries. Today, computer technology allows medical illustrators to create virtual three-dimensional medical models. This paper considers the benefits of using still and animated output from computer-generated models in the teaching of medicine, and examines how three-dimensional models are made.

Computer Simulation↗

PubMed2006

Thermal characteristics of microwave ablation in the vicinity of an arterial bifurcation.

PURPOSE: The objective of this research was to reveal the thermal characteristics of microwave ablations in the vicinity of an arterial bifurcation. METHODS: The temperature distribution after microwave heating of a liver-like material in the close proximity of an arterial bifurcation was simulated using the finite element method. Coupled fluid flow and solid heat transfer were taken into consideration and a three-dimensional analysis was performed. An experimentally determined SAR (specific absorption rate) generated by the absorption of microwaves in liver-like material was used in the analysis instead of utilizing electromagnetic calculations. Several different tests of time-controlled ablations with varying distances between the microwave antenna and the bifurcation were performed and detailed temperature distributions near the bifurcation were obtained. RESULTS: The interaction between the recirculation flow in the bifurcation and the heat transfer in the surrounding tissue makes the temperature distribution near the bifurcation complicated. Most importantly, after a period of continuous heating with constant microwave output power, the maximum temperatures caused by the ablation did not always increase with the distance between the antenna and the bifurcation. CONCLUSION: It can be concluded that inadequate ablations can be the result not only from a close proximity between the antenna and the blood vessel, but also from a complicated blood flow in large vessels whose structure causes recirculation flow.

Arteries↗

PubMed1999

A model of ventilation distribution in the human lung.

A thorough analysis of aerosol particle deposition in the human lung requires the knowledge of the distribution of inspired air at respiration. In this paper, a mathematical model of ventilation distribution has been developed using a five-lobe airway model. The model accounts for the nonlinear effects of compliance and resistance on airway dynamics. Ventilation distributions were determined under different gravitational force conditions. A larger gravity leads to a greater nonuniformity of ventilation between the upper and lower lobes of the lung. Ventilation distributions in different lobes of the lung at various inspiratory flow rates were also calculated. At slow inspiratory flow rates, ventilation was found to be nonuniform with more air entering the lower lobes. As the flow rate increases, this nonuniformity became smaller. The calculated results compare favorably with existing experimental data. When a different gas is inspired instead of air, a preferential distribution of ventilation to the upper lobes was found if the density of the inspired gas is greater than that of the air.

Aerosols↗

PubMedDate not supplied

A mathematical model of mandibular movement on the Hanau articulator and computerized simulation system of dynamic occlusion for complete denture.

This study is concerned with the construction of a mathematical model of mandibular movement on the Hanau articulator and a complete denture occlusion simulation system (CDOSS) in the field of dental restoration. On the basis of the theory of spatial mechanisms, degrees of freedom in the kinematic chain of the Hanau articulator are analysed, and a hypothesis of constraints is presented to obtain constrained motion. Then, a series of mathematical expressions are derived to describe the three dimensional mandibular movement on the Hanau articulator. By adopting techniques and tools such as laser scanning, computer graphics, and computer databases, a 3D digitized model of complete denture is reconstructed, and a CDOSS is developed. With the aid of this software, the visualization and diagnosis of mandibular movement can be easily realized. One edentulous case discussed in this study shows that CDOSS provides a useful tool to deal with the functional aspects of occlusal morphology in a diagnostic and therapeutic sense.

Aged↗

PubMedDate not supplied

A numerical investigation on the steady and pulsatile flow characteristics in axi-symmetric abdominal aortic aneurysm models with some experimental evaluation.

Steady and pulsatile flow characteristics in rigid abdominal aortic aneurysm (AAA) models were investigated computationally (using Fluent v. 4.3) over a range of Reynolds number (from 200 to 1600) and Womersley number (from 17 to 22). Some comparisons with measurements obtained by particle image velocimetry under the pulsatile flow conditions are also included. A sinusoidal inlet flow waveform 1 + sin omega t with thin inlet boundary layers was used to produce the required pulsatile flow conditions. The bulk features of the mean flow as well as some detailed features, such as wall shear stress distributions, are the foci of the present investigation. Recirculating vortices appeared at different phases of a flow cycle causing significant spatial and temporal variations in wall shear stresses and static pressure distributions. A high level of shear stresses usually appeared at the upstream and downstream ends of the bulge. Effects of pressure rise caused by the increase in cross-sectional area were transmitted into the downstream tube. Further simulation studies were conducted using simulated physiological waveforms under resting and exercise conditions so as to determine the possible implication of vortex dynamics inside the AAA model.

