A Quasi-3D compartmental multi-scale approach to detect and quantify diseased regional lung constriction using spirometry data

作者: Ravishekar Ravi Kannan , Narender Singh , Andrzej Przekwas

DOI: 10.1002/CNM.2973

关键词:

摘要: Spirometry is a widely used pulmonary function test to detect the airflow limitations associated with various obstructive lung diseases, such as asthma, chronic disease, and even obesity-related complications. These conditions arise due change in airway resistance, alveolar compliance, inductance values. Currently, zero-dimensional compartmental models are commonly for calibrating these values, ie, solving inverse spirometry problem. However, compartments cannot capture flow physics or spatial geometry effects, thereby generating low fidelity prediction of diseased lung. Computational fluid dynamics (CFD) offer higher solutions but may be impractical certain applications duration simulations. Recently, novel, fast-running, robust Quasi-3D (Q3D) wire model simulating human was developed by CFD Research Corporation. This Q3D method preserved 3D nature airways favorably validated against solutions. In present study, multi-scale combination further improved predict regional constriction lungs using data. The mesh resolved up eighth generation. remainder alveoli sections modeled approach. then split into different sections, resistance values regions obtained parameter inversion. Finally, diameter reduced create actual model, corresponding can patient-specific drug deposition predictions subsequent optimization orally inhaled products.

参考文章(24)
A. G. Polak, A model-based approach to the forward and inverse problems in spirometry Biocybernetics and Biomedical Engineering. ,vol. 28, pp. 41- 57 ,(2008)
R. Kannan, A. Przekwas, A near-infrared spectroscopy computational model for cerebral hemodynamics. International Journal for Numerical Methods in Biomedical Engineering. ,vol. 28, pp. 1093- 1106 ,(2012) , 10.1002/CNM.2480
Geng Tian, Michael Hindle, Sau Lee, P. Worth Longest, Validating CFD Predictions of Pharmaceutical Aerosol Deposition with In Vivo Data Pharmaceutical Research. ,vol. 32, pp. 3170- 3187 ,(2015) , 10.1007/S11095-015-1695-1
Thais Mauad, Luis FF Silva, Mario A Santos, Lea Grinberg, Fabiola DC Bernardi, Milton A Martins, Paulo HN Saldiva, Marisa Dolhnikoff, None, Abnormal alveolar attachments with decreased elastic fiber content in distal lung in fatal asthma American Journal of Respiratory and Critical Care Medicine. ,vol. 170, pp. 857- 862 ,(2004) , 10.1164/RCCM.200403-305OC
Baoshun Ma, Kenneth R. Lutchen, CFD Simulation of Aerosol Deposition in an Anatomically Based Human Large–Medium Airway Model Annals of Biomedical Engineering. ,vol. 37, pp. 271- 285 ,(2009) , 10.1007/S10439-008-9620-Y
S.T. Jayaraju, M. Brouns, C. Lacor, B. Belkassem, S. Verbanck, Large eddy and detached eddy simulations of fluid flow and particle deposition in a human mouth–throat Journal of Aerosol Science. ,vol. 39, pp. 862- 875 ,(2008) , 10.1016/J.JAEROSCI.2008.06.002
Matthew Masoli, Denise Fabian, Shaun Holt, Richard Beasley, , The global burden of asthma: executive summary of the GINA Dissemination Committee Report Allergy. ,vol. 59, pp. 469- 478 ,(2004) , 10.1111/J.1398-9995.2004.00526.X
Burton E. Sobel, Ryan J. Norton, Charles G. Irvin, Scott S. Wagers, Jason H.T. Bates, Lisa M. Rinaldi, Extravascular fibrin, plasminogen activator, plasminogen activator inhibitors, and airway hyperresponsiveness Journal of Clinical Investigation. ,vol. 114, pp. 104- 111 ,(2004) , 10.1172/JCI19569
Michaela Chovancová, Jakub Elcner, The pressure gradient in the human respiratory tract European Physical Journal Web of Conferences. ,vol. 67, pp. 02047- ,(2014) , 10.1051/EPJCONF/20146702047