International Journal for Numerical Methods in Biomedical Engineering最新文献

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Fluid-Structure Interaction Analysis of Trapezoidal and Arc-Shaped Membranes Mimicking the Organ of Corti.
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2025-01-01 DOI: 10.1002/cnm.3896
Kentaro Doi, Sho Takeuchi, Hiroki Yamazaki, Tetsuro Tsuji, Satoyuki Kawano
{"title":"Fluid-Structure Interaction Analysis of Trapezoidal and Arc-Shaped Membranes Mimicking the Organ of Corti.","authors":"Kentaro Doi, Sho Takeuchi, Hiroki Yamazaki, Tetsuro Tsuji, Satoyuki Kawano","doi":"10.1002/cnm.3896","DOIUrl":"10.1002/cnm.3896","url":null,"abstract":"<p><p>In a previous study [H. Shintaku et al., Sensors and Actuators A: Physical 158 (2010): 183-192], an artificially developed auditory sensor device showed a frequency selectivity in the range from 6.6 to 19.8 kHz in air and from 1.4 to 4.9 kHz in liquid. Furthermore, the sensor succeeded in obtaining auditory brain-stem responses in deafened guinea pigs [T. Inaoka et al., Proceedings of the National Academy of Sciences of the United States of America 108 (2011): 18390-18395]. Since then, several research groups have developed piezoelectric auditory devices that have the capability of acoustic/electric conversion. However, the piezoelectric devices are required to be optimally designed with respect to the frequency range in liquids. In the present study, focusing on the trapezoidal shape of the piezoelectric membrane, the vibration characteristics are numerically and experimentally investigated. In the numerical analysis, solving a three-dimensional fluid-structure interaction problem, resonant frequencies of the trapezoidal membrane are evaluated. Herein, Young's modulus of the membrane, which is made of polyvinylidene difluoride and is different from that of bulk, is properly determined to reproduce the experimental results measured in air. Using the modified elastic modulus for the membrane, the vibration modes and resonant frequencies in liquid are in good agreement with experimental results. It is also found that the resonant characteristics of the artificial basilar membrane for guinea pigs are quantitatively reproduced, considering the fluid-structure interaction. The present numerical method predicts experimental results and is available to improve the frequency selectivity of the piezoelectric membranes for artificial cochlear devices.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"41 1","pages":"e3896"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Influence Mechanism of Screw Internal Fixation on the Biomechanics of Lateral Malleolus Oblique Fractures.
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1002/cnm.3895
Xinyuan Shi, Shuanzhu Wang, Yongzhi Gong, Shibo Gu, Haiquan Feng
{"title":"The Influence Mechanism of Screw Internal Fixation on the Biomechanics of Lateral Malleolus Oblique Fractures.","authors":"Xinyuan Shi, Shuanzhu Wang, Yongzhi Gong, Shibo Gu, Haiquan Feng","doi":"10.1002/cnm.3895","DOIUrl":"10.1002/cnm.3895","url":null,"abstract":"<p><p>It remains inconclusive about the stability and optimal fixation scheme of screw internal fixation for lateral malleolus oblique fractures in clinical practice. In this study, the effects of different screw internal fixation methods on the biomechanics of lateral malleolus oblique fractures were investigated. These efforts are expected to lay a theoretical foundation for the selection of internal fixation methods and rehabilitation training regimens in the treatment of lateral malleolus fractures. A healthy ankle joint model and a lateral malleolus fracture internal fixation model were established based on CT data with the aid of some software. Besides, the effects of screw internal fixation modalities on the fracture displacement of fibula fractures, fibula Von Mises stress, and screw Von Mises stress under different physiological conditions and loading conditions were investigated using finite element methods (FEMs) and in vitro physical experiments. The double screw vertical fibular axis internal fixation approach had the lowest fracture displacement of fibula fractures and screw Von Mises stress values; while the double screw vertical fracture line internal fixation approach had the lowest fibula Von Mises stress values. Under different physiological conditions, the magnitude of the peak Von Mises stress of the fibula and screw was ranked as plantarflexion 20° > plantarflexion 10° > neutral position > dorsiflexion 10° > dorsiflexion 20°; and the magnitude of the peak displacement of the fibula fracture breaks was ranked as plantarflexion 20° > plantarflexion 10° > neutral position > dorsiflexion 20° > dorsiflexion 10°. The results of in vitro physical experiments and finite element analyses were in good agreement, which validated the validity of finite element analyses. The vertical fracture line screw implantation method displays a better load-sharing ability; while the vertical fibular axis screw implantation method exhibits a better ability to prevent axial shortening of the fibula and also reduces the risk of screw fatigue damage. Overall, the double screw achieves better therapeutic effects than the single screw. Given that the ankle joint has high stability in the dorsiflexion position, it is recommended to prioritize dorsiflexion rehabilitation training, rather than dorsiflexion and plantarflexion rehabilitation training with too large angles, in the treatment of lateral malleolus fractures.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3895"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative Assessment of the Structural Effects in Foot Soft Tissues Depending on the Mechanical Contact Between Joints.
