| 1. |
- Ambrosi, D., et al.
(författare)
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Perspectives on biological growth and remodeling
- 2011
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Ingår i: Journal of the mechanics and physics of solids. - : Elsevier BV. - 0022-5096 .- 1873-4782. ; 59:4, s. 863-883
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Forskningsöversikt (refereegranskat)abstract
- The continuum mechanical treatment of biological growth and remodeling has attracted considerable attention over the past fifteen years. Many aspects of these problems are now well-understood, yet there remain areas in need of significant development from the standpoint of experiments, theory, and computation. In this perspective paper we review the state of the field and highlight open questions, challenges, and avenues for further development.
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| 2. |
- Milani, A. S., et al.
(författare)
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A method for the approximation of non-uniform fiber misalignment in textile composites using picture frame test
- 2007
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Ingår i: Composites. Part A, Applied science and manufacturing. - : Elsevier BV. - 1359-835X .- 1878-5840. ; 38:6, s. 1493-1501
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Tidskriftsartikel (refereegranskat)abstract
- Due to the complexity of woven structures, the assumption of perfectly aligned fibers for some textile composites is unrealistic. In more sophisticated material models, therefore, possible fiber misalignment is accounted for. On the other hand, non-uniformity of the misalignment distribution in a fabric may become a second but important problem. This paper presents an inverse methodology from which a reliable approximation of the non-uniform misalignment state in a woven fabric may be made. Basically, the approximation requires a representative constitutive model and a set of picture frame tests where fiber misalignment plays a key role. Uniaxial and bias-extension tests are also used to identify the constitutive model parameters independently. The detail procedure is shown for a typical 2 x 2 twill weave fabric as an illustrative example. Results are discussed and compared to other approaches to reveal the benefits and limitations of the proposed method.
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| 3. |
- Bauer, M., et al.
(författare)
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In vivo characterization of the mechanics of human uterine cervices
- 2007
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Ingår i: Reproductive Biomechanics. - : Blackwell Publishing. - 1573316733 - 9781573316736 ; , s. 186-202
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Konferensbidrag (refereegranskat)abstract
- The uterine cervix has to provide mechanical resistance to ensure a normal development of the fetus. This is guaranteed by the composition of its extracellular matrix, which functions as a fiber-reinforced composite. At term a complex remodeling process allows the cervical canal to open for birth. This remodeling is achieved by changes in the quality and quantity of collagen fibers and ground substance and their interplay, which influences the biomechanical behavior of the cervix but also contributes to pathologic conditions such as cervical incompetence (CI). We start by reviewing the anatomy and histological composition of the human cervix, and discuss its physiologic function and pathologic condition in pregnancy including biomechanical aspects. Established diagnostic methods on the cervix (palpation, endovaginal ultrasound) used in clinics as well as methods for assessment of cervical consistency (light-induced fluorescence, electrical current, and impedance) are discussed. We show the first clinical application of an aspiration device, which allows in vivo testing of the biomechanical properties of the cervix with the aim to establish the physiological biomechanical changes throughout gestation and to detect pregnant women at risk for CI. In a pilot study on nonpregnant cervices before and after hysterectomy we found no considerable difference in the biomechanical response between in vivo and ex vivo. An outlook on further clinical applications during pregnancy is presented.
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| 4. |
- Eriksson, T. S. E., et al.
(författare)
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Influence of myocardial fiber/sheet orientations on left ventricular mechanical contraction
- 2013
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Ingår i: Mathematics and mechanics of solids. - : SAGE Publications. - 1081-2865 .- 1741-3028. ; 18:6, s. 592-606
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Tidskriftsartikel (refereegranskat)abstract
- At any point in space the material properties of the myocardium are characterized as orthotropic, that is, there are three mutually orthogonal axes along which both electrical and mechanical parameters differ. To investigate the role of spatial structural heterogeneity in an orthotropic material, electro-mechanically coupled models of the left ventricle (LV) were used. The implemented models differed in their arrangement of fibers and sheets in the myocardium, but were identical otherwise: (i) a generic homogeneous model, where a rule-based method was applied to assign fiber and sheet orientations, and (ii) a heterogeneous model, where the assignment of the orthotropic tissue structure was based on experimentally obtained fiber/sheet orientations. While both models resulted in pressure-volume loops and metrics of global mechanical function that were qualitatively and quantitatively similar and matched well with experimental data, the predicted deformations were strikingly different between these models, particularly with regard to torsion. Thus, the simulation results strongly suggest that heterogeneous structure properties play an important nonnegligible role in LV mechanics and, consequently, should be accounted for in computational models.
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| 5. |
- Eriksson, T. S. E., et al.
