Does clinical data quality affect fluid-structure interaction simulations of patient-specific stenotic aortic valve models?

Numerical models are increasingly used in the cardiovascular field to reproduce, study and improve devices and clinical treatments. The recent literature involves a number of patient-specific models replicating the transcatheter aortic valve implantation procedure, a minimally invasive treatment for high-risk patients with aortic diseases. The representation of the actual patient’s condition with truthful anatomy, materials and working conditions is the first step toward the simulation of the clinical procedure.The aim of this work is to quantify how the quality of routine clinical data, from which the patient-specific models are built, affects the outputs of the numerical models representing the pathological condition of stenotic aortic valve.Seven fluid–structure interaction (FSI) simulations were performed, completed with a sensitivity analysis on patient-specific reconstructed geometries and boundary conditions. The structural parts of the models consisted of the aortic root, native tri-leaflets valve and calcifications. Ventricular and aortic pressure curves were applied to the fluid domain.The differences between clinical data and numerical results for the aortic valve area were less than 2% but reached 12% when boundary conditions and geometries were changed. The difference in the aortic stenosis jet velocity between measured and simulated values was less than 11% reaching 27% when the geometry was changed. The CT slice thickness was found to be the most sensitive parameter on the presented FSI numerical model.In conclusion, the results showed that the segmentation and reconstruction phases need to be carefully performed to obtain a truthful patient-specific domain to be used in FSI analyses.     

微种植体支抗内收及压低上前牙的有限元研究

目的:探讨在利用微种植体支抗整体内收前牙过程中增加前牙区不同位置压低力对上颌前后牙的生物力学效应的影响。方法:采用螺旋CT扫描获取图像并结合MIMICS等软件进行三维重建,建立拔除上颌第一前磨牙整体内收前牙的三维有限元模型,分析利用第二前磨牙与第一磨牙间微种植体整体内收前牙过程中,增加前牙区不同位置压低力后前后牙的生物力学效应。结果:增加前牙区压低力后,前牙舌向倾斜移动明显减小,不同位置的垂直向力对前牙的影响不同,第一磨牙在整体内收过程中表现为远中倾斜移动。结论:1增加前牙区压低力能够实现对前牙转矩的有效控制;2增加前牙区的压低力使前牙更趋向于整体移动;3在微种植体支抗内收前牙过程实现了较好的垂直向控制。     

The effects of manufacturing tolerances and assembly force on the volumetric wear at the taper junction in modular total hip arthroplasty

Abstract

Fretting and corrosion at the taper-head interface in total hip arthroplasty has been reported as a potential cause of early failure of the implant system. The finite element (FE) method can be used to study the mechanics at the taper junction that are difficult to assess experimentally. Taper mismatch is one of the factors that can influence the performance of the taper junction. In this study we have assessed the effect of taper mismatch, in combination with assembly force on the volumetric wear. The study showed that higher assembly forces and smaller mismatches result in the least volumetric wear.     

Flexural and Creep Properties of Human Jaw Compact Bone for FEA Studies

The aim of this work was to improve the constitutive model of the human mandible and dentition system by taking into account the non-linear material properties of the structural boney matrix that forms the human jaw bone or mandible. Due to the specific structure of the jaw bone the time dependence of the mechanical properties also forms an important stage of the quantification process. The lack of specific experimental data of this type of material prevents the implementation of these properties into finite element simulations which results in poor quality modelling. Here an attempt was made to determine elastic and viscoelastic mechanical characteristics of the compact bone tissue forming the mandible. The elastic properties of compact bone were determined experimentally from 3 point bending tests and the viscoelastic properties were evaluated from creep tests in compression. A particular human jaw from this complex study was used to reconstruct a geometric model for further numerical experiments.     

Design and Mechanics Simulation of Bionic Lubrication System of Artificial Joints

We propose a new structure for artificial joints with a joint capsule which is designed to overcome the drawback of current prostheses that omit many functions of the lubricant and the joint capsule. The new structure is composed of three components： lubricant, artificial joint and artificial joint capsule. The lubricant sealed in the capsule can not only reduce the wear of the artificial joint but also prevents the wear particles leaking into the body. So unexpected reactions between the wear particles and body can be avoided completely. A three-dimensional （3-D） finite element analysis （FEA） model was created for a bionic knee joint with capsule. The stresses and their distribution in the artificial capsule were simulated with different thickness, loadings, and flexion angles. The results show that the maximum stress occurs in the area between the artificial joint and the capsule. The effects of capsule thickness and the angles of flexion on stress are discussed in detail.     

