Fast interactive CFD evaluation of hemodynamics assisted by RBF mesh morphing and reduced order models: the case of aTAA modelling

AbstractThe medical digital twin is emerging as a viable opportunity to provide patient-specific information useful for treatment, prevention and surgical planning. A bottleneck toward its effective use when computational fluid dynamics (CFD) techniques and tools are adopted for the high fidelity prediction of blood flow, is the significant computing cost required. Reduced order models (ROM) looks to be a promising solution for facing the aforementioned limit. In fact, once ROM data processing is accomplished, the consumption stage can be performed outside the computer-aided engineering software adopted for simulation and, in addition, it could be also implemented on interactive software visualization interfaces that are commonly employed in the medical context. In this paper we demonstrate the soundness of such a concept by numerically investigating the effect of the bulge shape for the ascending thoracic aorta aneurysm case. Radial basis functions (RBF) based mesh morphing enables the implementation of a parametric shape, which is used to build up the ROM framework and data. The final result is an inspection tool capable to visualize, interactively and almost in real-time, the effect of shape parameters on the entire flow field. The approach is first verified considering a morphing action representing the progression from an average healthy patient to an average aneurismatic one (Capellini et al. in Proceedings VII Meeting Italian Chapter of the European Society of Biomechanics (ESB-ITA 2017), 2017; Capellini et al. in J. Biomech. Eng. 140(11):111007-1–111007-10, 2018). Then, a set of shape parameters, suitable to consistently represent a widespread number of possible bulge configurations, are defined and accordingly generated. The concept is showcased taking into account the steady flow field at systolic peak conditions, using ANSYS®Fluent®and its ROM environment for CFD and ROM calculations respectively, and the RBF MorphTM software for shape parametrization

Quantum steering from phase measurements with limited resources

Quantum steering captures the ability of one party, Alice, to control through quantum correlations the state at a distant location, Bob, with superior ability than allowed by a local hidden state model. Verifying the presence of quantum steering has implications for the certification of quantum channels, and its connection to the metrological power of the quantum state has been recently proved. This link is established by means of the violation of a Cram\'er-Rao bound holding for non-steerable states: its direct assessment would then require operation in the asymptotic regime of a large number of repetitions. Here, we extend previous work to account explicitly for the use of a limited number of resources, and put this modified approach to test in a quantum optics experiment. The imperfections in the apparatus demand an adaptation of the original test in the multiparameter setting. Our results provide guidelines to apply such a metrological approach to the validation of quantum channels

Quantitative protein sensing with germanium THz-antennas manufactured using CMOS processes

The development of a CMOS manufactured THz sensing platform could enable the integration of state-of-the-art sensing principles with the mixed signal electronics ecosystem in small footprint, low-cost devices. To this aim, in this work we demonstrate a label-free protein sensing platform using highly doped germanium plasmonic antennas realized on Si and SOI substrates and operating in the THz range of the electromagnetic spectrum. The antenna response to different concentrations of BSA shows in both cases a linear response with saturation above 20 mg/mL. Ge antennas on SOI substrates feature a two-fold sensitivity as compared to conventional Si substrates, reaching a value of 6 GHz/(mg/mL), which is four-fold what reported using metal-based metamaterials. We believe that this result could pave the way to a low-cost lab-on-a-chip biosensing platform

A spatio-temporally constrained gene regulatory network directed by PBX1/2 acquires limb patterning specificity via HAND2.

A lingering question in developmental biology has centered on how transcription factors with widespread distribution in vertebrate embryos can perform tissue-specific functions. Here, using the murine hindlimb as a model, we investigate the elusive mechanisms whereby PBX TALE homeoproteins, viewed primarily as HOX cofactors, attain context-specific developmental roles despite ubiquitous presence in the embryo. We first demonstrate that mesenchymal-specific loss of PBX1/2 or the transcriptional regulator HAND2 generates similar limb phenotypes. By combining tissue-specific and temporally controlled mutagenesis with multi-omics approaches, we reconstruct a gene regulatory network (GRN) at organismal-level resolution that is collaboratively directed by PBX1/2 and HAND2 interactions in subsets of posterior hindlimb mesenchymal cells. Genome-wide profiling of PBX1 binding across multiple embryonic tissues further reveals that HAND2 interacts with subsets of PBX-bound regions to regulate limb-specific GRNs. Our research elucidates fundamental principles by which promiscuous transcription factors cooperate with cofactors that display domain-restricted localization to instruct tissue-specific developmental programs

