Biomedical subjects

J H Linehan

Publications and source records attributed to J H Linehan.

98 records · Page 6Linked to original sources

PubMedDate not supplied

Regional transit time estimation from image residue curves.

Methods for estimating regional flow from digital angiography or dynamic computed tomography images require determination of indicator mean transit time (t) through a region-of-interest (ROI). We examine how the ROI kinematics and input dispersion influence the recovery of t using a computer-simulated vessel network representing that which might occur in a real organ. The network simulates flow through a large artery branching into two small arteries, each feeding a system of smaller vessels intended to represent capillaries and small vessels below the resolution of the imaging system. The capillaries are drained by a similar system of veins. Concentration curves measured over the inlet to the network and microvascular ROI residue curves are simulated. When the area-height ratio of the microvascular ROI curve is used and all of the indicator is contained within the ROI for at least one time point, t is recovered exactly. As the size of the ROI is reduced or the inlet concentration curve becomes more dispersed, the error in the recovery of t grows. By first deconvolving the inlet concentration curve from the microvascular ROI curve, and then calculating the area-height ratio, t is recovered accurately. If the inlet concentration curve becomes more dispersed between its measured site and the actual inlet to the ROI, or if the flow distribution within the ROI is changed, the estimation of t can be degraded. To put the simulations in perspective relative to an example of image data, the methods were applied to microfocal x-ray angiography data obtained from a approximately 700 micron canine pulmonary artery and vein, the surrounding microvasculature and the inlet lobar arterial cannula.

Angiography, Digital Subtraction↗

PubMedDate not supplied

An interpretation of 14C-urea and 14C-primidone extraction in isolated rabbit lungs.

We measured the venous concentration versus time curves of 14C-urea and 14C-primidone after rapid bolus injections of a vascular reference indicator, fluorescein isothiocyanate dextran, and one of the two 14C-labeled indicators in isolated rabbit lungs perfused with Krebs-Ringer bicarbonate solution containing 4.5% bovine serum albumin at flow rates (F) of 6.67, 3.33, 1.67, and 0.83 ml/sec and with nearly constant microvascular pressure and total lung vascular volume. When we calculated the permeability-surface area product, PS, from the 14C-urea and 14C-primidone outflow curves using the Crone model, the estimates of the PS product were directly proportional to F. However, the fractional change in the PS with flow was different for the two indicators. We also estimated the PS from the same 14C-urea and 14C-primidone data using an alternative model that includes perfusion heterogeneity, estimated in a previous study, and flow-limited and barrier-limited extravascular volumes accessible to both urea and primidone. This model was able to fit the outflow curves of either 14C-urea or 14C-primidone at all four flows studied with one flow-independent PS for each indicator. The ability of the new model to explain the 14C-urea and 14C-primidone data with no flow-dependent change in PS suggests that a change in PS with F estimated using other models such as the Crone model is not sufficient for capillary surface area recruitment.

Animals↗

PubMedDate not supplied

In vitro and finite-element model investigation of the conductance technique for measurement of aortic segmental volume.

This investigation examined the feasibility of applying the conductance catheter technique for measurement of absolute aortic segmental volume. Aortic segment volume was estimated simultaneously in vitro by using the conductance catheter technique and sonomicrometer crystals. Experiments were performed in five isolated canine aortas. Vessel diameter and pressure were altered, as were the conductive properties of the surrounding medium. In addition, a three-dimensional finite-element model of the vessel and apparatus was developed to examine the electric field and parallel conductance volume under different experimental conditions. The results indicated that in the absence of parallel conductance volume, the conductance catheter technique predicted absolute changes in segmental volumes and segmental pressure-volume relationships that agreed closely with those determined by sonomicrometry. The introduction of parallel conductance volume added a significant offset error to measurements of volume made with the conductance catheter that were nonlinearly related to the conductive properties of the surrounding medium. The finite-element model was able to predict measured resistance and parallel conductance volume, which correlated strongly with those measured in vitro. The results imply that absolute segmental volume and distensibility may be determined only if the parallel conductance volume is known. If the offset volume is not known precisely, the conductance catheter technique may still be applied to measure absolute changes in aortic segmental volume and compliance.

Animals↗

PubMedDate not supplied

Effects of physical parameters on the cylindrical model for volume measurement by conductance.

Despite its undisputed utility for determining changes in ventricular pressure-volume relationships, the conductance catheter technique has not been proven reliable for measuring absolute volume. This limitation is due to violations of the assumptions inherent in the cylindrical model on which the method is based (i.e., homogeneous electric field and no leakage current). The purpose of this investigation was to relate cylindrical model correction factors to the physical environment of the catheter and to the cylindrical equation. Physical measurements of saline-filled, nonconductive cylinders using a four-electrode conductance catheter were compared with a three-dimensional finite element model of the physical apparatus. These measurements were incorporated into a parallel conductance model to relate physical parameters to corrections in the cylindrical equation for volume measurement. Excellent agreement between measured and modeled data was found. Results demonstrated a nonlinear relationship between the field nonhomogeneity correction factor (alpha) and cylinder diameter. The relationship between alpha and diameter was consistent with a theoretical extrapolation of cylinder diameter toward infinity. An inverse relationship between alpha and the parallel conductance volume (Vp) was also clarified. The parallel conductance model was able to demonstrate opposite effects of the physical presence of the catheter body and electrodes, which tended to cancel out any net effect on measured conductance. Results of this investigation and the developed finite element model clarify the nature of the correction terms in the cylindrical model and may lead to greater application of the conductance technique.

