Homogenization Model for Aberrant Crypt Foci

Several explanations can be found in the literature about the origin of colorectal cancer. There is however some agreement on the fact that the carcinogenic process is a result of several genetic mutations of normal cells. The colon epithelium is characterized by millions of invaginations, very small cavities, called crypts, where most of the cellular activity occurs. It is consensual in the medical community, that a potential first manifestation of the carcinogenic process, observed in conventional colonoscopy images, is the appearance of Aberrant Crypt Foci (ACF). These are clusters of abnormal crypts, morphologically characterized by an atypical behavior of the cells that populate the crypts. In this work an homogenization model is proposed, for representing the cellular dynamics in the colon epithelium. The goal is to simulate and predict, in silico, the spread and evolution of ACF, as it can be observed in colonoscopy images. By assuming that the colon is an heterogeneous media, exhibiting a periodic distribution of crypts, we start this work by describing a periodic model, that represents the ACF cell-dynamics in a two-dimensional setting. Then, homogenization techniques are applied to this periodic model, to find a simpler model, whose solution symbolizes the averaged behavior of ACF at the tissue level. Some theoretical results concerning the existence of solution of the homogenized model are proven, applying a fixed point theorem. Numerical results showing the convergence of the periodic model to the homogenized model are presented.Comment: 26 pages, 4 figure

Colorectal Cancer Through Simulation and Experiment

Colorectal cancer has continued to generate a huge amount of research interest over several decades, forming a canonical example of tumourigenesis since its use in Fearon and Vogelstein’s linear model of genetic mutation. Over time, the field has witnessed a transition from solely experimental work to the inclusion of mathematical biology and computer-based modelling. The fusion of these disciplines has the potential to provide valuable insights into oncologic processes, but also presents the challenge of uniting many diverse perspectives. Furthermore, the cancer cell phenotype defined by the ‘Hallmarks of Cancer’ has been extended in recent times and provides an excellent basis for future research. We present a timely summary of the literature relating to colorectal cancer, addressing the traditional experimental findings, summarising the key mathematical and computational approaches, and emphasising the role of the Hallmarks in current and future developments. We conclude with a discussion of interdisciplinary work, outlining areas of experimental interest which would benefit from the insight that mathematical and computational modelling can provide

A coupled convection-diffusion level set model for tracking epithelial cells in colonic crypts

Colorectal cancer is initiated in colonic crypts as a consequence of alterations leading to the disruption of the normal colonic cellular process. We propose a new model, which couples a convection-di usion type equation with a level set equation, for tracking the time evolution of an epithelial cell set, inside a colonic crypt, until it reaches the top of the crypt. The convection-di usion equation describes the evolution of the density of the cells in the epithelial cell set. The parameters of this equation regulate the geometric and temporal cellular mechanism, and di erent parameter choices lead to distinct cell behavior. The level set equation tracks the location and shape of the epithelial cell set, inside the crypt, as well as its interface, separating the cell set from the others cells, which reside within the crypt. The interfacial velocity of the epithelial cell set is obtained from the convection-di usion type equation. Some in silico experiments are described. They are performed in a relative small time, with respect to the real biological evolution