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A deep neural network-enhanced multi-scale coupled model of patient-specific acoustic wave propagation for mechanotransduction stimulation of healthy and osteoarthritic knee articular cartilage 一个深度神经网络增强的患者特异性声波传播的多尺度耦合模型,用于健康和骨关节炎膝关节软骨的机械传导刺激
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-10-17 DOI: 10.1007/s10237-026-02138-7
Nuno A. T. C. Fernandes, Betina Hinckel, Ana leal, Óscar Carvalho

This study presents a multi-scale computational framework to quantify how externally applied acoustic waves propagate through the knee joint and induce mechanotransductive strain at the level of the chondrocyte nucleus. Patient-specific knee geometries (n = 8) were used to simulate acoustic wave transmission through layered tissues, while a representative volume element modelled the coupled solid–shell–acoustic behaviour of the chondrocyte, pericellular matrix, and extracellular matrix. Modal and frequency–response analyses identified the spheroidal s3 mode as the dominant contributor to nuclear deformation. Strain amplification was found to occur within defined frequency bands rather than at a single frequency, with healthy patients exhibiting a broader mid-frequency amplification region (50–170 kHz) and diseased patients showing a shifted low-frequency (30–85 kHz) dominance due to hypertrophy and altered stiffness. Macro-to-micro coupling demonstrated that, despite anatomical variability, consistent transmissibility trends were preserved across patients, with ideal frequencies for healthy and OA patients. Time-explicit simulations comparing linear and nonlinear acoustic formulations revealed negligible harmonic generation at the applied pressure levels, indicating that linear acoustics adequately describe propagation within the mechanotransductive strain range considered. Overall, the results demonstrate that cartilage stimulation is frequency-band dependent and disease-sensitive, and they provide a mechanistically grounded basis for optimizing ultrasound excitation parameters based on cellular-scale mechanics rather than empirical frequency selection.

本研究提出了一个多尺度计算框架来量化外部施加的声波如何通过膝关节传播并在软骨细胞核水平上诱导机械转导应变。患者特定的膝关节几何形状(n = 8)被用来模拟声波通过层状组织的传播,而代表性的体积单元模拟了软骨细胞、细胞周围基质和细胞外基质的固体-壳-声耦合行为。模态和频率响应分析表明,球体s3模态是导致核变形的主要因素。发现应变放大发生在确定的频带内,而不是在单一频率上,健康患者表现出更宽的中频放大区域(50-170 kHz),而患病患者由于肥大和刚度改变而表现出低频移位(30-85 kHz)优势。宏观-微观耦合表明,尽管存在解剖差异,但在患者之间保持一致的传播趋势,健康患者和OA患者的理想频率。比较线性和非线性声学公式的时间显式模拟显示,在施加的压力水平下,谐波产生可以忽略不计,这表明线性声学充分描述了在所考虑的机械换能器应变范围内的传播。总体而言,研究结果表明软骨刺激具有频带依赖性和疾病敏感性,并为基于细胞尺度力学而不是经验频率选择优化超声激励参数提供了力学基础。
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引用次数: 0
Computational multiscale analysis of growth and remodeling in the ascending aorta of the Marfan mouse 马凡氏小鼠升主动脉生长与重构的计算多尺度分析。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-10-07 DOI: 10.1007/s10237-026-02134-x
Ruturaj M. Badal, Intekhab Alam, Lily R. Watkins, Krashn K. Dwivedi, Jessica E. Wagenseil, Victor H. Barocas

Marfan syndrome, caused primarily by mutations in the fibrillin-1 (FBN1) gene, is associated with progressive dilation of the proximal aorta, with dissection and rupture representing the leading causes of early mortality. A characteristic feature of Marfan-associated aneurysm is fragmentation of elastic fibers; however, the extent to which elastin loss alone can account for the observed geometric and mechanical changes remains unclear. In this study, we use a multiscale computational growth and remodeling framework to determine which geometric and mechanical features of the Marfan aorta can be reproduced by prescribed elastin loss acting through mechanically regulated fiber remodeling and tissue growth. The model couples a discrete fiber network representation of collagen, elastin, and actomyosin with a continuum description of the tissue. It is first calibrated to reproduce experimental measurements in the healthy mouse aorta, and Marfan conditions are then introduced by prescribing graded reductions in elastin content (10–80%). The model reproduces key features of the Marfan aorta, including increased wall thickness and radius, reduced axial stress and stretch, and shifts in pressure-dependent stiffness. Quantitative comparison across multiple metrics shows strong agreement between simulations and experiments, with the lowest error occurring at 29% elastin loss. Within the scope of the model, prescribed elastin loss led to many key structural and mechanical features observed in Marfan aortas, demonstrating the predictive potential of the framework for exploring the mechanical consequences of elastin fragmentation.