Aortic Aneurysm, Abdominal↗

PubMed2006

Hypocretins: the timing of sleep and waking.

The appropriate time and place for sleep and waking are important factors for survival. Sleep and waking, rest and activity, flight and fight, feeding, and reproduction are all organized in relation to the day and night. A biological clock, the suprachiasmatic nucleus (SCN), synchronized by photic influences and other environmental cues, provides an endogenous timing signal that entrains circadian body rhythms and is complemented by a homeostatic sleep pressure factor. Cholinergic, catecholaminergic, serotonergic, and histaminergic nuclei control wakefulness and mutually interact with the SCN as well as sleep- and wake-promoting neurons in the hypothalamus to form a bistable switch that controls the timing of behavioral state transitions. Hypocretin neurons integrate circadian-photic and nutritional-metabolic influences and act as a conductor in the aminergic orchestra. Their loss causes narcolepsy, a disease conferring the inability to separate sleep and waking. Their role in appetitive behavior, stress, and memory functions is important to our understanding of addiction and compulsion.

Behavior↗

PubMed2002

Mapping genetic influences on human brain structure.

Recent advances in brain imaging and genetics have empowered the mapping of genetic and environmental influences on the human brain. These techniques shed light on the 'nature/nurture' debate, revealing how genes determine individual differences in intelligence quotient (IQ) or risk for disease. They visualize which aspects of brain structure and function are heritable, and to what degree, linking these features with behavioral or cognitive traits or disease phenotypes. In genetically transmitted disorders such as schizophrenia, patterns of brain structure can be associated with increased disease liability, and sites can be mapped where non-genetic triggers may initiate disease. We recently developed a large-scale computational brain atlas, including data components from the Finnish Twin registry, to store information on individual variations in brain structure and their heritability. Algorithms from random field theory, anatomical modeling, and population genetics were combined to detect a genetic continuum in which brain structure is heavily genetically determined in some areas but not others. These algorithmic advances motivate studies of disease in which the normative atlas acts as a quantitative reference for the heritability of structural differences and deficits in patient populations. The resulting genetic brain maps isolate biological markers for inherited traits and disease susceptibility, which may serve as targets for genetic linkage and association studies. Computational methods from brain imaging and genetics can be fruitfully merged, to shed light on the inheritance of personality differences and behavioral traits, and the genetic transmission of diseases that affect the human brain.

Algorithms↗

PubMed1998

Microwave power absorption in a multilayered cylindrical model of man near a flat reflector.

There are usually objects in the vicinity when a person is exposed to electromagnetic waves. It is exceedingly difficult to calculate the whole-body average specific absorption rate (SAR) in the microwave frequency region using a realistic heterogeneous model of man. In this paper, we use a multilayered cylinder model to numerically examine the average SAR of an adult standing near a flat reflector exposed to microwave energy. We also offer a comparison with existing data from a realistic model for an E-polarized wave below 600MHz.

Absorption↗

PubMed1987

An integrated oncology course for second year medical students.

A required course for second year medical students explores an integrated approach to the patient with cancer. Lectures detail the role of each medical discipline in the management of cancer. Panel discussions illustrate the cooperation necessary between clinical specialties in the diagnosis and treatment of these diseases. A small group session provides a problem-solving exercise around a patient with cancer, and laboratory sessions present the opportunity for students to receive hands-on experience in detecting tumor masses in anatomical models as well as the opportunity for students to test their stools for occult blood. Evaluation of the course has shown that students increase significantly their knowledge about cancer, that "practice-effect" is not a factor from pre- to post-test, and that although students improve in their capacity to solve problems they are less proficient in this than retention of facts. Student surveys have indicated generally good acceptance of most aspects of the course.

Curriculum↗

PubMed2001

Fluid dynamics in airway bifurcations: I. Primary flows.

The subject of fluid dynamics within human airways is of great importance for the risk assessment of air pollutants (inhalation toxicology) and the targeted delivery of inhaled pharmacologic drugs (aerosol therapy). As cited herein, experimental investigations of flow patterns have been performed on airway models and casts by a number of investigators. We have simulated flow patterns in human lung bifurcations and compared the results with the experimental data of Schreck (1972). The theoretical analyses were performed using a third-party software package, FIDAP, on the Cray T90 supercomputer. This effort is part of a systematic investigation where the effects of inlet conditions, Reynolds numbers, and dimensions and orientations of airways were addressed. This article focuses on primary flows using convective motion and isovelocity contour formats to describe fluid dynamics; subsequent articles in this issue consider secondary currents (Part II) and localized conditions (Part III). The agreement between calculated and measured results, for laminar flows with either parabolic or blunt inlet conditions to the bifurcations, was very good. To our knowledge, this work is the first to present such detailed comparisons of theoretical and experimental flow patterns in airway bifurcations. The agreement suggests that the methodologies can be employed to study factors affecting airflow patterns and particle behavior in human lungs.

