Adnan Ebrahem, Jannes Hohl, Etienne Jessen, Marco F.P. ten Eikelder, Dominik Schillinger
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引用次数: 0
Abstract
We present a framework for modeling liver regrowth on the organ scale that is based on three components: (1) a multiscale perfusion model that combines synthetic vascular tree generation with a multi-compartment homogenized flow model, including a homogenization procedure to obtain effective parameters; (2) a poroelastic finite growth model that acts on all compartments and the synthetic vascular tree structure; (3) an evolution equation for the local volumetric growth factor, driven by the homogenized flow rate into the microcirculation as a measure of local hyperperfusion and well-suited for calibration with available data. We apply our modeling framework to a prototypical benchmark and a full-scale patient-specific liver, for which we assume a common surgical cut. Our simulation results demonstrate that our model represents hyperperfusion as a consequence of partial resection and accounts for its reduction towards a homeostatic perfusion state, exhibiting overall regrowth dynamics that correspond well with clinical observations. In addition, our results show that our model also captures local hypoperfusion in the vicinity of orphan vessels, a key requirement for the prediction of ischemia or the preoperative identification of suitable cut patterns.
期刊介绍:
The aim of Journal of The Mechanics and Physics of Solids is to publish research of the highest quality and of lasting significance on the mechanics of solids. The scope is broad, from fundamental concepts in mechanics to the analysis of novel phenomena and applications. Solids are interpreted broadly to include both hard and soft materials as well as natural and synthetic structures. The approach can be theoretical, experimental or computational.This research activity sits within engineering science and the allied areas of applied mathematics, materials science, bio-mechanics, applied physics, and geophysics.
The Journal was founded in 1952 by Rodney Hill, who was its Editor-in-Chief until 1968. The topics of interest to the Journal evolve with developments in the subject but its basic ethos remains the same: to publish research of the highest quality relating to the mechanics of solids. Thus, emphasis is placed on the development of fundamental concepts of mechanics and novel applications of these concepts based on theoretical, experimental or computational approaches, drawing upon the various branches of engineering science and the allied areas within applied mathematics, materials science, structural engineering, applied physics, and geophysics.
The main purpose of the Journal is to foster scientific understanding of the processes of deformation and mechanical failure of all solid materials, both technological and natural, and the connections between these processes and their underlying physical mechanisms. In this sense, the content of the Journal should reflect the current state of the discipline in analysis, experimental observation, and numerical simulation. In the interest of achieving this goal, authors are encouraged to consider the significance of their contributions for the field of mechanics and the implications of their results, in addition to describing the details of their work.