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1002/cnm.3888
N Mancera-Campos, A Vidal-Lesso, J Bayod López
{"title":"Quantitative Assessment of the Structural Effects in Foot Soft Tissues Depending on the Mechanical Contact Between Joints.","authors":"N Mancera-Campos, A Vidal-Lesso, J Bayod López","doi":"10.1002/cnm.3888","DOIUrl":"10.1002/cnm.3888","url":null,"abstract":"<p><p>Developing realistic numerical foot models is essential to accurately predict the structural behavior of its bones and soft tissues. The representation of the foot joints is a crucial point that must be considered to recreate these models' natural behavior. Numerically, different types of contact represent these interactions, two being the most common: one that allows movement between bones and one that restricts it. However, the structural behavior of the model is affected depending on which type of contact is chosen to simulate the interaction. Therefore, this paper aims to develop a numerical foot model to analyze and quantify both types of mechanical contact and determine their effect on soft tissues by evaluating and comparing different structural parameters. The results show that the TA, CPF, LPF, EDB, and FDBT soft tissues reach the maximum stress and strain levels like the highest displacement values. The differences between models in these tissues reach percentage values of up to 74.69% for the principal stresses and up to 68.42% for the principal strains. Significant differences were also found in the displacements obtained in the anteroposterior axes (X) and the vertical or the load axis (Y) of up to 42.03% and 37.47%, respectively. These results allow us to quantify the impact that the choice of the contact type of the foot joints has over its soft tissues and suggest that the way of simulating the movement between bones contributes significantly to the quantitative variation of the structural parameters, affecting thus, the predictions made in the several studies performed with foot numerical models; a contact type that reproduces the natural joint movement is the better option based on this work results.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3888"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of Vessel Geometry, Flow Conditions, and Thrombin Concentration on Fibrin Accumulation and Cerebral Aneurysm Occlusion After Flow Diversion.
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2025-01-01 DOI: 10.1002/cnm.3904
Juan R Cebral, Fernando Mut, Rainald Löhner, Laurel Marsh, Alireza Chitsaz, Cem Bilgin, Esref Bayraktar, David Kallmes, Ramanathan Kadirvel
{"title":"Influence of Vessel Geometry, Flow Conditions, and Thrombin Concentration on Fibrin Accumulation and Cerebral Aneurysm Occlusion After Flow Diversion.","authors":"Juan R Cebral, Fernando Mut, Rainald Löhner, Laurel Marsh, Alireza Chitsaz, Cem Bilgin, Esref Bayraktar, David Kallmes, Ramanathan Kadirvel","doi":"10.1002/cnm.3904","DOIUrl":"10.1002/cnm.3904","url":null,"abstract":"<p><p>As the number of cerebral aneurysms treated with flow diverters continues to increase, it is important to understand what factors influence not only thrombus formation within the aneurysm cavity but also fibrin accumulation across the device and its associated disruption and blockage of the inflow stream. Both processes contribute to the eventual occlusion of the aneurysm or its continued patency and incomplete occlusion which may require future re-treatment. To investigate fibrin accumulation on flow diverters placed across the neck of cerebral aneurysms, a previously developed computational model that couples flow and fibrin dynamics is used in combination with experimental in vitro models of cerebral aneurysms treated with flow diverters. Fibrin accumulation was previously investigated in four glass models of cerebral aneurysms with varying parent artery geometries placed in a flow loop at different flow rates. Corresponding computational models were constructed and compared with the experimental findings. The computational model based on fibrin production stimulated from flow shear stress and subsequent adhesion to device wires was able to reproduce and explain the fibrin accumulation patterns observed in the experimental aneurysms treated with flow diverters. Specifically, these models indicated that increasing vessel curvature, flow rate, and thrombin concentration induced faster fibrin accumulation and associated aneurysm inflow disruption and blockage. The models described and tested in this paper are valuable to understand the detailed mechanisms leading to aneurysm occlusion and healing or incomplete occlusions after treatment with flow diverting devices.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":"41 1","pages":"e3904"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Multiscale Mathematical Model for Fetal Gas Transport and Regulatory Systems During Second Half of Pregnancy.