Three-dimensional printed models as an effective tool for the management of complex congenital heart disease

IntroductionThree-dimensional printed models are widely used in the medical field for surgical and interventional planning. In the context of complex cardiovascular defects such as pediatric congenital heart diseases (CHDs), the adoption of 3D printed models could be an effective tool to improve decision-making. In this paper, an investigation was conducted into the characteristics of 3D printed models and their added value in understanding and managing complex pediatric congenital heart disease, also considering the associated cost.MethodsVolumetric MRI and CT images of subjects with complex CHDs were retrospectively segmented, and the associated 3D models were reconstructed. Different 3D printing technologies and materials were evaluated to obtain the 3D printed models of cardiac structures. An evaluation of time and costs associated with the 3D printing procedure was also provided. A two-level 3D printed model assessment was carried out to investigate the most suitable 3D printing technology for the management of complex CHDs and the effectiveness of 3D printed models in the pre-surgical planning and surgical strategies’ simulations.ResultsAmong the different techniques, selective laser sintering resulted to be the most suitable due to its reduced time and cost and for the positive clinical feedback (procedure simulation, surface finish, and reproduction of details).ConclusionThe adoption of 3D printed models contributes as an effective tool in the management of complex CHDs, enabling planning and simulations of surgical procedures in a safer way

analysis of non animal methods and models for research in cardiovascular disease

Cardiovascular diseases (CVD) are disorders of the heart and blood vessels and represent 31% of all global deaths. In the contest of CVD, the use of animal experiments has been a contentious subject for many years. In recent years, in vitro and in silico models and methods have been proposed according to the 3Rs statement. However, an exhaustive report regarding the state of art in terms of in vitro and in silico experiments has not been reported yet. This work is focused on providing a collection of non-animal models and methods in use for basic and applied CVD research. The standardized descriptions of such studies will ultimately feed into EURL ECVAM database on alternative methods. Two are the research main phases. Firstly, the exclusion/ inclusion criteria and the list of relevant information resources of the research have been defined. The second phase regards the search, selection and detailed description of the literature papers by analysing records on Scopus and Pubmed databases

Acute Delta Hepatitis in Italy spanning three decades (1991–2019): Evidence for the effectiveness of the hepatitis B vaccination campaign

Updated incidence data of acute Delta virus hepatitis (HDV) are lacking worldwide. Our aim was to evaluate incidence of and risk factors for acute HDV in Italy after the introduction of the compulsory vaccination against hepatitis B virus (HBV) in 1991. Data were obtained from the National Surveillance System of acute viral hepatitis (SEIEVA). Independent predictors of HDV were assessed by logistic-regression analysis. The incidence of acute HDV per 1-million population declined from 3.2 cases in 1987 to 0.04 in 2019, parallel to that of acute HBV per 100,000 from 10.0 to 0.39 cases during the same period. The median age of cases increased from 27 years in the decade 1991-1999 to 44 years in the decade 2010-2019 (p < .001). Over the same period, the male/female ratio decreased from 3.8 to 2.1, the proportion of coinfections increased from 55% to 75% (p = .003) and that of HBsAg positive acute hepatitis tested for by IgM anti-HDV linearly decreased from 50.1% to 34.1% (p < .001). People born abroad accounted for 24.6% of cases in 2004-2010 and 32.1% in 2011-2019. In the period 2010-2019, risky sexual behaviour (O.R. 4.2; 95%CI: 1.4-12.8) was the sole independent predictor of acute HDV; conversely intravenous drug use was no longer associated (O.R. 1.25; 95%CI: 0.15-10.22) with this. In conclusion, HBV vaccination was an effective measure to control acute HDV. Intravenous drug use is no longer an efficient mode of HDV spread. Testing for IgM-anti HDV is a grey area requiring alert. Acute HDV in foreigners should be monitored in the years to come