Biomedical subjects

Eun Bo Shim

Publications and source records attributed to Eun Bo Shim.

7 recordsLinked to original sources

PubMed2006

A new multi-scale simulation model of the circulation: from cells to system.

We developed a comprehensive cell model that simulates the sequential cellular events from membrane excitation to contraction in the human ventricle. By combining this ventricular cell model with a lumped circulation model, we examined how blood pressure dynamics in the ventricle and aorta are related to the cellular processes. To convert cell contraction into ventricular pressure using Laplace's law, we introduced a simple geometric model of a ventricle: one shaped like a thin-walled hemisphere. The force of contraction of a single cell induces tension in the hemispheric ventricular wall, which generates the ventricular and aortic pressures in the lumped circulation model. The time courses of the hemodynamic properties, as well as the volume-pressure trajectory of the left ventricle, were well reproduced. Our multi-scale cardiovascular model, which covers from cardiac cells to the circulatory system, simulates the typical characteristics of heart mechanics, such as the pressure-volume relationship, stroke volume and the effect of the increased maximum free calcium concentration on cardiovascular hemodynamics. To test the cell-circulation coupling characteristics of the model, we simulated the effects of a decrease in L-type calcium channel conductance (cell level) on left ventricular pressure (system level). The variation due to different pacing frequencies for myocyte excitation was also investigated to assess the effects of heart rate on cardiac cells and the circulatory system.

Action Potentials↗

PubMed2005

Computational analysis of tumor angiogenesis patterns using a two-dimensional model.

Tumor angiogenesis was simulated using a two-dimensional computational model. The equation that governed angiogenesis comprised a tumor angiogenesis factor (TAF) conservation equation in time and space, which was solved numerically using the Galerkin finite element method. The time derivative in the equation was approximated by a forward Euler scheme. A stochastic process model was used to simulate vessel formation and vessel elongation towards a paracrine site, i.e., tumor-secreted basic fibroblast growth factor (bFGF). In this study, we assumed a two-dimensional model that represented a thin (1.0 mm) slice of the tumor. The growth of the tumor over time was modeled according to the dynamic value of bFGF secreted within the tumor. The data used for the model were based on a previously reported model of a brain tumor in which four distinct stages (multicellular spherical, first detectable lesion, diagnosis, and death of the virtual patient) were modeled. In our study, computation was not continued beyond the 'diagnosis' time point to avoid the computational complexity of analyzing numerous vascular branches. The numerical solutions revealed that no bFGF remained within the region in which vessels developed, owing to the uptake of bFGF by endothelial cells. Consequently, a sharp declining gradient of bFGF existed near the surface of the tumor. The vascular architecture developed numerous branches close to the tumor surface (the brush-border effect). Asymmetrical tumor growth was associated with a greater degree of branching at the tumor surface.

Computer Simulation↗

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

Mathematical modeling of cardiovascular system dynamics using a lumped parameter method.

This work reviews the main aspects of cardiovascular system dynamics with an emphasis on modeling hemodynamic characteristics by the use of a lumped parameter approach. The methodological and physiological aspects of the circulation dynamics are summarized with the help of existing mathematical models. The main characteristics of the hemodynamic elements, such as the heart and arterial and venous systems, are first described. Distributed models of an arterial network are introduced, and their characteristics are compared with those of lumped parameter models. We also discuss the nonlinear characteristics of the pressure-volume relationship in veins. Then the control pathways that participate in feedback mechanisms (baroreceptors and cardiopulmonary receptors) are described to explain the interaction between hemodynamics and autonomic nerve control in the circulation. Based on a set-point model, the computational aspects of reflex control are explained.

Animals↗

PubMed2003

Korean artificial heart (AnyHeart): an experimental study and the first human application.

A Korean artificial heart (AnyHeart) has been implanted in 29 various animals (52-470 kg) to evaluate hemodynamic performance and electromechanical stability. Most were implantable biventricular assist devices in use. A right thoracotomy approach has been a standard technique of implantation. A preclinical fitting test was also performed to observe anatomical feasibility and to compare surgical techniques in 10 human cadavers. The first case of human application was made as a lifesaving procedure on June 12, 2001.

Animals↗

PubMed2003

Development of totally implantable pulsatile biventricular assist device.

Approximately 10% to 15% of all patients implanted with left ventricular assist devices (LVADs) have required right heart support with another device. The necessity of aggressive biventricular support has already been proposed. Therefore, the totally implantable biventricular assist device (BVAD) was developed. The width of the BVAD main body was 87 mm, the thickness 67 mm, and the height 106 mm, while the weight was 785 g. The automatic control algorithm was developed to prevent lung edema and atrial rupture.

Algorithms↗

PubMed2003

Numerical analysis of the three-dimensional blood flow in the korean artificial heart.

Flow in the blood sac of the Korean artificial heart is numerically simulated by finite element method. Fluid-structure interaction algorithm is employed to compute the three-dimensional blood flow interacting with the sac material. For verification of the numerical method of fluid-structure interaction, two-dimensional flow in a collapsible channel with initial tension is simulated and the results are compared with numerical solutions from the literature. Incompressible viscous flow and linear elastic solid are assumed for the blood and the sac material in the device, respectively. The motion of the actuator is simplified by a time-varying pressure boundary condition imposed on the outer surface of the sac. Numerical solutions on the unsteady three-dimensional blood flow in the sac are provided for the cactus-type model in this study. During systole, the inlet is closed and the blood sac is squeezed by the action of the prescribed pressure on the surface. During diastole, the sac is filled with the blood coming from the inlet while the outlet is closed. A strong flow to the outlet and a stagnated flow near the inlet are observed during systole. Shear stress distribution is also delineated to assess the possibility of thrombus formation. We also simulate numerically the hemodynamics of "the reversed model" where the inlet and outlet are reversed for surgical convenience. It is observed that a recirculating flow was generated near the inner corner of the sac in the reversed model. To assess the material strength of the sac, the shear stress distribution in the solid material is also presented.

Algorithms↗