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At least 289 records · Page 16Linked to original sources

Three-dimensional modelling of the middle-ear ossicular chain using a commercial high-resolution X-ray CT scanner.

The quantitative measurement of the three-dimensional (3-D) anatomy of the ear is of great importance in the making of teaching models and the design of mathematical models of parts of the ear, and also for the interpretation and presentation of experimental results. This article describes how we used virtual sections from a commercial high-resolution X-ray computed tomography (CT) scanner to make realistic 3-D anatomical models for various applications in our middle-ear research. The important problem of registration of the 3-D model within the experimental reference frame is discussed. The commercial X-ray CT apparatus is also compared with X-ray CT using synchrotron radiation, with magnetic resonance microscopy, with fluorescence optical sectioning, and with physical (histological) serial sections.

Animals↗

Comparison of muscle forces and joint load from an optimization and EMG assisted lumbar spine model: towards development of a hybrid approach.

The purpose of this study was to determine whether the same estimates of individual muscle and L4/L5 lumbar joint compressive forces result from an optimization (OPT) compared to an electromyography (EMG) assisted approach for solving the inderminate moment equilibrium equations in the same anatomical model. Four male subjects performed near maximum, isometric, ramp efforts in trunk flexion, extension and lateral bending in a testing apparatus. The EMG approach was sensitive to subject and trial differences in the magnitudes of individual muscle forces needed to produce the same reaction moment. In contrast, the OPT method converged on a similar estimate of muscle forces for all subjects and trials producing the same moment. The OPT method predicted lower L4/L5 joint compression values, on average, by 32, 43 and 23% in trunk extension, flexion and lateral bending, respectively, because, unlike the EMG method, it could not predict co-contraction of anatomically antagonistic muscles. We incorporated the OPT method's advantage of forcing an equilibrium in the reaction moments into the EMG method in a new approach we have called 'EMG assisted optimization' (EMGAO). Muscle force estimates from the EMG and EMGAO methods differed from those from the OPT method, on average, by 123% (RMS) for flexion and extension and by 218% for lateral bends. Data from the two approaches result in different conclusions about spine mechanics. We have more confidence in the EMG assisted methods because they respond to variation in muscle synergy and co-contraction patterns commonly observed in different trials and subjects for the same reaction moments.

Adult↗

FDTD calculations of the whole-body averaged SAR in an anatomically realistic voxel model of the human body from 1 MHz to 1 GHz.

This paper presents finite-difference time-domain (FDTD) calculations of the whole-body averaged SAR in an anatomically realistic voxel model of the human body. This model, NORMAN, consists of approximately 9 million voxels, of 2 mm dimension in the adult phantom, segmented into 37 tissue types. SAR values are presented for an adult phantom and for scaled 10, 5 and 1 year old models, grounded and isolated in air from 1 MHz to 1 GHz for plane wave exposure. External electric field values corresponding to a whole-body averaged SAR of 0.4 W kg-1 are also presented.

Absorption↗

Blood flow modeling in carotid arteries with computational fluid dynamics and MR imaging.

RATIONALE AND OBJECTIVES: The authors' goal was to develop a noninvasive method for detailed assessment of blood flow patterns from direct in vivo measurements of vessel anatomy and flow rates. MATERIALS AND METHODS: The authors developed a method to construct realistic patient-specific finite element models of blood flow in carotid arteries. Anatomic models are reconstructed from contrast material-enhanced magnetic resonance (MR) angiographic images with a tubular deformable model along each arterial branch. A surface-merging algorithm is used to create a watertight model of the carotid bifurcation for subsequent finite element grid generation, and a fully implicit scheme is used to solve the incompressible Navier-Stokes equations on unstructured grids. Physiologic boundary conditions are derived from cine phase-contrast MR flow velocity measurements at two locations below and above the bifurcation. Vessel wall compliance is incorporated by means of fluid-solid interaction algorithms. RESULTS: The method was tested on imaging data from a healthy subject and a patient with mild stenosis. Finite element grids were successfully generated, and pulsatile blood flow calculations were performed. Computed and measured velocity profiles show good agreement. Flow patterns and wall shear stress distributions were visualized. CONCLUSIONS: Patient-specific computational fluid dynamics modeling based on MR images can be performed robustly and efficiently. Preliminary validation studies in a physical flow-through model suggest that the model is accurate. This method can be used to characterize blood flow patterns in healthy and diseased arteries and may eventually help physicians to supplement imaging-based diagnosis and predict and evaluate the outcome of interventional procedures.

