Biomedical and biophysical limits to mathematical modeling of pulmonary system mechanics: a scoping review on aerosol and drug delivery.

Undoubtedly, the construction of the biomechanical geometry systems with the help of computer tomography (CT) and magnetic resonance imaging (MRI) has made a significant advancement in studying in vitro numerical models as accurately as possible. However, some simplifying assumptions in the computational studies of the respiratory system have caused errors and deviations from the in vivo actual state. The most important of these hypotheses is how to generate volume from the point cloud exported from CT or MRI images, not paying attention to the wall thickness and its effect in computational fluid dynamic method, statistical logic of aerosol trap in software; and most importantly, the viscoelastic effect of respiratory tract wall in living tissue pointed in the fluid-structure interaction method. So that applying the viscoelastic dynamic mesh effect in the form of the moving deforming mesh can be very effective in achieving more appropriate response quality. Also, changing the volume fraction of the pulmonary extracellular matrix constituents leads to changes in elastic modulus (storage modulus) and the viscous modulus (loss modulus) of lung tissue. Therefore, in the biomedical computational methods where the model wall is considered flexible, the viscoelastic properties of the texture must be considered correctly

Experimental and Numerical Modeling of Fluid Flow

This Special Issue provides an overview of the applied experimental and numerical flow, models, which are used to investigate fluid flow in complex situations. The investigated problems are related to fundamental processes or new applications. As demonstrated, the field of the application of experimental and numerical flow models is constantly expanding

Viruses exacerbating chronic pulmonary disease: the role of immune modulation

Chronic pulmonary diseases are a major cause of morbidity and mortality and their impact is expected to increase in the future. Respiratory viruses are the most common cause of acute respiratory infections and it is increasingly recognized that respiratory viruses are a major cause of acute exacerbations of chronic pulmonary diseases such as asthma, chronic obstructive pulmonary disease and cystic fibrosis. There is now increasing evidence that the host response to virus infection is dysregulated in these diseases and a better understanding of the mechanisms of abnormal immune responses has the potential to lead to the development of new therapies for virus-induced exacerbations. The aim of this article is to review the current knowledge regarding the role of viruses and immune modulation in chronic pulmonary diseases and discuss avenues for future research and therapeutic implications

Investigation of bipolar charge distribution of pharmaceutical dry powder aerosols using the phase doppler anemometry system

This thesis was submitted for the award of Doctor of Philosophy and was awarded by Brunel University London.Electrostatic properties of formulation component materials and blends play an important role in dry powder inhalation (DPI) products, and that valid measurement of charge distribution will lead to more precise control of powder behavior in DPI manufacturing processes. Ultra-fine powders are known to be bipolarly charged, have non-spherical shapes and tend to be highly cohesive. Real time, non-invasive techniques need to be developed to obtain a precise and accurate time-history characteristic of electrically charged powders as they aerosolize from a DPI product, and how this measure relates to materials behavior throughout the various steps of a manufacturing process i.e. from drug micronisation, blending with lactose, through to filling dose units. A novel non-invasive technique for simultaneous measurement of size and charge of pharmaceutical powders is considered which employs the Phase Doppler Anemometry (PDA) system. Previous research demonstrated the advantages of this technique in measuring the bipolar charge distribution on a population of particles. These findings led to significant improvements in understanding performance of dry powder formulations, manufacturing processes and development of new platforms for inhaled drug delivery. The main aim of this research is to perform an investigation of electrostatic propertiesof pharmaceutical dry aerosols using the PDA system. The PDA technique was used to track the motion of charged particles in the presence of an electric field. The magnitude as well as the polarity of the particle charge can be obtained by solving the equation of particle motion in DC and AC fields combined with the simultaneous measurement of its size and velocity. The results show the capability of the technique to allow real-time size and charge distribution in the control of dry powder attributes that are critical to fully understanding manufacturing design space. The data obtained from initial investigations of electrical properties of pharmaceutical powders and bipolar charge measurements was used to perform an in-depth study of electrostatic properties of pharmaceutical aerosols dispensed by dry powder inhaler (DPI) devices. The delivery of a drug to the lungs can only be achieved by a combination of inhaler device and drug formulation which is capable of producing an aerosol of an aerodynamic diameter smaller than 5 μm and of appropriate charge. The aerosols generated by these devices are often bipolarly charged and can influence specific site deposition in human lung. By controlling the electrostatic charge generated by tribielectrification, it may be possible to achieve the desired drug deposition in the airways. Bipolary charged dispensed ultrafine particles are inhaled through the extrathoracic and tracheobronchial airways down into the alveolar region. Anatomically realistic respiratory airways and computation fluid dynamics (CFD) models have been created to study airflow structures and predict aerosol deposition within the human respiratory system using visible human data sets, human casts and morphometric data. Many theoretical studies of charged aerosol deposition in human respiratory systems have been developed, however getting real time, non-intrusive data of bipolar charge levels on aerosols dispensed from DPI’s within the human respiratory system represents a challenging issue. This research project presents a simplified human upper airway model which combined with the modified Phase Doppler Anemometry (PDA) system is able to provide real time bipolar charge distributions of aerosols delivered from several commercially available DPI devices. A three dimensional (3D) reconstruction of the upper respiratory system was performed from two dimensional (2D) images obtained from computerized tomography (CT), magnetic resonance imaging (MRI) and cryosectioned images available from Visible Human Server data set (Ecole Polytechnique Fédérale de Lausanne). The resulting dimensions of the model were consistent with morphometric data from the literature from which the simplified upper airway model consisting of two connected segments, i.e., the oral airways from the mouth to trachea (Generation G0), was created. The findings of this study provided a better understanding of the interaction between specific active ingredients and DPI devices. These results may be used in designing future generation DPI devices and a better understanding of aerosol transport and deposition efficiency within the human airways.Engineering and Physical Sciences Research Council. Pfizer team, U