马凡氏综合征主要由纤原蛋白-1 (FBN1)基因突变引起,与近端主动脉进行性扩张有关,夹层和破裂是早期死亡的主要原因。马凡氏相关性动脉瘤的一个特征是弹性纤维断裂;然而,弹性蛋白损失在多大程度上可以单独解释观察到的几何和力学变化仍然不清楚。在这项研究中,我们使用了一个多尺度的计算生长和重塑框架来确定马凡氏主动脉的哪些几何和力学特征可以通过机械调节纤维重塑和组织生长的规定弹性蛋白损失来复制。该模型将胶原蛋白、弹性蛋白和肌动球蛋白的离散纤维网络表示与组织的连续描述耦合在一起。首先对其进行校准,以在健康小鼠主动脉中重现实验测量结果,然后通过规定弹性蛋白含量逐步降低(10-80%)来引入马凡氏条件。该模型重现了马凡氏主动脉的关键特征,包括壁厚和半径的增加,轴向应力和拉伸的减少,以及压力相关刚度的变化。多个指标之间的定量比较显示模拟和实验之间的强烈一致性,最小误差发生在29%弹性蛋白损失。在该模型的范围内,规定的弹性蛋白损失导致马凡氏主动脉中观察到的许多关键结构和力学特征,证明了该框架在探索弹性蛋白断裂的力学后果方面的预测潜力。
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引用次数: 0
A 3D-shell model of left atrial electromechanics 左心房电力学三维壳模型。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-30 DOI: 10.1007/s10237-026-02117-y
Oscar Ruz, Carlos Brito-Pacheco, Marina Vidrascu, Dominique Chapelle, Miguel A. Fernández

The thin-walled nature of the atrial myocardium can lead to artificial stiffening when full 3D electromechanical models are discretized using standard finite elements. In this work, we propose an electromechanical model of the left atrium based on a 3D-shell formulation that overcomes these limitations. The model incorporates both passive and active components of atrial tissue mechanics, while atrioventricular interaction is described by the coupling with a 0D electromechanical model of the left ventricle. The proposed approach is assessed under physiological and pathological conditions and systematically compared with the standard full 3D formulation. The results demonstrate the superior robustness and computational efficiency of the proposed 3D-shell electromechanical model.

当使用标准有限元对全三维机电模型进行离散化时,心房心肌的薄壁特性可能导致人工硬化。在这项工作中,我们提出了一个基于3d外壳配方的左心房机电模型,克服了这些限制。该模型结合了心房组织力学的被动和主动成分,而房室相互作用是通过与左心室的0D机电模型耦合来描述的。所提出的方法在生理和病理条件下进行评估,并与标准的全3D配方进行系统比较。结果表明,该模型具有较好的鲁棒性和计算效率。
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引用次数: 0
An analysis of different reconstruction techniques for the radius: a finite element analysis 不同半径重建技术的分析:有限元分析。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-28 DOI: 10.1007/s10237-026-02116-z
U. Konopada, V. Egger, L. Dankl, M. Nogler, R. Arora, E. Zanetti, C. Bignardi, D. Putzer

Pathological fractures due to metastatic bone disease frequently require palliative stabilization. While polymethylmethacrylate (PMMA) provides immediate mechanical stabilization, its limited bending and multiaxial properties raise concerns. Reinforcement strategies such as plate fixation, intramedullary nails, and metallic augmentation have been proposed, yet their mechanical behavior under physiological loading remains insufficiently characterized. This study aims to evaluate the mechanical performance of three reconstruction strategies for a proximal radial defect: PMMA alone, PMMA combined with titanium plate-and-screw construct, and PMMA reinforced with a steel K-wire. A patient-specific workflow integrated musculoskeletal multibody model and finite element analysis. Muscle forces and elbow joint reaction forces were calculated for a static 90° shoulder flexion under two loading conditions: no external load and 2 kg mass applied at the center of mass of the hand. These forces were applied in finite element analysis in reconstructed forearm, and peak von Mises stress and displacements were evaluated. In loading scenario, elbow joint reaction force reached 314.4 N, and maximum muscle force was 120.8 N. In the PMMA-only construct, peak stress increased from 4.0 MPa (no load) to 12.0 MPa (with load). Plate fixation increased peak stress to 14.9 MPa in the loading case. K-wire reinforcement resulted in lowest PMMA peak stress (23% less with respect to PMMA-only and 38% less compared to titanium plate) but produced more pronounced displacement (29%) compared to plate fixation strategy. These findings suggest complementary mechanical benefits: K-wire reinforcement most effectively reduced peak cement stress, whereas plate fixation provided superior global stiffness.

