犬脑室腹腔分流术治疗脑积水的多目标设计探讨

R. Yingling, Anand Balu Nellippallil, Matthew Register, Travis Hannan, J. Simmons, A. Shores, R. Prabhu
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引用次数: 0

摘要

脑积水是一种影响人类和动物的疾病,其症状是脑室内积聚过多的脑脊液,导致颅内压升高。脑脊液可以通过脑室-腹膜分流术释放,这种方法可以有效地将脑室的液体转移到腹膜腔。在犬类中,脑积水有时是一种致命的疾病,并伴有由于阻塞而导致的分流失败。这种医疗程序也很昂贵,而且长期来看失败率很高。在本文中,我们提出了一个系统的框架来进行多目标设计探索犬分流治疗脑积水。我们通过设计分流器原型来证明该框架的有效性,以满足满足CSF流速目标、最小化分流器上的剪切应力和最小化分流器重量的特定目标。该问题考虑的分流设计变量包括内径、进口孔直径和进口孔到出口的距离。利用系统框架,提出了一个多目标设计问题,以探索最能满足冲突目标的分流设计变量组合。框架和相关的设计结构是通用的,支持针对不同健康状况的类似生物医学设备的制定和基于决策的设计。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multi-Objective Design Exploration of a Canine Ventriculoperitoneal Shunt for Hydrocephalus
Hydrocephalus is a condition that affects humans and animals in which excess cerebrospinal fluid (CSF) builds up within the ventricles of the brain, causing an increase in intracranial pressure. The CSF can be released using a ventriculoperitoneal shunt, which effectively removes the fluid from the ventricles of the brain to the peritoneal cavity. In canines, hydrocephalus is sometimes a fatal condition complicated by shunt failure due to obstructions. The medical procedure is also expensive and has a high failure rate over the long term. In this paper, we present a systematic framework to carry out the multi-objective design exploration of canine shunts for managing hydrocephalus. We demonstrate the efficacy of the framework by designing a shunt prototype to meet specific goals of meeting the CSF flow rate target, minimizing shear stress on the shunt, and minimizing shunt weight. The shunt design variables considered for the problem include the inner diameter, inlet hole diameter, and the distance from the inlet holes to the outlet. A multi-objective design problem is formulated using the systematic framework to explore the combination of shunt design variables that best satisfy the conflicting goals defined. The framework and associated design constructs are generic and support the formulation and decision-based design of similar biomedical devices for different health conditions.
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