(författare)
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Modeling the dispersion in electromechanically coupled myocardium
- 2013
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Ingår i: International Journal for Numerical Methods in Biomedical Engineering. - : Wiley. - 2040-7939. ; 29:11, s. 1267-1284
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Tidskriftsartikel (refereegranskat)abstract
- We present an approach to model the dispersion of fiber and sheet orientations in the myocardium. By utilizing structure parameters, an existing orthotropic and invariant-based constitutive model developed to describe the passive behavior of the myocardium is augmented. Two dispersion parameters are fitted to experimentally observed angular dispersion data of the myocardial tissue. Computations are performed on a unit myocardium tissue cube and on a slice of the left ventricle indicating that the dispersion parameter has an effect on the myocardial deformation and stress development. The use of fiber dispersions relating to a pathological myocardium had a rather big effect. The final example represents an ellipsoidal model of the left ventricle indicating the influence of fiber and sheet dispersions upon contraction over a cardiac cycle. Although only a minor shift in the pressure-volume (PV) loops between the cases with no dispersions and with fiber and sheet dispersions for a healthy myocardium was observed, a remarkably different behavior is obtained with a fiber dispersion relating to a diseased myocardium. In future simulations, this dispersion model for myocardial tissue may advantageously be used together with models of, for example, growth and remodeling of various cardiac diseases.
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| 6. |
- Famaey, Nele, et al.
(författare)
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Arterial clamping : Finite element simulation and in vivo validation
- 2012
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Ingår i: Journal of The Mechanical Behavior of Biomedical Materials. - : Elsevier BV. - 1751-6161 .- 1878-0180. ; 12, s. 107-118
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Tidskriftsartikel (refereegranskat)abstract
- Commonly used techniques in cardiovascular interventions such as arterial clamping always entail a certain degree of unavoidable iatrogenic tissue damage. Therefore, studies have been directed towards the decrease of undesired intraoperative trauma, for example, through the design of less traumatic surgical instruments. Obviously, the effectiveness of new clamp designs and techniques depends on how well damage mechanisms are understood and how accurate thresholds for safe tissue loading can be set. This information can in part be derived from reliable finite element simulations. This study is the first to describe a finite element simulation of the clamping of a rat abdominal aorta with occlusion and in vivo validation. Material nonlinearity, large deformations, contact interactions and residual strains are hereby taken into account. The mechanical parameters of the model are derived from inflation experiments. The effect of the residual strains, different clamp geometries as well as the effect of variations in material properties are studied. In all simulations, stress concentrations in different regions of the tissue are noticed, especially for a corrugated clamp design. This shows the importance of finite element modeling in understanding the relation between mechanical loading and damage mechanisms. The inclusion of residual strains has its effect not only in the physiological loading regime, but also during clamping. Just as in the physiologic regime, it lowers the stress gradients through the wall thickness. Varying the material properties with the measured standard deviation between specimens leads to an average change of +/- 17% in the maximum and minimum principal stresses. Finally, the model is validated with an in vivo clamping experiment on a Wistar rat in which the clamping force was measured, showing good correspondence with the modeled clamping force.
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| 7. |
- Gasser, T. Christian, et al.
(författare)
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A three-dimensional finite element model for arterial clamping
- 2002
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Ingår i: Journal of Biomechanical Engineering. - : ASME International. - 0148-0731 .- 1528-8951. ; 124:4, s. 355-363
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Tidskriftsartikel (refereegranskat)abstract
- Clamp induced injuries of the arterial wall may determine the outcome of surgical procedures. Thus, it is important to investigate the underlying mechanical effects. We present a three-dimensional finite element model, which allows the study of the mechanical response of an artery-treated as a two-layer tube-during arterial clamping. The important residual stresses, which are associated with the load free configuration of the artery, are also considered. In particular, the finite element analysis of the deformation process of a clamped artery and the associated stress distribution is presented. Within the clamping area a zone of axial tensile peak-stresses was identified, which (may) cause intimal and medial injury. This is an additional injury mechanism, which clearly differs from the commonly assumed wall damage occurring due to compression between the jaws of the clamp. The proposed numerical model provides essential insights into the mechanics of the clamping procedure and the associated injury mechanisms. It allows detailed parameter studies on a virtual clamped artery, which can not be performed with other methodologies. This approach has the potential to identify the most appropriate clamps for certain types of arteries and to guide optimal clamp design.
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| 8. |
- Holzapfel, Gerhard A., et al.
