Tissue oxygen measurement system

A device and method in accordance with the invention for determining the oxygen partial pressure (PO.sub.2) of a tissue by irradiating the tissue with optical radiation such that the light is emitted from the tissue, and by collecting the reflected or transmitted light from the tissue to form an optical spectrum. A spectral processor determines the PO.sub.2 level in tissue by processing this spectrum with a previously-constructed spectral calibration model. The tissue may, for example, be disposed underneath a covering tissue, such as skin, of a patient, and the tissue illuminated and light collected through the skin. Alternatively, direct tissue illumination and collection may be effected with a hand-held or endoscopic probe. A preferred system also determines pH from the same spectrum, and the processor may determine critical conditions and issue warnings based on parameter values

Modelling the Human Cardiac Fluid Mechanics. 4th ed

With the Karlsruhe Heart Model (KaHMo) we aim to share our vision of integrated computational simulation across multiple disciplines of cardiovascular research, and emphasis yet again the importance of Modelling the Human Cardiac Fluid Mechanics within the framework of the international STICH study. The focus of this work is on integrated cardiovascular fluid mechanics, and the potential benefits to future cardiovascular research and the wider bio-medical community

Dynamic finite-strain modelling of the human left ventricle in health and disease using an immersed boundary-finite element method

Detailed models of the biomechanics of the heart are important both for developing improved interventions for patients with heart disease and also for patient risk stratification and treatment planning. For instance, stress distributions in the heart affect cardiac remodelling, but such distributions are not presently accessible in patients. Biomechanical models of the heart offer detailed three-dimensional deformation, stress and strain fields that can supplement conventional clinical data. In this work, we introduce dynamic computational models of the human left ventricle (LV) that are derived from clinical imaging data obtained from a healthy subject and from a patient with a myocardial infarction (MI). Both models incorporate a detailed invariant-based orthotropic description of the passive elasticity of the ventricular myocardium along with a detailed biophysical model of active tension generation in the ventricular muscle. These constitutive models are employed within a dynamic simulation framework that accounts for the inertia of the ventricular muscle and the blood that is based on an immersed boundary (IB) method with a finite element description of the structural mechanics. The geometry of the models is based on data obtained non-invasively by cardiac magnetic resonance (CMR). CMR imaging data are also used to estimate the parameters of the passive and active constitutive models, which are determined so that the simulated end-diastolic and end-systolic volumes agree with the corresponding volumes determined from the CMR imaging studies. Using these models, we simulate LV dynamics from end-diastole to end-systole. The results of our simulations are shown to be in good agreement with subject-specific CMR-derived strain measurements and also with earlier clinical studies on human LV strain distributions

Modelling mitral valvular dynamics–current trend and future directions

Dysfunction of mitral valve causes morbidity and premature mortality and remains a leading medical problem worldwide. Computational modelling aims to understand the biomechanics of human mitral valve and could lead to the development of new treatment, prevention and diagnosis of mitral valve diseases. Compared with the aortic valve, the mitral valve has been much less studied owing to its highly complex structure and strong interaction with the blood flow and the ventricles. However, the interest in mitral valve modelling is growing, and the sophistication level is increasing with the advanced development of computational technology and imaging tools. This review summarises the state-of-the-art modelling of the mitral valve, including static and dynamics models, models with fluid-structure interaction, and models with the left ventricle interaction. Challenges and future directions are also discussed

Target-specific multiphysics modeling for thermal medicine applications

Dissertation to obtain the degree of Doctor of Philosophy in Biomedical EngineeringThis thesis addresses thermal medicine applications on murine bladder hyperthermia and brain temperature monitoring. The two main objectives are interconnected by the key physics in thermal medicine: heat transfer. The first goal is to develop an analytical solution to characterize the heat transfer in a multi-layer perfused tissue. This analytical solution accounts for important thermoregulation mechanisms and is essential to understand the fundamentals underlying the physical and biological processes associated with heat transfer in living tissues. The second objective is the development of target-specific models that are too complex to be solved by analytical methods. Thus, the software for image segmentation and model simulation is based on numerical methods and is used to optimize non-invasive microwave antennas for specific targets. Two examples are explored using antennas in the passive mode (probe) and active mode (applicator). The passive antenna consists of a microwave radiometric sensor developed for rapid non-invasive feedback of critically important brain temperature. Its design parameters are optimized using a power-based algorithm. To demonstrate performance of the device, we build a realistic model of the human head with separate temperaturecontrolled brain and scalp regions. The sensor is able to track brain temperature with 0.4 °C accuracy in a 4.5 hour long experiment where brain temperature is varied in a 37 °C, 27 °C and 37 °C cycle. In the second study, a microwave applicator with an integrated cooling system is used to develop a new electro-thermo-fluid (multiphysics) model for murine bladder hyperthermia studies. The therapy procedure uses a temperature-based optimization algorithm to maintain the bladder at a desired therapeutic level while sparing remaining tissues from dangerous temperatures. This model shows that temperature dependent biological properties and the effects of anesthesia must be accounted to capture the absolute and transient temperature fields within murine tissues. The good agreement between simulation and experimental results demonstrates that this multiphysics model can be used to predict internal temperatures during murine hyperthermia studies

Application of Patient-Specific Computational Fluid Dynamics in Coronary and Intra-Cardiac Flow Simulations: Challenges and Opportunities

The emergence of new cardiac diagnostics and therapeutics of the heart has given rise to the challenging field of virtual design and testing of technologies in a patient-specific environment. Given the recent advances in medical imaging, computational power and mathematical algorithms, patient-specific cardiac models can be produced from cardiac images faster, and more efficiently than ever before. The emergence of patient-specific computational fluid dynamics (CFD) has paved the way for the new field of computer-aided diagnostics. This article provides a review of CFD methods, challenges and opportunities in coronary and intra-cardiac flow simulations. It includes a review of market products and clinical trials. Key components of patient-specific CFD are covered briefly which include image segmentation, geometry reconstruction, mesh generation, fluid-structure interaction, and solver techniques