Cardiac Volume↗

PubMedDate not supplied

Requirements for accurate manometric recording of pharyngeal and esophageal peristaltic pressure waves.

The frequency characteristics and wave form of peristaltic pressure complexes occurring in the pharynx and esophagus of normal subjects were studied. For each of five subjects, five peristaltic waves were selected for analysis from the proximal and distal pharynx as well as the proximal, middle, and distal esophagus. Thus, 25 peristaltic waves were analyzed from each of the five regions studied, giving a total of 125 in all. After digitization of the peristaltic waves, pressure values were entered into a computer algorithm that performed a Fourier transformation to determine frequency content and wave slope. The computer analysis revealed that a frequency response flat to 5 Hz was adequate to record 98% of esophageal peristaltic waves with 98% accuracy. In contrast, recording accuracy up to 48 Hz was needed for high-fidelity recording in the pharynx. Rates of pressure change were substantially greater for pharyngeal peristaltic pressure complexes compared with esophageal peristaltic complexes. The results suggest that appropriately designed infused-catheter systems can readily meet the requirements for accurate recording of peristaltic pressure waves in the esophagus but not in the pharynx. Consequently, different instrumentation, such as an intraluminal strain gauge probe, is needed for accurate manometric recording of pharyngeal peristalsis.

Adult↗

PubMedDate not supplied

Accounting for the heterogeneity of capillary transit times in modeling multiple indicator dilution data.

To mathematically model multiple indicator dilution (MID) data for the purpose of estimating parameters descriptive of indicator-tissue interactions, it is necessary to account for the effects of the distribution of capillary transit times, h(c)(t). In this paper, we present an efficient approach for incorporating h(c)(t) in the mathematical modeling of MID data. In this method, the solution of the model partial differential equations obtained at different locations along the model capillary having the longest transit time provides the outflow concentrations for all capillaries. When weighted by h(c)(t), these capillary outflow concentrations provide the outflow concentration versus time curve for the capillary bed. The method is appropriate whether the available data on capillary dispersion are in terms of capillary transit time or relative flow distributions, and whether the dispersion results from convection time differences among heterogeneous parallel pathways or axial diffusion along individual pathways. Finally, we show that the knowledge of a relationship among the moments of h(c)(t), rather than h(c)(t) per se, is sufficient information to account for the effect of h(c)(t) in the mathematical modeling interpretation of MID data. This relationship can be determined by including a flow-limited indicator in the injected bolus, thus providing an efficient means for obtaining the experimental data sufficient to account for capillary flow and transit time heterogeneity in MID modeling.

Alfentanil↗

PubMedDate not supplied

Kinetics of plasma membrane electron transport in a pulmonary endothelial cell-column.

Thiazine dyes such as toluidine blue O (TBO) are reduced at the luminal endothelial surface. The purpose of this study was to determine the rate of this reaction in endothelial cells in culture. A multiple indicator dilution method was used to measure the reaction kinetics during transient passage of a TBO-containing bolus through a chromatographic column filled with bovine pulmonary arterial endothelial cells grown on microcarrier beads (cell-column). A bolus containing TBO and an inert extracellular reference indicator (FITC-Dextran) was injected upstream of the cell-column, and the indicator concentrations were measured downstream using on-line photodetection. The effects of column flow rate, PO2, and TBO concentration were studied. The fraction of TBO reduced upon passage through the cell-column decreased with increasing flow indicating that the reaction rate rather than TBO delivery controlled TBO reduction. The fraction of TBO reduced did not change with PO2 or dose in the ranges studied. TBO reduction was about 10 times that for steady state TBO sequestration by these cells which, along with the lack of a PO2 effect indicates that the rapid rate of reduction is not the rate-limiting step in steady state sequestration.

Animals↗

PubMedDate not supplied

Influence of temperature and plasma protein on doxorubicin uptake by isolated lungs.

To examine the influence of hyperthermia and plasma albumin binding on doxorubicin uptake by the isolated perfused lung, and on some indices of the physiologic stability of the lung, rabbit lungs were perfused in a recirculating system with a physiologic salt solution containing either 5% bovine serum albumin or 5% dextran, and uptake of doxorubicin from the perfusate into the lungs was studied at 36 degrees C and 43 degrees C. The rate of doxorubicin uptake by the lung was approximately doubled by increasing the lung temperature from 36 degrees C to 43 degrees C. The impact of albumin binding on the doxorubicin uptake was mainly to decrease the tissue to perfusate concentration ratio at equilibrium. Perfusion pressure, lung compliance, lung weight, and glutathione efflux were measured as indicators of the status of the perfused lungs during the perfusion period. In general, the changes in these variables indicate that the deterioration with time was greater at 43 degrees C than at 36 degrees C, regardless of the perfusate composition, and that at 36 degrees C the lungs were more stable when albumin was present in the perfusate.

Animals↗