Institute of Biomedical Engineering, University of Stuttgart, Seidenstraße 36, 70174, Stuttgart, Germany.
Pneumology and Critical Care Medicine, Thoraxklinik at University Hospital Heidelberg, Translational Lung Research Center Heidelberg (TLRC), Member of German Center for Lung Research (DZL), Heidelberg, Germany.
Med Biol Eng Comput. 2022 Sep;60(9):2619-2637. doi: 10.1007/s11517-022-02608-x. Epub 2022 Jul 6.
Obstructive pulmonary diseases are associated with considerable morbidity. For an early diagnosis of these diseases, inert gas washouts can potentially be used. However, the complex interaction between lung anatomy and gas transport mechanisms complicates data analysis. In order to investigate this interaction, a numerical model, based on the finite difference method, consisting of two lung units connected in parallel, was developed to simulate the tracer gas transport within the human acinus. Firstly, the geometries of the units were varied and the diffusion coefficients (D) were kept constant. Secondly, D was changed and the geometry was kept constant. Furthermore, simple monoexponential growth functions were applied to evaluate the simulated data. In 109 of the 112 analyzed curves, monoexponential function matched simulated data with an accuracy of over 90%, potentially representing a suitable numerical tool to predict transport processes in further model extensions. For total flows greater than 5 × 10 ml/s, the exponential growth constants increased linearly with linear increasing flow to an accuracy of over 95%. The slopes of these linear trend lines of 1.23 µl (D = 0.6 cm/s), 1.69 µl (D = 0.3 cm/s), and 2.25 µl (D = 0.1 cm/s) indicated that gases with low D are more sensitive to changes in flows than gases with high D.
阻塞性肺疾病与相当大的发病率有关。为了早期诊断这些疾病,惰性气体冲洗可能是有用的。然而,肺部解剖结构和气体传输机制之间的复杂相互作用使数据分析变得复杂。为了研究这种相互作用,开发了一种基于有限差分法的数值模型,由两个并联的肺单元组成,用于模拟示踪气体在人类腺泡内的传输。首先,改变单元的几何形状并保持扩散系数 (D) 不变。其次,改变 D 并保持几何形状不变。此外,应用简单的单指数增长函数来评估模拟数据。在分析的 112 条曲线中,有 109 条曲线的单指数函数与模拟数据的匹配精度超过 90%,这可能代表了一种合适的数值工具,可以在进一步的模型扩展中预测传输过程。对于总流量大于 5×10 ml/s 的情况,指数增长常数与线性增加的流量呈线性关系,精度超过 95%。这些线性趋势线的斜率分别为 1.23 µl(D = 0.6 cm/s)、1.69 µl(D = 0.3 cm/s)和 2.25 µl(D = 0.1 cm/s),表明低 D 气体对流量变化的敏感性高于高 D 气体。