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1002/cnm.3881
Bettine G Van Willigen, M Beatrijs van der Hout-van der Jagt, Wouter Huberts, Frans N van de Vosse
{"title":"A Multiscale Mathematical Model for Fetal Gas Transport and Regulatory Systems During Second Half of Pregnancy.","authors":"Bettine G Van Willigen, M Beatrijs van der Hout-van der Jagt, Wouter Huberts, Frans N van de Vosse","doi":"10.1002/cnm.3881","DOIUrl":"10.1002/cnm.3881","url":null,"abstract":"<p><p>Fetal asphyxia, a condition resulting from the combined effects of hypoxia and hypercapnia, leads to approximately 900,000 annual deaths worldwide. One cause is umbilical cord compression during labor-induced uterine contractions, disrupting the transport of metabolites to and from the placenta, and resulting in asphyxia. Current fetal well-being assessment relies on monitoring fetal heart rate and uterine contractions as indicators of oxygen delivery to the brain. To enhance our understanding of this complex relationship, this study aims to develop a modular mathematical model including fetal blood gas dynamics, the autonomic nervous system, and cerebral blood flow regulation. The novelty of this study lies in the capability of the model to simulate fetal growth. These submodels are part of a larger multiscale mathematical model describing fetal circulation in the second half of pregnancy. The blood gas model realistically replicates partial oxygen and carbon dioxide pressures in umbilical arteries and veins during healthy fetal development reported in the literature. An in silico experiment is conducted to simulate umbilical cord occlusion and is compared with lamb experiments to verify the realism of the regulation models during fetal growth. Our findings suggest that premature infants are more susceptible to umbilical cord occlusion, exhibiting elevated cerebral perfusion pressure and flow. This modular mathematical model may serve as a valuable tool for testing hypotheses related to the fetal regulatory system.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3881"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Piloting a Novel Computational Framework for Identifying Prosthesis-Specific Contributions to Gait Deviations. 试用新型计算框架,识别假肢对步态偏差的特定贡献。
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2024-12-01 Epub Date: 2024-10-10 DOI: 10.1002/cnm.3876
Jacques-Ezechiel N'Guessan, Muhammad Hassaan Ahmed, Matthew Leineweber, Sachin Goyal
{"title":"Piloting a Novel Computational Framework for Identifying Prosthesis-Specific Contributions to Gait Deviations.","authors":"Jacques-Ezechiel N'Guessan, Muhammad Hassaan Ahmed, Matthew Leineweber, Sachin Goyal","doi":"10.1002/cnm.3876","DOIUrl":"10.1002/cnm.3876","url":null,"abstract":"<p><p>This paper introduces a novel computational framework for evaluating above-knee prostheses, addressing a major challenge in gait deviation studies: distinguishing between prosthesis-specific and patient-specific contributions to gait deviations. This innovative approach utilizes three separate computational models to quantify the changes in gait dynamics necessary to achieve a set of ideal gait kinematics across different prosthesis designs. The pilot study presented here employs a simple two-dimensional swing-phase model to conceptually demonstrate how the outcomes of this three-model framework can assess the extent to which prosthesis design impacts a user's ability to replicate the dynamics of able-bodied gait. Furthermore, this framework offers potential for optimizing passive prosthetic devices for individual patients, thereby reducing the need for real-life experiments, clinic visits, and overcoming rehabilitation challenges.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3876"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analyzing Pulse Compression Performance and Image Quality Metrics of Different Excitations in MAET With Magnetic Field Measurements. 利用磁场测量分析 MAET 中不同激励的脉冲压缩性能和图像质量指标。
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2024-12-01 Epub Date: 2024-11-14 DOI: 10.1002/cnm.3890
Mehmet Soner Gözü, Nevzat Güneri Gençer