由于转移性骨病引起的病理性骨折通常需要姑息性稳定治疗。虽然聚甲基丙烯酸甲酯(PMMA)可以立即提供机械稳定性,但其有限的弯曲和多轴特性引起了人们的关注。已经提出了钢板固定、髓内钉和金属增强等加固策略,但它们在生理载荷下的力学行为仍然没有充分表征。本研究旨在评估三种重建策略的力学性能:PMMA单独,PMMA联合钛板-螺钉结构,PMMA加k钢丝。结合肌肉骨骼多体模型和有限元分析的患者特定工作流程。肌肉力和肘关节反作用力计算了静态90°肩屈在两种载荷条件下的肌肉力和肘关节反作用力:无外部载荷和在手质心施加2kg的质量。将这些力应用于重建前臂的有限元分析,并评估峰值von Mises应力和位移。加载情况下,肘关节反作用力达到314.4 N,肌肉最大作用力为120.8 N。在纯pmma结构下,峰值应力从4.0 MPa(空载)增加到12.0 MPa(有载)。在加载情况下,钢板固定使峰值应力增加到14.9 MPa。k -钢丝加固导致PMMA峰值应力最低(与PMMA相比减少23%,与钛板相比减少38%),但与钢板固定策略相比产生更明显的位移(29%)。这些发现表明了互补的机械优势:k线加固最有效地降低了水泥应力峰值,而钢板固定提供了优越的整体刚度。
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引用次数: 0
Validation of an ovine lung parenchyma material model with pressures representing the breathing cycle for high-velocity impacts 用压力代表高速撞击呼吸循环的绵羊肺实质物质模型的验证。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-27 DOI: 10.1007/s10237-026-02124-z
Patricia K. Thomas, Eugene Ablordeppey, Grace K. Liverett, Philip J. Brown, F. Scott Gayzik

Lung injury risk from high-velocity blunt impacts is thought to depend on lung pressure. Risk is typically assessed with finite element models (FEMs), but models do not typically account for lung pressure, nor do they account for lung viscoelasticity. The objective of this study is to translate and then validate a set of lung material models that consider both tissue viscoelasticity and pressure in silico. This was completed using one set of quasi-static simulations for translation and one set of dynamic simulations for validation to compare to experimental forces, where CORA was utilized. Digital image correlation (DIC) data of strain and displacement magnitude from the quasi-static experiments were also used to ensure proper material model translation. Three simulations were run for each loading case, where the only difference was the lung material properties to account for pressure (0, 4, and 10 cmH2O). The force–time responses for both simulations showed good agreement with experimental data with a range of 0.77–0.93 CORA scores for the dynamic loading, and a range of 0.84–0.97 CORA scores for the quasi-static simulations, with all simulations falling under “good” or “excellent” categories. The DIC-equivalent data for the quasi-static simulations were determined to be dependent on mesh size. Overall, the quasi-static simulations showed the material was translated into LS-Dyna well, and each of the lung material models were able to reproduce the global force–time responses well in the dynamic simulation set.

高速钝器撞击造成肺损伤的风险被认为与肺压力有关。通常使用有限元模型(fem)评估风险,但模型通常不考虑肺压力,也不考虑肺粘弹性。本研究的目的是翻译并验证一组考虑组织粘弹性和硅压力的肺材料模型。这是通过一组准静态模拟来完成的平移和一组动态模拟来验证与实验力的比较,其中使用了CORA。还利用准静态实验的应变和位移幅度的数字图像相关(DIC)数据来确保适当的材料模型转换。每种加载情况都进行了三次模拟,其中唯一的区别是肺材料特性,以解释压力(0,4和10 cmH2O)。两种模拟的力-时间响应与实验数据吻合良好,动态加载的CORA分数范围为0.77 ~ 0.93,准静态模拟的CORA分数范围为0.84 ~ 0.97,所有模拟都属于“好”或“优秀”类别。准静态模拟的dic等效数据取决于网格尺寸。总体而言,准静态模拟表明,材料可以很好地转换为LS-Dyna,并且每种肺材料模型都能够很好地再现动态模拟集中的全局力-时间响应。
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引用次数: 0
Targeted cell deposition for lung re-endothelialization 靶向细胞沉积肺再内皮化。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-27 DOI: 10.1007/s10237-026-02129-8
Jason K. D. Chan, Eric A. Chadwick, Daisuke Taniguchi, Mohammadali Ahmadipour, Takaya Suzuki, David Romero, Cristina Amon, Thomas K. Waddell, Golnaz Karoubi, Aimy Bazylak

