Lambert Andrew R, O'Shaughnessy Patrick, Tawhai Merryn H, Hoffman Eric A, Lin Ching-Long
Department of Mechanical and Industrial Engineering, The University of Iowa, Iowa City, Iowa 52242.
Aerosol Sci Technol. 2011 Jan;45(1):11-25. doi: 10.1080/02786826.2010.517578.
Regional deposition and ventilation of particles by generation, lobe and lung during steady inhalation in a computed tomography (CT) based human airway model are investigated numerically. The airway model consists of a seven-generation human airway tree, with oral cavity, pharynx and larynx. The turbulent flow in the upper respiratory tract is simulated by large-eddy simulation. The flow boundary conditions at the peripheral airways are derived from CT images at two lung volumes to produce physiologically-realistic regional ventilation. Particles with diameter equal to or greater than 2.5 microns are selected for study because smaller particles tend to penetrate to the more distal parts of the lung. The current generational particle deposition efficiencies agree well with existing measurement data. Generational deposition efficiencies exhibit similar dependence on particle Stokes number regardless of generation, whereas deposition and ventilation efficiencies vary by lobe and lung, depending on airway morphology and airflow ventilation. In particular, regardless of particle size, the left lung receives a greater proportion of the particle bolus as compared to the right lung in spite of greater flow ventilation to the right lung. This observation is supported by the left-right lung asymmetry of particle ventilation observed in medical imaging. It is found that the particle-laden turbulent laryngeal jet flow, coupled with the unique geometrical features of the airway, causes a disproportionate amount of particles to enter the left lung.
在基于计算机断层扫描(CT)的人体气道模型中,对稳定吸气过程中按世代、肺叶和肺划分的颗粒区域沉积和通气情况进行了数值研究。气道模型由一个包含口腔、咽和喉的七代人体气道树组成。上呼吸道中的湍流通过大涡模拟进行模拟。外周气道的流动边界条件源自两个肺容积下的CT图像,以产生生理上逼真的区域通气。选择直径等于或大于2.5微米的颗粒进行研究,因为较小的颗粒往往会穿透到肺的更远端部分。当前的世代颗粒沉积效率与现有测量数据吻合良好。世代沉积效率对颗粒斯托克斯数的依赖性相似,与世代无关,而沉积和通气效率因肺叶和肺而异,这取决于气道形态和气流通气情况。特别是,无论颗粒大小如何,尽管右肺的气流通气量更大,但与右肺相比,左肺接收的颗粒团比例更大。这一观察结果得到了医学成像中观察到的颗粒通气左右肺不对称现象的支持。研究发现,携带颗粒的湍流喉喷射流,加上气道独特的几何特征,导致进入左肺的颗粒数量不成比例。