Weihs Daphne, Gefen Amit, Vermolen Fred J
Faculty of Biomedical Engineering , Technion-Israel Institute of Technology , Haifa 3200003 , Israel.
Department of Biomedical Engineering, Faculty of Engineering , Tel Aviv University , Tel Aviv 6997801 , Israel.
Interface Focus. 2016 Oct 6;6(5):20160038. doi: 10.1098/rsfs.2016.0038.
Traumatic and chronic wounds are a considerable medical challenge that affects many populations and their treatment is a monetary and time-consuming burden in an ageing society to the medical systems. Because wounds are very common and their treatment is so costly, approaches to reveal the responses of a specific wound type to different medical procedures and treatments could accelerate healing and reduce patient suffering. The effects of treatments can be forecast using mathematical modelling that has the predictive power to quantify the effects of induced changes to the wound-healing process. Wound healing involves a diverse and complex combination of biophysical and biomechanical processes. We review a wide variety of contemporary approaches of mathematical modelling of gap closure and wound-healing-related processes, such as angiogenesis. We provide examples of the understanding and insights that may be garnered using those models, and how those relate to experimental evidence. Mathematical modelling-based simulations can provide an important visualization tool that can be used for illustrational purposes for physicians, patients and researchers.
创伤性伤口和慢性伤口是一项重大的医学挑战,影响着众多人群,在老龄化社会中,其治疗对医疗系统而言是一项耗费金钱和时间的负担。由于伤口非常常见且治疗成本高昂,揭示特定伤口类型对不同医疗程序和治疗的反应的方法可以加速愈合并减轻患者痛苦。可以使用具有预测能力的数学模型来预测治疗效果,该模型能够量化对伤口愈合过程的诱导变化的影响。伤口愈合涉及生物物理和生物力学过程的多样且复杂的组合。我们综述了多种当代的数学建模方法,用于模拟伤口闭合及与伤口愈合相关的过程,如血管生成。我们提供了通过这些模型可能获得的理解和见解的示例,以及它们与实验证据的关系。基于数学建模的模拟可以提供一种重要的可视化工具,可用于向医生、患者和研究人员进行说明。