We created computational fluid dynamic models of murine lung vasculature to assess the quantity and quality of cell deposition for lung re-endothelialization under three cell seeding protocols. These protocols include the standard direct injection seeding, negative pressure seeding, and a novel dual boundary condition seeding protocol. Our results indicate that cell seeding efficiencies are similar between the direct injection and negative pressure seeding protocols. The dual boundary condition protocol, which utilizes the direct injection of cell media with the addition of a prescribed pressure boundary condition at the parenchyma, exhibited increased cell deposition efficiencies of up to 14% compared to the direct injection and negative pressure cases, as well as the ability to target cell deposition in specific (i.e., proximal and distal) regions of the lung vasculature. This novel dual boundary condition protocol has the potential to increase cell seeding efficiencies during scaffold recellularization, addressing a significant challenge in the field of lung bioengineering.

我们建立了小鼠肺血管的计算流体动力学模型,以评估三种细胞播种方案下肺再内皮化细胞沉积的数量和质量。这些协议包括标准的直接注入播种、负压播种和一种新的双边界条件播种协议。我们的结果表明,细胞播种效率在直接注射和负压播种方案之间是相似的。双边界条件方案利用直接注射细胞培养基,在实质处增加规定的压力边界条件,与直接注射和负压情况相比,细胞沉积效率提高了14%,并且能够靶向肺血管特定区域(即近端和远端)的细胞沉积。这种新的双边界条件方案有可能提高支架再细胞化过程中的细胞播种效率,解决了肺生物工程领域的一个重大挑战。
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引用次数: 0
A VFM approach for identifying material parameters and data-driven constitutive models for biphasic hyperelasticity of soft biological tissues 软质生物组织双相超弹性材料参数识别和数据驱动本构模型的VFM方法。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-26 DOI: 10.1007/s10237-026-02133-y
Ruike Shi, Stéphane Avril, Víctor A. Acosta Santamaría, Haitian Yang, Yiqian He

In a soft biological tissue with a fibrous network and interstitial fluid, osmotic pressure arises primarily from Donnan ion effects and macromolecular confinement, typically ranging from kPa to hundreds of kPa, and is mechanically balanced by stresses in the solid matrix. This study introduces a new data-driven framework based on the Virtual Fields Method (VFM) for identifying full-field material parameters and discovering constitutive models of osmotic pressure in biphasic hyperelasticity. In this framework, a two‐step VFM strategy is proposed: (1) the virtual fields with zero-trace strains are applied to eliminate the osmotic pressure contribution and identify the parameters of the solid component, and (2) when the law for osmotic pressure is known a priori, the material parameters of the fluid component are further identified. When the law for osmotic pressure is unknown a priori, the osmotic pressure is identified as an independent field variable and the constitutive law for osmotic pressure is established using a machine learning method. The effectiveness of the proposed model is verified through examples including identifications with experimentally measured data.

在具有纤维网络和间质流体的软生物组织中,渗透压主要来自多南离子效应和大分子约束,通常范围从千帕到数百千帕,并由固体基质中的应力在机械上平衡。提出了一种基于虚拟场方法(Virtual Fields Method, VFM)的数据驱动框架,用于识别全场材料参数和发现双相超弹性介质渗透压本构模型。在此框架下,提出了两步VFM策略:(1)利用零痕迹应变的虚拟场消除渗透压贡献并识别固体组分参数;(2)在已知渗透压规律的前提下,进一步识别流体组分的材料参数。在渗透压规律先验未知的情况下,将渗透压识别为独立场变量,利用机器学习方法建立渗透压的本构规律。通过算例验证了该模型的有效性,其中包括与实验测量数据的识别。
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引用次数: 0
Feasibility of large-scale in silico transcatheter aortic valve implantation trials using a fast-to-evaluate model 使用快速评估模型的大规模经导管人工血管主动脉瓣植入试验的可行性
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-25 DOI: 10.1007/s10237-026-02136-9
Sabine Verstraeten, Marloes van Driel, Robin Willems, Sai Divi, Martijn Hoeijmakers, Frans van de Vosse, Clemens Verhoosel, Wouter Huberts