{"title":"Analyzing Pulse Compression Performance and Image Quality Metrics of Different Excitations in MAET With Magnetic Field Measurements.","authors":"Mehmet Soner Gözü, Nevzat Güneri Gençer","doi":"10.1002/cnm.3890","DOIUrl":"10.1002/cnm.3890","url":null,"abstract":"<p><p>This study investigates the pulse compression technique to improve the performance of magneto-acousto-electrical tomography (MAET) with magnetic field measurements through numerical studies. Emphasizing the effects of specific coil configuration on MAET measurements, the study conducts evaluations using a linear phased array (LPA) transducer and numerical breast models with tumor inclusion. It provides feasibility and a detailed comparative analysis of various excitations, including linear frequency modulated (LFM), Barker code, and Golay code excitations in MAET. To simulate experimental conditions, additive White Gaussian noise is added to the MAET signal detected by the receiver coils. The results obtained from the LPA steering angle at 0° and the reconstructed B-mode MAET images using the pulse compression technique lead to improvements compared with conventional single-cycle excitation. The computed mean signal-to-noise ratio (SNR) improvements for LFM, Barker code, and Golay code excitations in B-mode MAET images for 10,000 iterations are 7.42, 8.36, and 8.44 dB, respectively, compared with single-cycle excitation. Similarly, the mean contrast-to-noise ratio (CNR) improvements for these excitations in B-mode MAET images are 1.43, 1.63, and 1.9 dB, respectively. The results demonstrate that Golay code is superior in CNR and image quality metrics, while Golay and Barker codes have comparable SNR and outperform LFM. The research shows that the coil configuration significantly impacts tumor detection. With Golay code excitation, detecting a tumor as small as 5 mm × 2 mm at a depth of 33 mm with an SNR of 6.38 dB is possible, achieving an axial resolution of 2 mm.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3890"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Precision Orthodontic Force Simulation Using Nodal Displacement-Based Archwire Loading Approach. 使用基于节点位移的弓丝加载法进行精确正畸力模拟
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2024-12-01 Epub Date: 2024-11-13 DOI: 10.1002/cnm.3889
Waheed Ahmad, Kanhui Liang, Jing Xiong, Juan Dai, Jun Cao, Zeyang Xia
{"title":"Precision Orthodontic Force Simulation Using Nodal Displacement-Based Archwire Loading Approach.","authors":"Waheed Ahmad, Kanhui Liang, Jing Xiong, Juan Dai, Jun Cao, Zeyang Xia","doi":"10.1002/cnm.3889","DOIUrl":"10.1002/cnm.3889","url":null,"abstract":"<p><p>Precision in force simulationis critical for forecasting tooth movement and optimizing orthodontic treatment strategies. While traditional techniques have provided valuable insights, there remains a need for improved methodologies that can seamlessly integrate with fixed orthodontic practices. This study aims to refine orthodontic force simulation techniques by integrating a nodal displacement approach within finite element analysis, specifically designed to enhance prediction accuracy in tooth movement and optimize orthodontic treatment planning. Three-dimensional patient-specific models of the Tooth, Periodontal Ligament, and Bone Complex (TPBC) of five volunteers were created, along with models of brackets and wires. The simulation involved an initial step of estimating node displacements to align the archwire with the brackets, followed by a subsequent step to attain the required tooth movement and determine the orthodontic force. Experimental validation of the simulation results was performed using an orthodontic force tester (OFT). Utilizing the nodal displacement approach, the simulation successfully positioned the archwire onto the brackets. When benchmarked against the OFT, 80% of the simulated force directions exhibited angular discrepancies of less than 5°. Additionally, the absolute differences in force magnitude reached 20.06 cN, and in moments, up to 71.76 cN mm. The relative differences were as high as 9.55% for force and 13.83% for moments. These findings represent an improvement of up to 10.45% in force accuracy and 8.87% in moment accuracy compared to median values reported in most recent literature. In this research, a nodal displacement methodology was employed to simulate orthodontic forces with precision across the dental arch. The results demonstrate the approache's potential to enhance the accuracy of force prediction in orthodontic treatment planning, thereby advancing our understanding of orthodontic biomechanics.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3889"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uncertainty quantification of the pressure waveform using a Windkessel model. 使用 Windkessel 模型量化压力波形的不确定性。