Blood Flow Velocity↗

Three-dimensional computer modeling of the human upper respiratory tract.

Computer simulations of airflow and particle-transport phenomena within the human respiratory system have important applications to aerosol therapy (e.g., the targeted delivery of inhaled drugs) and inhalation toxicology (e.g., the risk assessment of air pollutants). A detailed description of airway morphology is necessary for these simulations to accurately reflect conditions in vivo. Therefore, a three-dimensional (3D) physiologically realistic computer model of the human upper-respiratory tract (URT) has been developed. The URT morphological model consists of the extrathoracic (ET) region (nasal, oral, pharyngeal, and laryngeal passages) and upper airways (trachea and main bronchi) of the lung. The computer representation evolved from a silicone rubber impression of a medical school teaching model of the human head and throat. A mold of this ET system was sliced into 2-mm serial sections, scanned, and digitized. Numerical grids, for use in future computational fluid dynamics (CFD) simulations, were generated for each slice using commercially available software (CFX-F3D), AEA Technology, Harwell, UK. The meshed sections were subsequently aligned and connected to be consistent with the anatomical model. Finally, a 3D curvilinear grid and a multiblock method were employed to generate the complete computational mesh defined by the cross-sections. The computer reconstruction of the trachea and main bronchi was based on data from the literature (cited herein). The final unified 3D computer model may have significant applications to aerosol medicine and inhalation toxicology, and serve as a cornerstone for computer simulations of air flow and particle-transport processes in the human respiratory system.

Bronchi↗

Computer-aided tissue engineering: application to biomimetic modelling and design of tissue scaffolds.

Computer-aided tissue engineering (CATE) enables many novel approaches in modelling, design and fabrication of complex tissue substitutes with enhanced functionality and improved cell-matrix interactions. Central to CATE is its bio-tissue informatics model that represents tissue biological, biomechanical and biochemical information that serves as a central repository to interface design, simulation and tissue fabrication. The present paper discusses the application of a CATE approach to the biomimetic design of bone tissue scaffold. A general CATE-based process for biomimetic modelling, anatomic reconstruction, computer-assisted-design of tissue scaffold, quantitative-computed-tomography characterization, finite element analysis and freeform extruding deposition for fabrication of scaffold is presented.

Biocompatible Materials↗

Thresholds for 60 Hz magnetic field stimulation of peripheral nerves in human subjects.

The goal of the research reported here is to narrow the range of uncertainty about peripheral nerve stimulation (PNS) thresholds associated with whole body magnetic field exposures at 50/60 Hz. This involved combining PNS thresholds measured in human subjects exposed to pulsed magnetic gradient fields with calculations of electric fields induced in detailed anatomical models of the body by that same exposure system. PNS thresholds at power frequencies (50/60 Hz) can be predicted from these data due to the wide range of pulse durations (70 mus to 1 ms), the length of the pulse trains (several tens of ms), and the exposure of a large part of the body to the magnetic field. These data together with the calculations of the rheobase electric field exceeded in 1% (E(1%)) of two anatomical body models, lead to a median PNS detection threshold of 47.9 +/- 4.4 mT for a uniform 60 Hz magnetic field exposure coronal to the body. The threshold for the most sensitive 1% of the population is about 27.8 mT. These values are lower than PNS thresholds produced by magnetic fields with sagittal and vertical orientations or nonuniform exposures.

Adolescent↗

Observation of orthopedic force distribution produced by maxillary orthodontic appliances.

A three-dimensional anatomic model was duplicated from a human skull, using different birefringent materials to simulate the various craniofacial structures. Individual bones of the midface were fabricated separately and then articulated in their correct sutural relation. One removable and four fixed maxillary appliances were used. The fixed appliances included the Haas, Minne-expander, Hyrax, and quad helix devices. The removable appliance incorporated an expansion screw in a full acrylic palate with appropriate retentive clasps. After the insertion of each appliance, intraoral forces were produced by incremental activation. The model was examined and photographed in the field of a transmission polariscope. Each appliance used produced a different range of load-activation characteristics. This was reflected by the differences in the stresses transmitted through the bones of the craniofacial complex and the effect on the various sutures. Stresses produced by the fixed appliances were concentrated in the anterior region of the palate, progressing posteriorly toward the palatine bone. The Haas, Minne-expander, and Hyrax appliances produced stresses that radiated superiorly along the perpendicular plates of the palatine bone to deeper anatomic structures, such as the lacrimal, nasal, and malar bones, as well as the pterygoid plates of the sphenoid. Similar stress characteristics were seen with the removable appliance. However, increased activation decreased retention of the appliance, thereby lessening the stress. The quad helix appliance proved to be the least effective orthopedic device. Although the effects of palate separation were seen with increased activation, this appliance primarily affected the posterior teeth.