Although transcatheter aortic valve implantation (TAVI) has been demonstrated to be a successful treatment for aortic stenosis, it remains associated with complications, such as paravalvular leakage (PVL). To address these, TAVI devices continue to undergo iterative development. Integration of in silico trials into the regulatory validation pathway offers a promising approach to accelerate the development and clinical implementation of novel TAVI devices. This study addresses the feasibility of conducting large-scale in silico TAVI trials using a virtual cohort generator (VCG) combined with a fast-to-evaluate model. The objective is to investigate anatomical and procedural predictors of PVL in silico, as was done in an earlier clinical study. A virtual cohort of 500 synthetic aortic stenosis patients was generated, that matched anatomical and demographic characteristics of the clinical population. Using a novel fast-to-evaluate TAVI deployment model, nearly 29,000 simulations were performed across multiple model parameter combinations per patient. Shape and demographic distributions in the in silico trial, remained within the bounds of the clinical study. Among the investigated anatomical parameters, a higher angle between left ventricular outflow tract and ascending aorta was found in patients with significant PLV, in both clinical and virtual cohorts. Additionally, the relationship between PVL and implantation depth appeared highly patient-specific, which is in line with findings in clinical studies. The ability to systematically test multiple TAVI deployments scenarios per patient, which is unfeasible in clinical practice, provides valuable insights for procedure design and optimisation. Overall, the results support the feasibility of implementing large-scale in silico TAVI trials, using the VCG and a fast-to-evaluate model, into the regulatory validation chain.

尽管经导管主动脉瓣植入术(TAVI)已被证明是治疗主动脉瓣狭窄的成功方法,但它仍然存在并发症,如瓣旁渗漏(PVL)。为了解决这些问题,TAVI设备继续进行迭代开发。将计算机试验整合到监管验证途径中,为加速新型TAVI设备的开发和临床实施提供了一种有希望的方法。本研究探讨了使用虚拟队列发生器(VCG)结合快速评估模型进行大规模计算机TAVI试验的可行性。目的是研究PVL的解剖学和程序性预测因素,正如在早期的临床研究中所做的那样。生成了500名合成主动脉瓣狭窄患者的虚拟队列,符合临床人群的解剖学和人口学特征。使用一种新的快速评估TAVI部署模型,在每个患者的多个模型参数组合中进行了近29,000次模拟。计算机试验中的形状和人口分布仍然在临床研究的范围内。在研究的解剖学参数中,在临床和虚拟队列中,均发现明显PLV的患者左室流出道与升主动脉之间的角度较高。此外,PVL与植入深度的关系表现出高度的患者特异性,这与临床研究结果一致。系统地测试每个患者的多个TAVI部署方案的能力,这在临床实践中是不可实现的,为程序设计和优化提供了有价值的见解。总的来说,这些结果支持在监管验证链中使用VCG和快速评估模型进行大规模硅TAVI试验的可行性。
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引用次数: 0
Validation of lumped-parameter models of the human lumbar spine using in vivo driving-point compliance data during spinal manipulation 在脊柱操作过程中使用体内驱动点顺应性数据验证人腰椎集总参数模型。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-23 DOI: 10.1007/s10237-026-02126-x
Christopher J. Colloca, Robert Gunzburg

Previously published 5-DOF and 21-DOF lumped-parameter models of the human lumbar spine predict displacement responses to posteroanterior (PA) forces, yet neither has been validated against in vivo frequency response function (FRF) data. This study compared model-predicted driving-point compliance spectra to in vivo experimental data and estimated patient-specific mechanical properties through inverse analysis. Triaxial bone-pin accelerometers were mounted to the L2 and L4 spinous processes of two patients undergoing lumbar decompression surgery. An Impulse iQ instrument delivered 178 controlled impulses at the L3 spinous process across six conditions. Driving-point compliance FRFs were computed using the H1 spectral estimator. Patient-specific PA stiffness and damping ratios were estimated via coherence-weighted logarithmic least-squares optimization. Both patients exhibited a dominant first compliance resonance near 49 Hz, consistent with the 5-DOF prediction of 46 Hz (<7% error). The second and third modes (89–101 Hz and 107–110 Hz) agreed with model predictions of 84 and 120 Hz. Optimized stiffness converged to (52.3 pm 3.5) kN/m (published: 50 kN/m), with damping ratios of 0.049-−0.109. Time-domain Newmark–beta simulations predicted peak L3 displacements of 1.10-−5.60 mm for a 3.2 ms impulse, consistent with cadaveric and in vivo spinal manipulation studies. These results provide the first in vivo validation of lumped-parameter spine models and demonstrate patient-specific mechanical property estimation from compliance FRF data.

