Mariano Crystal A, Sattari Samaneh, Maghsoudi-Ganjeh Mohammad, Tartibi Mehrzad, Lo David D, Eskandari Mona
Department of Mechanical Engineering, University of California, Riverside, Riverside, CA, United States.
Delbeat LLC, San Francisco, CA, United States.
Front Physiol. 2020 Dec 4;11:600492. doi: 10.3389/fphys.2020.600492. eCollection 2020.
Respiratory illnesses, such as bronchitis, emphysema, asthma, and COVID-19, substantially remodel lung tissue, deteriorate function, and culminate in a compromised breathing ability. Yet, the structural mechanics of the lung is significantly understudied. Classical pressure-volume air or saline inflation studies of the lung have attempted to characterize the organ's elasticity and compliance, measuring deviatory responses in diseased states; however, these investigations are exclusively limited to the bulk composite or global response of the entire lung and disregard local expansion and stretch phenomena within the lung lobes, overlooking potentially valuable physiological insights, as particularly related to mechanical ventilation. Here, we present a method to collect the first non-contact, full-field deformation measures of porcine and murine lungs and interface with a pressure-volume ventilation system to investigate lung behavior in real time. We share preliminary observations of heterogeneous and anisotropic strain distributions of the parenchymal surface, associative pressure-volume-strain loading dependencies during continuous loading, and consider the influence of inflation rate and maximum volume. This study serves as a crucial basis for future works to comprehensively characterize the regional response of the lung across various species, link local strains to global lung mechanics, examine the effect of breathing frequencies and volumes, investigate deformation gradients and evolutionary behaviors during breathing, and contrast healthy and pathological states. Measurements collected in this framework ultimately aim to inform predictive computational models and enable the effective development of ventilators and early diagnostic strategies.
呼吸系统疾病,如支气管炎、肺气肿、哮喘和新冠肺炎,会使肺组织发生显著重塑,功能恶化,最终导致呼吸能力受损。然而,肺的结构力学却鲜有研究。传统的对肺进行空气或盐水膨胀的压力-容积研究试图描述该器官的弹性和顺应性,测量疾病状态下的偏差反应;然而,这些研究仅限于整个肺的整体复合或全局反应,而忽略了肺叶内的局部扩张和拉伸现象,从而忽视了可能有价值的生理见解,特别是与机械通气相关的见解。在此,我们提出一种方法,用于收集猪和小鼠肺的首个非接触式全场变形测量数据,并与压力-容积通气系统相结合,以实时研究肺的行为。我们分享了对实质表面非均匀和各向异性应变分布的初步观察结果、连续加载过程中相关的压力-容积-应变加载依赖性,并考虑了充气速率和最大容积 的影响。这项研究为未来的工作奠定了关键基础,这些工作旨在全面描述不同物种肺的区域反应、将局部应变与整体肺力学联系起来、研究呼吸频率和容积的影响、研究呼吸过程中的变形梯度和进化行为,以及对比健康和病理状态。在此框架内收集的测量数据最终旨在为预测性计算模型提供信息,并推动呼吸机和早期诊断策略的有效开发。