Equipment Design↗

Forensic facial approximation: an overview of current methods used at the Victorian Institute of Forensic Medicine/Victoria Police Criminal Identification Squad.

Forensic facial approximation involves building a likeness of the head and face on the skull of an unidentified individual, with the aim that public broadcast of the likeness will trigger recognition in those who knew the person in life. This paper presents an overview of the collaborative practice between Ronn Taylor (Forensic Sculptor to the Victorian Institute of Forensic Medicine) and Detective Sergeant Adrian Paterson (Victoria Police Criminal Identification Squad). This collaboration involves clay modelling to determine an approximation of the person's head shape and feature location, with surface texture and more speculative elements being rendered digitally onto an image of the model. The advantages of this approach are that through clay modelling anatomical contouring is present, digital enhancement resolves some of the problems of visual perception of a representation, such as edge and shape determination, and the approximation can be easily modified as and when new information is received.

Aluminum Silicates↗

Adjoint Monte Carlo method for prostate external photon beam treatment planning: an application to 3D patient anatomy.

Recently, the theoretical framework of the adjoint Monte Carlo (AMC) method has been developed using a simplified patient geometry. In this study, we extended our previous work by applying the AMC framework to a 3D anatomical model called VIP-Man constructed from the Visible Human images. First, the adjoint fluxes for the prostate (PTV) and rectum and bladder (organs at risk (OARs)) were calculated on a spherical surface of 1 m radius, centred at the centre of gravity of PTV. An importance ratio, defined as the PTV dose divided by the weighted OAR doses, was calculated for each of the available beamlets to select the beam angles. Finally, the detailed doses in PTV and OAR were calculated using a forward Monte Carlo simulation to include the electron transport. The dose information was then used to generate dose volume histograms (DVHs). The Pinnacle treatment planning system was also used to generate DVHs for the 3D plans with beam angles obtained from the AMC (3D-AMC) and a standard six-field conformal radiation therapy plan (3D-CRT). Results show that the DVHs for prostate from 3D-AMC and the standard 3D-CRT are very similar, showing that both methods can deliver prescribed dose to the PTV. A substantial improvement in the DVHs for bladder and rectum was found for the 3D-AMC method in comparison to those obtained from 3D-CRT. However, the 3D-AMC plan is less conformal than the 3D-CRT plan because only bladder, rectum and PTV are considered for calculating the importance ratios. Nevertheless, this study clearly demonstrated the feasibility of the AMC in selecting the beam directions as a part of a treatment planning based on the anatomical information in a 3D and realistic patient anatomy.

Dose-Response Relationship, Radiation↗

Heterogeneous three-dimensional anatomical and electrophysiological model of human atria.

Investigating the mechanisms underlying the genesis and conduction of electrical excitation in the atria at physiological and pathological states is of great importance. To provide knowledge concerning the mechanisms of excitation, we constructed a biophysical detailed and anatomically accurate computer model of human atria that incorporates both structural and electrophysiological heterogeneities. The three-dimensional geometry was extracted from the visible female dataset. The sinoatrial node (SAN) and atrium, including crista terminalis (CT), pectinate muscles (PM), appendages (APG) and Bachmann's bundle (BB) were segmented in this work. Fibre orientation in CT, PM and BB was set to local longitudinal direction. Descriptions for all used cell types were based on modifications of the Courtemanche et al. model of a human atrial cell. Maximum conductances of Ito, IKr and ICa,L were modified for PM, CT, APG and atrioventricular ring to reproduce measured action potentials (AP). Pacemaker activity in the human SAN was reproduced by removing IK1, but including If, ICa,T, and gradients of channel conductances as described in previous studies for heterogeneous rabbit SAN. Anisotropic conduction was computed with a monodomain model using the finite element method. The transversal to longitudinal ratio of conductivity for PM, CT and BB was 1:9. Atrial working myocardium (AWM) was set to be isotropic. Simulation of atrial electrophysiology showed initiation of APs in the SAN centre. The excitation spread afterwards to the periphery near to the region of the CT and preferentially towards the atrioventricular region. The excitation extends over the right atrium along PM. Both CT and PM activated the right AWM. Earliest activation of the left atrium was through BB and excitation spread over to the APG. The conduction velocities were 0.6ms-1 for AWM, 1.2ms-1 for CT, 1.6ms-1 for PM and 1.1ms-1 for BB at a rate of 63bpm. The simulations revealed that bundles form dominant pathways for atrial conduction. The preferential conduction towards CT and along PM is comparable with clinical mapping. Repolarization is more homogeneous than excitation due to the heterogeneous distribution of electrophysiological properties and hence the action potential duration.