先前发表的5-DOF和21-DOF人腰椎集中参数模型预测了后前(PA)力的位移反应,但两者都没有根据体内频率响应函数(FRF)数据进行验证。该研究将模型预测的驱动点顺应性光谱与体内实验数据进行了比较,并通过逆分析估计了患者特异性力学性能。三轴骨钉加速度计安装在2例腰椎减压手术患者的L2和L4棘突上。脉冲iQ仪在六种情况下对L3棘突进行了178次控制脉冲。利用H1谱估计器计算驱动点顺应性频响。通过相干加权对数最小二乘优化估计患者特异性PA刚度和阻尼比。两例患者均在49 Hz附近表现出占优势的第一顺应性共振,与5自由度预测的46 Hz(52.3±3.5 kN/m)一致,阻尼比为0.049—0.109。时域Newmark-beta模拟预测,在3.2 ms脉冲下,L3位移峰值为1.10- 5.60 mm,与尸体和体内脊柱操作研究一致。这些结果首次在体内验证了集总参数脊柱模型,并从顺应性FRF数据中证明了患者特定的力学性能估计。
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引用次数: 0
Personalized biventricular mechanics and sensitivity to model morphology 个性化双心室力学和对模型形态的敏感性。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2026-09-22 DOI: 10.1007/s10237-026-02127-w
Aaron L. Brown, Lei Shi, Matteo Salvador, Fanwei Kong, Daniel B. Ennis, Ian Chen, Vijay Vedula, Alison L. Marsden

We present a computational framework for patient-specific modeling of biventricular (BiV) mechanics based on standard clinical data, including electrocardiogram (ECG), cuff blood pressure, and ECG-gated computed tomography angiography (CTA) imaging. The model is coupled to a closed-loop lumped-parameter network (LPN) circulatory model and incorporates rule-based fiber architecture, as well as spatially varying epicardial boundary conditions to approximate surrounding tissue support. Model parameters are personalized through a multistep procedure that sequentially tunes circulatory dynamics, passive mechanics, and active contraction. The resulting personalized BiV model reproduces the clinical hemodynamic targets used during calibration and demonstrates reasonable agreement with image-based myocardial deformation metrics that were not directly included in the parameter-tuning process. We then use this model as a baseline to assess the impact of two commonly used anatomical simplifications: a truncated BiV (t-BiV) model cut at the basal plane and a left ventricle-only (LV) model. With all parameters held fixed, the LV model exhibits similar global pressure/volume behavior compared to the BiV model, despite moderate differences in regional deformation. In contrast, the t-BiV model produces substantial differences from the full BiV baseline in both global function and local myocardial mechanics. While drawn from a single-patient case study, these results demonstrate that anatomical simplifications can substantially affect model outputs, motivating further investigation across larger cohorts, disease states, and model complexity.

我们提出了一个基于标准临床数据的双心室(BiV)力学的患者特异性建模计算框架,包括心电图(ECG)、袖带血压和心电图门控计算机断层扫描血管造影(CTA)成像。该模型与闭环集总参数网络(LPN)循环模型耦合,并结合基于规则的纤维结构以及空间变化的心外膜边界条件来近似周围组织支持。模型参数是通过一个多步骤的过程,依次调整循环动力学,被动力学和主动收缩个性化。由此产生的个性化BiV模型再现了校准过程中使用的临床血流动力学目标,并与没有直接包括在参数调整过程中的基于图像的心肌变形指标显示出合理的一致性。然后,我们使用该模型作为基线来评估两种常用的解剖简化的影响:截断BiV (t-BiV)模型在基面上切割和左心室(LV)模型。在所有参数都保持不变的情况下,LV模型与BiV模型表现出相似的整体压力/体积行为,尽管区域变形存在适度差异。相比之下,t-BiV模型在整体功能和局部心肌力学方面与完整的BiV基线产生了实质性的差异。虽然来自单个患者的病例研究,但这些结果表明,解剖简化可以极大地影响模型输出,从而激励在更大的队列、疾病状态和模型复杂性中进行进一步的研究。
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引用次数: 0
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Biomechanics and Modeling in Mechanobiology
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