Numerical investigation of airflow and aerosol deposition characteristics within human airways

Aerosolized drug delivery in human airways is typically used for the treatment of several pulmonary diseases. In this study, large-eddy simulation (LES) is used for the numerical investigation of the airflow and the aerosol deposition characteristics within the upper human airways. LES is performed using the Eulerian-Lagrangian framework where the airflow is modeled using the Eulerian formulation, and the aerosol evolution is tracked in a Lagrangian manner under the dilute suspension conditions using a one-way coupled approach. First, computational framework is assessed in terms of the prediction of the mean flow statistics and the aerosol deposition and comparing with the past experimental and numerical results. Afterward, the effects of inflow Reynolds number (Re) and particle size (d_p) on the deposition fraction (D_F) are examined. The study shows that the effect of Re on D_F is apparent for d_p\u3e5 μm and D_f increases with an increase in d_p

Mechanics of airflow in human inhalation

The mechanics of airflow in the large airways during inspiration affects important physiological functions such as ventilation, olfaction, heat exchange and mass transfer. The behaviour of the airflow is important not only for healthcare applications including diagnosis, intervention planning and assessment, but for inhalation toxicology. This research aims to further the understanding of human nasal physiology through computational modelling. Specifically, the effects of transient inhalation conditions on flow dynamics and transport were characterised and the changes in flow behaviour in response to certain pathologies quantified. The key findings can be summarised as follows: Firstly, the time scales for airflow in the large airways have been identified and the initial flow patterns revealed. Three phases in the temporal behaviour of the flow were identified (flow initiation, quasi-equilibrium and decay). The duration of each phase differs depending on the quantity of interest. Flow in the nose was characterised as transitional, whilst in parts of the descending airways it is turbulent, particularly in the faster moving regions around the jets which may occur in the pharynx, larynx and at the superior end of the trachea. The bulk of the flow is biased to fill only certain regions of the airways, whilst other regions carry little flow, due to features upstream. Analysis of cross-sectional images provided by medical imaging does not necessarily provide a representative view of the area available to the flow. Various scalar species were employed to represent the fate of nanoparticles and gaseous species within the airways. Only species with high diffusion rates exhibited significant absorption at the airway walls. Airway pathologies often cause changes to the geometry of the airway. One such pathology, the goitre, was found to curve the trachea and in some cases cause constriction. Both these geometric changes were found to increase the pressure loss and energy required to drive flow through the trachea. Furthermore, the flow in pathological cases was more disturbed. High resolution simulations have been used to address these topics and the scales simulated have been analysed in terms of the smallest features possible in the flow to determine their fidelity.Open Acces

Dynamics of airflow in a short inhalation

During a rapid inhalation, such as a sniff, the flow in the airways accelerates and decays quickly. The consequences for flow development and convective trans- port of an inhaled gas were investigated in a subject geometry extending from the nose to the bronchi. The progress of flow transition and the advance of an inhaled non-absorbed gas were determined using highly resolved simulations of a sniff 0.5 s long, 1 litre per second peak flow, 364 ml inhaled volume. In the nose, the distribution of airflow evolved through three phases: (i) an initial transient of about 50 ms, roughly the filling time for a nasal volume, (ii) quasi-equilibrium over the majority of the inhalation, and (iii) a terminating phase. Flow transition commenced in the supraglottic region within 20ms, resulting in large- amplitude fluctuations persisting throughout the inhalation; in the nose, fluctuations that arose nearer peak flow were of much reduced intensity and diminished in the flow decay phase. Measures of gas concentration showed non-uniform build-up and wash-out of the inhaled gas in the nose. At the carina, the form of the temporal concentration profile reflected both shear dispersion and airway filling defects owing to recirculation regions.Comment: 15 page