论文标题
在缺氧引起的肺动脉高压下,鼠肺动脉网络中的结构和血液动力学特性
Structural and hemodynamic properties in murine pulmonary arterial networks under hypoxia-induced pulmonary hypertension
论文作者
论文摘要
检测和监测肺动脉高压患者,被定义为高于25 mmHg的主要肺动脉中的平均血压,需要成像和血液动力学测量。这项研究演示了如何将来自微型断层扫描(Micro-CT)图像的成像数据与血液动力学压力以及来自对照和高血压小鼠的流动波形结合。特定的注意力用于开发一种处理CT图像的工具,并生成主体特异性的动脉网络,其中使用1D流体动力学建模来预测血压和流动。每个动脉网络都建模为沿主要途径的血管,以确保所有裂片的灌注。 1D模型将这些网络与图像数据告知的结构化树边界条件相结合。流体动力学方程是在该网络中求解的,并将其与主肺动脉的压力测量进行了比较。对Micro-CT图像的分析表明,对照和高血压动物的分支比相同,但是血管长度与半径比在高血压动物中显着降低。流体动力学预测表明,除了改变网络几何形状外,高血压动物模型中的血管刚度还高于对照模型。
Detection and monitoring of patients with pulmonary hypertension, defined as mean blood pressure in the main pulmonary artery above 25 mmHg, requires a combination of imaging and hemodynamic measurements. This study demonstrates how to combine imaging data from microcomputed tomography (micro-CT) images with hemodynamic pressure and flow waveforms from control and hypertensive mice. Specific attention is devoted to developing a tool that processes CT images, generating subject-specific arterial networks in which 1D fluid dynamics modeling is used to predict blood pressure and flow. Each arterial network is modeled as a directed graph representing vessels along the principal pathway to ensure perfusion of all lobes. The 1D model couples these networks with structured tree boundary conditions informed by the image data. Fluid dynamics equations are solved in this network and compared to measurements of pressure in the main pulmonary artery. Analysis of micro-CT images reveals that the branching ratio is the same in the control and hypertensive animals, but that the vessel length to radius ratio is significantly lower in the hypertensive animals. Fluid dynamics predictions show that in addition to changed network geometry, vessel stiffness is higher in the hypertensive animal models than in the control models.