Morphological changes in the internal structure of the articular eminence of the temporal bone during growth from deciduous to early mixed dentition

Previously, bio-mechanical studies on the temporomandibular joint have concentrated mainly on the mandibular condyle while the articular eminence has been largely overlooked. Furthermore, research on the mechanical properties of bone using finite element analysis has focused on the cortical bone in preference to cancellous bone. In this study morphorogical changes in the internal structure of the articular eminence as related to child growth were examined using Micro-CT. Morphometric analysis of samples of cancellous bone representing both deciduous and early mixed dentitions showed an increase in the bone volume fraction and trabecular thickness in the early mixed dentition, and finite element analysis indicated directional transmission of stress as well. These results suggest that the morphology of the trabecular bone was altered to adapt to the functional growth progressed from the deciduous to the early mixed dentition.     

Temnospondyli bite club: ecomorphological patterns of the most diverse group of early tetrapods

Temnospondyls were a successful group of early tetrapods that lived during the Palaeozoic and Mesozoic periods. Different ecomorphotypes were present (terrestrial, amphibious and fully aquatic) with a wide range of lifestyles. Herein, we analysed several clades of temnospondyls using geometric morphometrics, Finite Element Analysis, and comparative phylogenetic analysis. Some temnospondyli clades were 'crocodilomorph' feeding analogues. The skull analysis reveals a concordance between form and feeding function, in amphibious and fully aquatic feeders. The form of terrestrial feeders could be consequences of adaptative or phylogenetical constraints. Basal temnospondyls, as edopoids, were able to leave the water and feed on land. Eryopids continued as terrestrial feeders, although some members showed a shift to increased aquatic feeding. The aquatic environment was especially occupied by archegosaurs during the Permian. After the Permo-Triassic extinction, trematosaurs and capitosaurs returned to the aquatic environment and their members were amphibious and fully aquatic feeders until their disappearance.     

Ferromagnetic Bare Metal Stent for Endothelial Cell Capture and Retention

Rapid endothelialization of cardiovascular stents is needed to reduce stent thrombosis and to avoid anti-platelet therapy which can reduce bleeding risk. The feasibility of using magnetic forces to capture and retain endothelial outgrowth cells (EOC) labeled with super paramagnetic iron oxide nanoparticles (SPION) has been shown previously. But this technique requires the development of a mechanically functional stent from a magnetic and biocompatible material followed by in-vitro and in-vivo testing to prove rapid endothelialization. We developed a weakly ferromagnetic stent from 2205 duplex stainless steel using computer aided design (CAD) and its design was further refined using finite element analysis (FEA). The final design of the stent exhibited a principal strain below the fracture limit of the material during mechanical crimping and expansion. One hundred stents were manufactured and a subset of them was used for mechanical testing, retained magnetic field measurements, in-vitro cell capture studies, and in-vivo implantation studies. Ten stents were tested for deployment to verify if they sustained crimping and expansion cycle without failure. Another 10 stents were magnetized using a strong neodymium magnet and their retained magnetic field was measured. The stents showed that the retained magnetism was sufficient to capture SPION-labeled EOC in our in-vitro studies. SPION-labeled EOC capture and retention was verified in large animal models by implanting 1 magnetized stent and 1 non-magnetized control stent in each of 4 pigs. The stented arteries were explanted after 7 days and analyzed histologically. The weakly magnetic stents developed in this study were capable of attracting and retaining SPION-labeled endothelial cells which can promote rapid healing.     

Experimental Evaluation of Fiber Orientation Based Material Properties of Skeletal Muscle in Tension

Biomechanical researches are essential to develop new techniques to improve the clinical relevance. Skeletal muscle generates the force which results in the motion of human body, so it is essential to study the mechanical and structural properties of skeletal muscle. Many researchers have carried out mechanical study of skeletal muscle with in-vivo testing. This work aims to examine anisotropic mechanical behavior of skeletal muscle with in vitro test (tensile test). It is important to understand the mechanical and structural behavior of skeletal muscle when it is subjected to external loading; the research aims to determine the structural properties of skeletal muscle by tensile testing. Tensile testing is performed on 5 samples of skeletal muscle of a goat at the rate of 1mm/min with fiber orientation along the length and 45° inclined to the length. It is found that muscle is stiffer in the direction parallel to the muscle fiber than at 45° to the muscle fibers. The tensile strength of the skeletal muscle along the fiber direction is 0.44 MPa at maximum load of 110 N and for direction 45° inclined to the muscle fibers, the strength is 0.234 MPa at max load 43 N. The displacement of Muscle sample against the maximum load is small along the length of the muscle fiber i.e. under longitudinal elongation [15.257 mm] as compared to 45° inclined to the length of skeletal muscle [17.775 mm] and under cross fiber elongation [19.7291mm by FEA]. The testing is not performed for 90° fiber orientation due to unavailability of soft tissue in cross fiber direction of the required specification, but finite element analysis is done on the skeletal muscle for the cross fiber orientation. As the fiber orientation within skeletal muscle differs with respect to the length of the muscle, the stiffness of skeletal muscle is also changing effectively. Hence skeletal muscle exhibits the anisotropic mechanical behavior.