95,299 research outputs found
A poroelastic model coupled to a fluid network with applications in lung modelling
Here we develop a lung ventilation model, based a continuum poroelastic
representation of lung parenchyma and a 0D airway tree flow model. For the
poroelastic approximation we design and implement a lowest order stabilised
finite element method. This component is strongly coupled to the 0D airway tree
model. The framework is applied to a realistic lung anatomical model derived
from computed tomography data and an artificially generated airway tree to
model the conducting airway region. Numerical simulations produce
physiologically realistic solutions, and demonstrate the effect of airway
constriction and reduced tissue elasticity on ventilation, tissue stress and
alveolar pressure distribution. The key advantage of the model is the ability
to provide insight into the mutual dependence between ventilation and
deformation. This is essential when studying lung diseases, such as chronic
obstructive pulmonary disease and pulmonary fibrosis. Thus the model can be
used to form a better understanding of integrated lung mechanics in both the
healthy and diseased states
PCA-based lung motion model
Organ motion induced by respiration may cause clinically significant
targeting errors and greatly degrade the effectiveness of conformal
radiotherapy. It is therefore crucial to be able to model respiratory motion
accurately. A recently proposed lung motion model based on principal component
analysis (PCA) has been shown to be promising on a few patients. However, there
is still a need to understand the underlying reason why it works. In this
paper, we present a much deeper and detailed analysis of the PCA-based lung
motion model. We provide the theoretical justification of the effectiveness of
PCA in modeling lung motion. We also prove that under certain conditions, the
PCA motion model is equivalent to 5D motion model, which is based on physiology
and anatomy of the lung. The modeling power of PCA model was tested on clinical
data and the average 3D error was found to be below 1 mm.Comment: 4 pages, 1 figure. submitted to International Conference on the use
of Computers in Radiation Therapy 201
A mathematical model for breath gas analysis of volatile organic compounds with special emphasis on acetone
Recommended standardized procedures for determining exhaled lower respiratory
nitric oxide and nasal nitric oxide have been developed by task forces of the
European Respiratory Society and the American Thoracic Society. These
recommendations have paved the way for the measurement of nitric oxide to
become a diagnostic tool for specific clinical applications. It would be
desirable to develop similar guidelines for the sampling of other trace gases
in exhaled breath, especially volatile organic compounds (VOCs) which reflect
ongoing metabolism. The concentrations of water-soluble, blood-borne substances
in exhaled breath are influenced by: (i) breathing patterns affecting gas
exchange in the conducting airways; (ii) the concentrations in the
tracheo-bronchial lining fluid; (iii) the alveolar and systemic concentrations
of the compound. The classical Farhi equation takes only the alveolar
concentrations into account. Real-time measurements of acetone in end-tidal
breath under an ergometer challenge show characteristics which cannot be
explained within the Farhi setting. Here we develop a compartment model that
reliably captures these profiles and is capable of relating breath to the
systemic concentrations of acetone. By comparison with experimental data it is
inferred that the major part of variability in breath acetone concentrations
(e.g., in response to moderate exercise or altered breathing patterns) can be
attributed to airway gas exchange, with minimal changes of the underlying blood
and tissue concentrations. Moreover, it is deduced that measured end-tidal
breath concentrations of acetone determined during resting conditions and free
breathing will be rather poor indicators for endogenous levels. Particularly,
the current formulation includes the classical Farhi and the Scheid series
inhomogeneity model as special limiting cases.Comment: 38 page
- …