Action Potentials↗

The foot as a shock absorber.

A mathematical analysis of the deformation of the foot is developed to determine the role that stretch of ligaments and tendons plays in absorbing shock following impact. Our analysis is based on an anatomical biomechanical model that includes each of the bones of the foot. We calculate the time course of the deflection of the joints and the elongation of the ligaments and tendons and determine the ground reaction force acting on the heel. Quasi-linear viscoelastic theory is used for soft tissue constitutive relationships. With biomechanical data selected from the literature, we obtain a vertical force impact peak of 8000 N, occurring at 16 ms following heel strike. This is of higher magnitude and shorter duration than is found experimentally, as is to be expected, since we did not include the heel pad in our model and we assumed that the impact surface was ideally rigid.

Biomechanical Phenomena↗

Three-dimensional dynamic behaviour of the human knee joint under impact loading.

The objective of this study is to determine the three-dimensional dynamic response of the human knee joint. A three-dimensional anatomical dynamic model was thus developed and consists of two body segments in contact (the femur and tibia) executing a general three-dimensional dynamic motion within the constraints of the different ligamentous structures. Each of the articular surfaces at the tibio-femoral joint was represented mathematically by a separate mathematical function. The joint ligaments were modelled as nonlinear elastic springs. The six-degrees-of-freedom joint motions were characterized by using six kinematic parameters, and ligamentous forces were expressed in terms of these six parameters. Knee response was studied by considering sudden external forcing pulse loads applied to the tibia. Model equations consist of nonlinear second-order ordinary differential equations coupled with nonlinear algebraic constraint conditions. Constraint equations were written to maintain at least one-point contact throughout motion; one- and two-point contact versions of the model were developed. This Differential-Algebraic Equations (DAE) system was solved by employing a DAE solver: the Differential/Algebraic System Solver (DASSL) developed at Lawrence Livermore National Laboratory. A solution representing the response of this three-dimensional dynamic system was thus obtained for the first time. Earlier attempts to determine the system's response were unsuccessful owing to the inherent numerical instabilities in the system and the limitations of the solution techniques. Under the conditions tested, evidence of "femoral roll back" on both medial and lateral tibial plateaus was not observed from the model predictions. In the range of 20 degrees to 66 degrees of knee flexion, the lateral tibial contact point moved posteriorly while the medial tibial contact point moved anteriorly. In the range of 66 degrees to 90 degrees of knee flexion, contact was maintained only on the medial side and the tibial contact point (on the medial side) continued to move anteriorly. It was further found that increasing pulse amplitude and/or duration caused a decrease in the magnitude of the tibio-femoral contact force at a given flexion angle. These results suggest that increasing load level caused a decrease in joint stiffness. The results of this study also show that the anterior fibres of the posterior cruciate and the medial collateral ligaments are the primary restraints for a posterior forcing pulse in the range of 20 degrees to 90 degrees of knee flexion; this explains why most isolated posterior cruciate ligament injuries and combined injuries to the posterior cruciate and the medial collateral result from a posterior impact on a flexed knee.

Algorithms↗

Optimising miller cuff dimensions: the influence of geometry on anastomotic flow patterns.

OBJECTIVES: since cuff dimensions are variable, we studied the influence of cuff geometry on flow mechanics, in an attempt to identify the optimum configuration. MATERIALS AND METHODS: bench studies involved the manufacture of anatomically accurate models of varying cuff dimensions, perfused in a specifically designed flow rig, simulating physiological conditions. Flow visualisation studies incorporating laser illumination of tracer particles enabled accurate analysis of flow patterns. RESULTS: the vortex created within the proximal cuff of each model during the deceleration phase of the cardiac cycle was strongly influenced by the aspect ratio (AR=cuff height:length). The standard and high cuffs (AR=1.63 and 1.18, respectively) demonstrated cohesive vortices and stable flow patterns. Low and long cuffs (AR=2.6 and 2.25, respectively) created more complex vortices with large areas of flow separation and low velocities. CONCLUSIONS: aspect ratio has an important influence on flow within the distal anastomosis, with cuff dimensions of 13 mm long and 8-11 mm high (standard and high cuffs) creating beneficial flow patterns anticipated to optimise wall shear stress and inhibit myointimal hyperplasia.

