The effect of the prior flow velocity on the structural organization of aggregated erythrocytes in the quiescent blood

Electrochemical Impedance Characterization of Blood Cell Suspensions. Part 1: Basic Theory and Application to Two-Phase Systems

Electrochemical impedance spectra of composite materials contain information on the topological arrangement, volume fraction, and shape of particles, as well as the dielectric properties of the matrix and particles. The objective of this study is to investigate how these parameters affect the dielectric spectrum and what reliable information can be extracted from experimental data. The main attention was focused on systems with dielectric behavior similar to that of human blood. Mostly plasma and erythrocytes determine the dielectric properties of whole blood. Erythrocytes suspended in plasma can be considered as three-phase systems with single-shelled particles. A theoretical approach based on the effective medium theory is developed for calculating the effective permittivity and conductivity of three-phase composites at a wide frequency range (from 0 to 1 GHz). A finite-difference method is applied to model three-dimensional periodic structures. A special case of two-phase materials is used to demonstrate the influence of the shape and arrangement of particles on dielectric properties. Theoretical and numerical approaches are applied to two-phase composites with spherical, spheroidal and biconcave particles and are compared with each other and with published data. It is shown that two-phase composites exhibit only β-dispersion. In contrast to the quasi-static limit, the wide-bandwidth impedance spectroscopy makes it possible to distinguish between disordered and regular arrangements of spheroidal and biconcave particles. The results can be used to analyze the dielectric properties of blood, which is very promising for various medical applications. This study of two-phase composites can be further extended to three-phase composites.

Effects of Aggregation on Blood Sedimentation and Conductivity

The erythrocyte sedimentation rate (ESR) test has been used for over a century. The Westergren method is routinely used in a variety of clinics. However, the mechanism of erythrocyte sedimentation remains unclear, and the 60 min required for the test seems excessive. We investigated the effects of cell aggregation during blood sedimentation and electrical conductivity at different hematocrits. A sample of blood was drop cast into a small chamber with two planar electrodes placed on the bottom. The measured blood conductivity increased slightly during the first minute and decreased thereafter. We explored various methods of enhancing or retarding the erythrocyte aggregation. Using experimental measurements and theoretical calculations, we show that the initial increase in blood conductivity was indeed caused by aggregation, while the subsequent decrease in conductivity resulted from the deposition of erythrocytes. We present a method for calculating blood conductivity based on effective medium theory. Erythrocytes are modeled as conducting spheroids surrounded by a thin insulating membrane. A digital camera was used to investigate the erythrocyte sedimentation behavior and the distribution of the cell volume fraction in a capillary tube. Experimental observations and theoretical estimations of the settling velocity are provided. We experimentally demonstrate that the disaggregated cells settle much slower than the aggregated cells. We show that our method of measuring the electrical conductivity credibly reflected the ESR. The method was very sensitive to the initial stage of aggregation and sedimentation, while the sedimentation curve for the Westergren ESR test has a very mild slope in the initial time. We tested our method for rapid estimation of the Westergren ESR. We show a correlation between our method of measuring changes in blood conductivity and standard Westergren ESR method. In the future, our method could be examined as a potential means of accelerating ESR tests in clinical practice.