(författare)
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A layer-specific three-dimensional model for the simulation of balloon angioplasty using magnetic resonance imaging and mechanical testing
- 2002
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Ingår i: Annals of Biomedical Engineering. - : Springer Science and Business Media LLC. - 0090-6964 .- 1573-9686. ; 30:6, s. 753-767
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Tidskriftsartikel (refereegranskat)abstract
- A detailed understanding of the mechanical procedure of balloon angioplasty requires three-dimensional (3D) modeling and efficient numerical simulations. We have developed a 3D model for eight distinct arterial components associated with specific mechanical responses. The 3D geometrical model is based on in vitro magnetic resonance imaging of a human stenotic postmortem artery and is represented by nonuniform rational B-spline surfaces. Mechanical tests of the corresponding vascular tissues provide a fundamental basis for the formulation of large strain constitutive laws, which model the typical anisotropic, highly nonlinear, and inelastic mechanical characteristics under supraphysiological loadings. The 3D finite-element realization considers the balloon-artery interaction and accounts for vessel-specific axial in situ prestretches. 3D stress states of the investigated artery during balloon expansion and stent deployment were analyzed. Furthermore, we studied the changes of the 3D stress state due to model simplifications, which are characterized by neglecting axial in situ prestretch, assuming plane strain states, and isotropic material responses, as commonly utilized in previous works. Since these simplifications lead to maximum stress deviations of up to 600%-where even the stress character may interchange-the associated models are, in general, inappropriate. The proposed approach provides a tool that has the potential (i) to improve procedural protocols and the design of interventional instruments on a lesion-specific basis, and (ii) to determine postangioplasty mechanical environments, which may be correlated with restenosis responses.
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| 9. |
- Holzapfel, Gerhard A., et al.
(författare)
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Determination of layer-specific mechanical properties of human coronary arteries with nonatherosclerotic intimal thickening and related constitutive modeling
- 2005
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Ingår i: American Journal of Physiology. Heart and Circulatory Physiology. - : American Physiological Society. - 0363-6135 .- 1522-1539. ; 289:5, s. H2048-H2058
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Tidskriftsartikel (refereegranskat)abstract
- At autopsy, 13 nonstenotic human left anterior descending coronary arteries [71.5 +/- 7.3 ( mean +/- SD) yr old] were harvested, and related anamnesis was documented. Preconditioned prepared strips (n = 78) of segments from the midregion of the left anterior descending coronary artery from the individual layers in axial and circumferential directions were subjected to cyclic quasi-static uniaxial tension tests, and ultimate tensile stresses and stretches were documented. The ratio of outer diameter to total wall thickness was 0.189 +/- 0.014; ratios of adventitia, media, and intima thickness to total wall thickness were 0.4 +/- 0.03, 0.36 +/- 0.03, and 0.27 +/- 0.02, respectively; axial in situ stretch of 1.044 +/- 0.06 decreased with age. Stress-stretch responses for the individual tissues showed pronounced mechanical heterogeneity. The intima is the stiffest layer over the whole deformation domain, whereas the media in the longitudinal direction is the softest. All specimens exhibited small hysteresis and anisotropic and strong nonlinear behavior in both loading directions. The media and intima showed similar ultimate tensile stresses, which are on average three times smaller than ultimate tensile stresses in the adventitia (1,430 +/- 604 kPa circumferential and 1,300 +/- 692 kPa longitudinal). The ultimate tensile stretches are similar for all tissue layers. A recently proposed constitutive model was extended and used to represent the deformation behavior for each tissue type over the entire loading range. The study showed the need to model nonstenotic human coronary arteries with nonatherosclerotic intimal thickening as a composite structure composed of three solid mechanically relevant layers with different mechanical properties. The intima showed significant thickness, load-bearing capacity, and mechanical strength compared with the media and adventitia.
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| 10. |
- Holzapfel, Gerhard A., et al.
(författare)
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Layer-specific 3D residual deformations of human aortas with non-atherosclerotic intimal thickening
- 2007
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Ingår i: Annals of Biomedical Engineering. - : Springer Science and Business Media LLC. - 0090-6964 .- 1573-9686. ; 35:4, s. 530-545
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Tidskriftsartikel (refereegranskat)abstract
- Data relating to residual deformations in human arteries are scarce. In this paper we investigate three-dimensional residual deformations for intact strips and for their separate layers from human aortas in their passive state. From 11 abdominal aortas with identified anamnesis, 16 pairs of rings and axial strips were harvested, and the rings cut open. After 16 h images of the resulting geometries were recorded, and the strips were separated into their three layers; after another 6 h images were again recorded. Image processing and analysis was then used to quantify residual stretches and curvatures. For each specimen histological analysis established that the intima, media and adventitia were clearly separated, and the separation was atraumatic. Axial in situ stretches were determined to be 1.196 +/- 0.084. On separation, the strips from the adventitia and media shortened (between 4.03 and 8.76% on average), while the intimal strips elongated on average by 3.84% (circumferential) and 4.28% (axial) relative to the associated intact strips. After separation, the adventitia from the ring sprang open by about 180 degrees on average, becoming flat, the intima opened only slightly, but the media sprang open by more than 180 degrees (as did the intact strip). The adventitia and intima from the axial strips remained flat, while the media (and the intact strip) bent away from the vessel axis. This study has shown that residual deformations are three dimensional and cannot be described by a single parameter such as 'the' opening angle. Their quantification and modeling therefore require consideration of both stretching and bending, which are highly layer-specific and axially dependent.
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