Bronchi↗

PubMed2001

Fluid dynamics in airway bifurcations: II. Secondary currents.

As the second component of a systematic investigation on flows in bifurcations reported in this journal, this work focused on secondary currents. The first article addressed primary flows and the third discusses localized conditions (both in this issue). Secondary flow patterns were studied in two lung bifurcation models (Schreck, 1972) using FIDAP with the Cray T90 supercomputer. The currents were examined at different prescribed distances distal to the carina. Effects of inlet conditions, Reynolds numbers, and diameter ratios and orientations of airways were addressed. The secondary currents caused by the presence of the carina and inclination of the daughter tubes exhibited symmetric, multivortex patterns. The intensities of the secondary currents became stronger for larger Reynolds numbers and larger angles of bifurcation.

Bronchi↗

PubMed2001

Fluid dynamics in airway bifurcations: III. Localized flow conditions.

Localized flow conditions (e.g., backflows) in transition regions between parent and daughter airways of bifurcations were investigated using a computational fluid dynamics software code (FIDAP) with a Cray T90 supercomputer. The configurations of the bifurcations were based on Schreck s (1972) laboratory models. The flow intensities and spatial regions of reversed motion were simulated for different conditions. The effects of inlet velocity profiles, Reynolds numbers, and dimensions and orientations of airways were addressed. The computational results showed that backflow was increased for parabolic inlet conditions, larger Reynolds numbers, and larger daughter-to-parent diameter ratios. This article is the third in a systematic series addressed in this issue; the first addressed primary velocity patterns and the second discussed secondary currents.

Bronchi↗

PubMed2001

A hybrid computational fluid dynamics and physiologically based pharmacokinetic model for comparison of predicted tissue concentrations of acrylic acid and other vapors in the rat and human nasal cavities following inhalation exposure.

To assist in interspecies dosimetry comparisons for risk assessment of the nasal effects of organic acids, a hybrid computational fluid dynamics (CFD) and physiologically based pharmacokinetic (PBPK) dosimetry model was constructed to estimate the regional tissue dose of inhaled vapors in the rat and human nasal cavity. Application to a specific vapor would involve the incorporation of the chemical-specific reactivity, metabolism, partition coefficients, and diffusivity (in both air and tissue phases) of the vapor. This report describes the structure of the CFD-PBPK model and its application to a representative acidic vapor, acrylic acid, for interspecies tissue concentration comparisons to assist in risk assessment. By using the results from a series of short-term in vivo studies combined with computer modeling, regional nasal tissue dose estimates were developed and comparisons of tissue doses between species were conducted. To make these comparisons, the assumption was made that the susceptibilities of human and rat olfactory epithelium to the cytotoxic effects of organic acids were similar, based on similar histological structure and common mode of action considerations. Interspecies differences in response were therefore assumed to be driven primarily by differences in nasal tissue concentrations that result from regional differences in nasal air flow patterns relative to the species-specific distribution of olfactory epithelium in the nasal cavity. The results of simulations with the seven-compartment CFD-PBPK model suggested that the olfactory epithelium of the human nasal cavity would be exposed to tissue concentrations of acrylic acid similar to that of the rat nasal cavity when the exposure conditions are the same. Similar analysis of CFD data and CFD-PBPK model simulations with a simpler one-compartment model of the whole nasal cavities of rats and humans provides comparable results to averaging over the compartments of the seven-compartment model. These results indicate that the general structure of the hybrid CFD-PBPK model applied in this assessment would be useful for target tissue dosimetry and interspecies dose comparisons for a wide variety of vapors. Because of its flexibility, this CFD-PBPK model is envisioned to be a platform for the construction of case-specific inhalation dosimetry models to simulate in vivo exposures that do not involve significant histopathological damage to the nasal cavity.

Acrylates↗

PubMed2002

Aerosol transport and deposition in a triple bifurcation bronchial airway model with local tumors.