Anastomosis, Surgical↗

Factors influencing blood flow patterns in the human right coronary artery.

Evidence suggests that atherogenesis is linked to local hemodynamic factors such as wall shear stress. We investigated the velocity and wall shear stress patterns within a human right coronary artery (RCA), an important site of atherosclerotic lesion development. Emphasis was placed on evaluating the effect of flow waveform and inlet flow velocity profile on the hemodynamics in the proximal, medial, and distal arterial regions. Using the finite-element method, velocity and wall shear stress patterns in a rigid, anatomically realistic model of a human RCA were computed. Steady flow simulations (ReD=500) were performed with three different inlet velocity profiles; pulsatile flow simulations utilized two different flow waveforms (both with Womersley parameter=1.82, mean ReD=233), as well as two of the three inlet profiles. Velocity profiles showed Dean-like secondary flow features that were remarkably sensitive to the local curvature of the RCA model. Particularly noteworthy was the "rotation" of these Dean-like profiles, which produced large local variations in wall shear stress along the sidewalls of the RCA model. Changes in the inlet velocity profiles did not produce significant changes in the arterial velocity and wall shear stress patterns. Pulsatile flow simulations exhibited remarkably similar cycle-average wall shear stress distributions regardless of waveform and inlet velocity profile. The oscillatory shear index was very small and was attributed to flow reversal in the waveform, rather than separation. Cumulatively, these results illustrate that geometric effects (particularly local three-dimensional curvature) dominate RCA hemodynamics, implying that studies attempting to link hemodynamics with atherogenesis should replicate the patient-specific RCA geometry.

Arteriosclerosis↗

Anatomically based three-dimensional model of airways to simulate flow and particle transport using computational fluid dynamics.

We have studied gas flow and particle deposition in a realistic three-dimensional (3D) model of the bronchial tree, extending from the trachea to the segmental bronchi (7th airway generation for the most distal ones) using computational fluid dynamics. The model is based on the morphometrical data of Horsfield et al. (Horsfield K, Dart G, Olson DE, Filley GF, and Cumming G. J Appl Physiol 31: 207-217, 1971) and on bronchoscopic and computerized tomography images, which give the spatial 3D orientation of the curved ducts. It incorporates realistic angles of successive branching planes. Steady inspiratory flow varying between 50 and 500 cm(3)/s was simulated, as well as deposition of spherical aerosol particles (1-7 microm diameter, 1 g/cm(3) density). Flow simulations indicated nonfully developed flows in the branches due to their relative short lengths. Velocity flow profiles in the segmental bronchi, taken one diameter downstream of the bifurcation, were distorted compared with the flow in a simple curved tube, and wide patterns of secondary flow fields were observed. Both were due to the asymmetrical 3D configuration of the bifurcating network. Viscous pressure drop in the model was compared with results obtained by Pedley et al. (Pedley TJ, Schroter RC, and Sudlow MF. Respir Physiol 9: 387-405, 1970), which are shown to be a good first approximation. Particle deposition increased with particle size and was minimal for approximately 200 cm(3)/s inspiratory flow, but it was highly heterogeneous for branches of the same generation.

Aerosols↗

The nasal airflow in noses with septal perforation: a model study.

BACKGROUND: Septal perforation is a common clinical problem in rhinology. Affected patients suffer from a dry nose, crusts as well as recurrent epistaxis and sometimes an inspiratory whistle. The aim of this study was to investigate the underlying flow dynamic mechanisms. METHODS: The physical flow effects of such pathologies were examined in functional nose models (box models) and anatomically exact models of the nose. Therefore, septal perforations of different sizes and localisations were studied in straight and deviated nasal septa. RESULTS AND CONCLUSIONS: It could be seen that the localisation of the perforation has no impact on the flow pattern. In large septal perforations, the air jet collides with the posterior edge of the perforation and disintegrates turbulently. Since airflow is physiologically turbulent in the posterior part of the nose, posterior perforations do not cause clinical complaints. The inspiratory whistling sound during respiration is based on the principle of a lip whistle. Large perforations do not cause a whistling sound. The necessary high flow velocity needed in large perforations is usually not achievable.

Humans↗