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2024-12-01 Epub Date: 2024-09-06 DOI: 10.1002/cnm.3867
Joaquín Flores-Gerónimo, Alireza Keramat, Jordi Alastruey, Yuanting Zhang
{"title":"Uncertainty quantification of the pressure waveform using a Windkessel model.","authors":"Joaquín Flores-Gerónimo, Alireza Keramat, Jordi Alastruey, Yuanting Zhang","doi":"10.1002/cnm.3867","DOIUrl":"10.1002/cnm.3867","url":null,"abstract":"<p><p>The Windkessel (WK) model is a simplified mathematical model used to represent the systemic arterial circulation. While the WK model is useful for studying blood flow dynamics, it suffers from inaccuracies or uncertainties that should be considered when using it to make physiological predictions. This paper aims to develop an efficient and easy-to-implement uncertainty quantification method based on a local gradient-based formulation to quantify the uncertainty of the pressure waveform resulting from aleatory uncertainties of the WK parameters and flow waveform. The proposed methodology, tested against Monte Carlo simulations, demonstrates good agreement in estimating blood pressure uncertainties due to uncertain Windkessel parameters, but less agreement considering uncertain blood-flow waveforms. To illustrate our methodology's applicability, we assessed the aortic pressure uncertainty generated by Windkessel parameters-sets from an available in silico database representing healthy adults. The results from the proposed formulation align qualitatively with those in the database and in vivo data. Furthermore, we investigated how changes in the uncertainty of the Windkessel parameters affect the uncertainty of systolic, diastolic, and pulse pressures. We found that peripheral resistance uncertainty produces the most significant change in the systolic and diastolic blood pressure uncertainties. On the other hand, compliance uncertainty considerably modifies the pulse pressure standard deviation. The presented expansion-based method is a tool for efficiently propagating the Windkessel parameters' uncertainty to the pressure waveform. The Windkessel model's clinical use depends on the reliability of the pressure in the presence of input uncertainties, which can be efficiently investigated with the proposed methodology. For instance, in wearable technology that uses sensor data and the Windkessel model to estimate systolic and diastolic blood pressures, it is important to check the confidence level in these calculations to ensure that the pressures accurately reflect the patient's cardiovascular condition.</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3867"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender-Based Differences in the Biomechanical Behavior of the Thorax During CPR Maneuvers. 心肺复苏操作过程中胸廓生物力学行为的性别差异。
IF 2.2 4区 医学
International Journal for Numerical Methods in Biomedical Engineering Pub Date : 2024-12-01 Epub Date: 2024-11-11 DOI: 10.1002/cnm.3887
María Ferrón-Vivó, María José Rupérez
{"title":"Gender-Based Differences in the Biomechanical Behavior of the Thorax During CPR Maneuvers.","authors":"María Ferrón-Vivó, María José Rupérez","doi":"10.1002/cnm.3887","DOIUrl":"10.1002/cnm.3887","url":null,"abstract":"<p><p>In this study, 18 rib cages (8 males and 10 females) were segmented from computer tomography (CT) images. In order to analyze the potential differences in thoracic biomechanics during cardiopulmonary resuscitation (CPR), a set of numerical experiments was conducted using finite elements (FE). Compression forces were applied at different points on the rib cage. Results indicated that the optimal compression area for both sexes is the sternum at the 5th rib level, requiring the least force to achieve the desired compression depth. Males required greater force than females. Among females, those with lower width/depth ratios (more rounded thoracic shape) required less force compared to those with higher ratios (more oval-shaped thorax).</p>","PeriodicalId":50349,"journal":{"name":"International Journal for Numerical Methods in Biomedical Engineering","volume":" ","pages":"e3887"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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