Department of Chemical Engineering, University of Delaware, Newark, DE 19716, USA.
J Biomech. 2011 Mar 15;44(5):869-76. doi: 10.1016/j.jbiomech.2010.12.003. Epub 2011 Jan 13.
A new application of 1D models of the human arterial network is proposed. We take advantage of the sensitivity of the models predictions for the pressure profiles within the main aorta to key model parameter values. We propose to use the patterns in the predicted differences from a base case as a way to infer to the most probable changes in the parameter values. We demonstrate this application using an impedance model that we have recently developed (Johnson, 2010). The input model parameters are all physiologically related, such as the geometric dimensions of large arteries, various blood properties, vessel elasticity, etc. and can therefore be patient specific. As a base case, nominal values from the literature are used. The necessary information to characterize the smaller arteries, arterioles, and capillaries is taken from a physical scaling model (West, 1999). Model predictions for the effective impedance of the human arterial system closely agree with experimental data available in the literature. The predictions for the pressure wave development along the main arteries are also found in qualitative agreement with previous published results. The model has been further validated against our own measured pressure data in the carotid and radial arteries, obtained from healthy individuals. Upon changes in the value of key model parameters, we show that the differences seen in the pressure profiles correspond to qualitatively different patterns for different parameters. This suggests the possibility of using the model in interpreting multiple pressure data of healthy/diseased individuals.
提出了一种新的应用,即利用一维人体动脉网络模型来预测主主动脉内的压力分布。我们利用模型对关键模型参数值的压力分布预测的敏感性。我们建议使用预测差值的模式,从一个基本案例推断出参数值最可能的变化。我们使用最近开发的阻抗模型(Johnson,2010)演示了这种应用。输入模型参数都是与生理学相关的,如大动脉的几何尺寸、各种血液特性、血管弹性等,因此可以针对特定患者。作为一个基本案例,使用文献中的标称值。表征小动脉、小动脉和毛细血管所需的必要信息取自物理缩放模型(West,1999)。人体动脉系统的有效阻抗模型预测与文献中可用的实验数据非常吻合。主要动脉中压力波发展的预测也与之前发表的结果定性一致。该模型还针对我们自己在颈动脉和桡动脉中测量的健康个体的压力数据进行了验证。在关键模型参数值发生变化的情况下,我们发现压力分布的差异对应于不同参数的定性不同模式。这表明该模型有可能用于解释健康/患病个体的多种压力数据。