Li Penghui, Guo Weiqi, Fan Jinbo, Su Chen, Zhao Xiuguo, Xu Xinxi
Department of Medical Support Technology, Institute of Systems Engineering, Academy of Military Sciences, Tianjin, 300161, China.
Department of Building Science, Tsinghua University, Beijing, 100084, China.
J Aerosol Sci. 2023 Jun;171:106166. doi: 10.1016/j.jaerosci.2023.106166. Epub 2023 Mar 13.
Elucidating the aerosol dynamics in the pulmonary acinar region is imperative for both health risk assessment and inhalation therapy, especially nowadays with the occurrence of the global COVID-19 pandemic. During respiration, the chest's outward elastic recoil and the lungs' inward elastic recoil lead to a change of transmural pressure, which drives the lungs to expand and contract to inhale and expel airflow and aerosol. In contrast to research using predefined wall motion, we developed a four-generation acinar model and applied an oscillatory pressure on the model outface to generate structure deformation and airflow. With such tools at hand, we performed a computational simulation that addressed both the airflow characteristic, structural mechanics, and aerosol dynamics in the human pulmonary acinar region. Our results showed that there is no recirculating flow in the sac. The structural displacement and stress were found to be positively related to the change of model volume and peaked at the end of inspiration. It was noteworthy that the stress distribution on the acinar wall was significantly heterogeneous, and obvious concentrations of stress were found at the junction of the alveoli and the ducts or the junction of the alveoli and alveoli in the sac. Our result demonstrated the effect of breathing cycles and aerosol diameter on deposition fraction and location of aerosols in the size range of 0.1-5 μm. Multiple respiratory cycles were found necessary for adequate deposition or escape of submicron particles while having a negligible influence on the transport of large particles, which were dominated by gravity. Our study can provide new insights into the further investigation of airflow, structural mechanics, and aerosol dynamics in the acinar depth.
阐明肺腺泡区域的气溶胶动力学对于健康风险评估和吸入治疗都至关重要,尤其是在当前全球新冠疫情爆发的情况下。在呼吸过程中,胸部的向外弹性回缩和肺部的向内弹性回缩导致跨壁压力变化,从而驱动肺部扩张和收缩以吸入和排出气流和气溶胶。与使用预定义壁运动的研究不同,我们开发了一个四代腺泡模型,并在模型外表面施加振荡压力以产生结构变形和气流。借助这些工具,我们进行了一项计算模拟,该模拟涉及人类肺腺泡区域的气流特性、结构力学和气溶胶动力学。我们的结果表明,肺泡囊中不存在回流。发现结构位移和应力与模型体积的变化呈正相关,并在吸气末期达到峰值。值得注意的是,腺泡壁上的应力分布明显不均匀,并且在肺泡囊中的肺泡与导管的交界处或肺泡与肺泡的交界处发现了明显的应力集中。我们的结果证明了呼吸周期和气溶胶直径对0.1 - 5μm尺寸范围内气溶胶的沉积分数和位置的影响。发现多个呼吸周期对于亚微米颗粒的充分沉积或逃逸是必要的,而对大颗粒(主要受重力作用)的传输影响可忽略不计。我们的研究可以为进一步研究腺泡深处的气流、结构力学和气溶胶动力学提供新的见解。