Airflow characteristics and particle deposition have been numerically simulated in a triple bifurcation lung airway model (from generation 3-6 airways) with local tumors protruded from the sidewalls of generation 5 airways. The effects of tumors in terms of size and location on airflow, particle transport, and deposition patterns were analyzed for constant inspiratory flow rates with inlet Reynolds (Re(match) = 463 and 1882) and Stokes number (St(match) = 0.02-0.12) combinations that match different cyclic inhalation waveforms. The size of tumors was varied to induce an obstruction of airway lumen by 16-74%. Extreme conditions, 2 and 100% obstruction, were also examined. The results show that enhanced deposition occurs in the carina region at each bifurcation, and deposition increases with increasing Stokes and Reynolds number as expected from earlier studies. In addition, deposition increases at the tumor site until the tumor blocks about half of the airway lumen and then decreases with a further obstruction. In other words, there exists a maximum particle deposition fraction (DF) for a protruding tumor that occludes the lumen. The maximum DF at the tumor was 10.2% within the test conditions used. Deposition occurs mainly on the frontal surface of the tumors, but spreads out to the opposite wall, or upstream sections, or sister branches of the tumor at high flow rates and Stokes number. The present results (1) help in the understanding of the complex toxic or therapeutic aerosol dynamics in the lung with local airways obstruction, and (2) provide quantitative information on critical tumor size and particle deposition to health care specialists.

Administration, Inhalation↗

PubMed2006

Deposition of fractal-like aerosol aggregates in a model of human nasal cavity.

Toxicity of diesel exhaust is related to the inhalation of nano-sized fractal-like aerosol aggregates. Their complex behavior (in comparison to spherical particles) should be taken into account in deposition modeling. The deposition of aerosol fractal-like aggregates in the model of a human nose was studied numerically for the flow rate corresponding to breathing conditions. The simplified geometry of the human nasal replica was implemented in the computational fluid dynamics (CFD) code (FLUENT) used for calculation of the three-dimensional airflow structure. A Brownian dynamic (BD) algorithm was applied for determination of the aggregates deposition in the nasal cavity during inhalation. These calculations were carried out for several populations of aggregates. The values of parameters used in the BD simulations for characterization of fractal-like aggregates, that is, fractal dimension (Df) and the radius of gyration (Rg), were in the range of 1.7-2.1 and 0.24-0.36 microm, respectively. These are the representative values for soot aggregates emitted from diesel engines. The results of computation show approximately 20% penetration of submicrometer aggregates through the nose and a weak dependence of deposition efficiency on Df and Rg values. The proposed methodology may lead to a more realistic description of deposition of nonspherical aerosol particles in the respiratory system. A more sophisticated approach for description of fractal-like aggregates dynamics is suggested for future studies.

Aerosols↗

PubMed2006

Calculated deposition in growing tracheobronchial airways: effect of growth-rate assumptions.

Most current deterministic computer dosimetry models use idealized dichotomous symmetrical infant, child, and adolescent tracheobronchial geometries for dosimetry predictions. These tracheobronchial geometries were derived from either the morphometric measurements of J. D. Mortensen and colleagues or those of R. F. Phalen and colleagues. The airway growth curves used to create these geometries are typically means from all airways within a single generation in the tracheobronchial tree. This idealized approach implies that the growth rate of all airways in the same generation is identical (symmetric growth, SG), which is unlikely. In this study, existing morphometric measurements of airway dimensions were used to determine growth equations for airway length, diameter, branch angle, and inclination to gravity as a function of body height for each airway in the first four tracheobronchial generations. Tracheobronchial geometries (asymmetrical growth, AG) were created from these growth curves for the first 4 tracheobronchial generations representing a 4- and 11-yr-old child and an adult. Particle deposition predictions for steady inspiratory flow using 0.1- to 20-microm diameter monodisperse particles in these AG geometries were compared with predictions using the SG geometries using the uniform growth rate approach. Each airway in the first four generations had a unique airway length and diameter growth rate. Airway branch angle and inclination to gravity did not change as a function of body height. The unique airway growth rates resulted in significant differences in predicted deposition efficiency between the AG and SG geometry. Use of AG geometry may provide improved estimates of regional particle deposition in infants, children, and adolescents.

Adult↗

PubMed2006

Fiber deposition pattern in two human respiratory tract replicas.

This study consisted of a series of experiments to investigate the factors that might affect the fiber deposition pattern in the human respiratory tract. Carbon fibers with uniform diameter and polydispersed length were chosen as the test material. Two geometry-defined human respiratory tract replicas encompassing the oral cavity, oropharynx, larynx, trachea, and first few bifurcations of the tracheobronchial airways were used in this research. Deposition studies were conducted by delivering aerosolized carbon fibers into the replicas at constant inspiratory flow rates of 15, 43.5, and 60 L/min. The results showed that impaction is the dominant deposition mechanism for both replicas. Most of the fibers with high momentum deposited in the oral airway (oral cavity to larynx), and fibers with low momentum were found to pass through the entire replica easily. When comparing the results between the two replicas, fiber length, inspiratory flow rate, and the geometry of the oral airway were found to be factors that might affect the fiber deposition pattern in the human respiratory tract.

Aerosols↗