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Ha H, Park JY, Lee CH, Son D, Chung SW, Baek S, Lee K, Lee KS, Yi SW, Kang M, Kim D, Sung H. Vascular Cast to Program Antistenotic Hemodynamics and Remodeling of Vein Graft. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2023; 10:e2204993. [PMID: 36727829 PMCID: PMC10074125 DOI: 10.1002/advs.202204993] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 12/28/2022] [Indexed: 05/31/2023]
Abstract
The structural stability of medical devices is established by managing stress distribution in response to organ movement. Veins abruptly dilate upon arterial grafting due to the mismatched tissue property, resulting in flow disturbances and consequently stenosis. Vascular cast is designed to wrap the vein-artery grafts, thereby adjusting the diameter and property mismatches by relying on the elastic fixity. Here, a small bridge connection in the cast structure serves as an essential element to prevent stress concentrations due to the improved elastic fixity. Consequently, the vein dilation is efficiently suppressed, healthy (laminar and helical) flow is induced effectively, and the heathy functions of vein grafting are promoted, as indicated by the flow directional alignment of endothelial cells with arterialization, muscle expansion, and improved contractility. Finally, collaborative effects of the bridge drastically suppress stenosis with patency improvement. As a key technical point, the advantages of the bridge addition are validated via the computational modeling of fluid-structure interaction, followed by a customized ex vivo set-up and analyses. The calculated effects are verified using a series of cell, rat, and canine models towards translation. The bridge acted like "Little Dutch boy" who saved the big mass using one finger by supporting the cast function.
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Affiliation(s)
- Hyunsu Ha
- Department of Medical EngineeringYonsei University College of Medicine50–1 Yonsei‐roSeodaemun‐guSeoul03722Republic of Korea
| | - Ju Young Park
- TMD LAB Co. Ltd.6th floor, 31, Gwangnaru‐ro 8‐gil, Seongdong‐guSeoul03722Republic of Korea
| | - Chan Hee Lee
- Department of Medical EngineeringYonsei University College of Medicine50–1 Yonsei‐roSeodaemun‐guSeoul03722Republic of Korea
| | - Deok‐Hyeon Son
- Department of Medical EngineeringYonsei University College of Medicine50–1 Yonsei‐roSeodaemun‐guSeoul03722Republic of Korea
| | - Soon Won Chung
- Department of Plastic SurgeryKorea University Guro HospitalKorea University College of MedicineGurodong‐ro 28‐gilGuro‐guSeoul08308Republic of Korea
| | - Sewoom Baek
- Department of Brain Korea 21 FOUR Project for Medical Science and Medical EngineeringYonsei University College of Medicine50–1 Yonsei‐roSeodaemun‐guSeoul03722Republic of Korea
| | - Kyubae Lee
- Department of Medical EngineeringYonsei University College of Medicine50–1 Yonsei‐roSeodaemun‐guSeoul03722Republic of Korea
| | - Kang Suk Lee
- TMD LAB Co. Ltd.6th floor, 31, Gwangnaru‐ro 8‐gil, Seongdong‐guSeoul03722Republic of Korea
| | - Se Won Yi
- TMD LAB Co. Ltd.6th floor, 31, Gwangnaru‐ro 8‐gil, Seongdong‐guSeoul03722Republic of Korea
| | - Mi‐Lan Kang
- TMD LAB Co. Ltd.6th floor, 31, Gwangnaru‐ro 8‐gil, Seongdong‐guSeoul03722Republic of Korea
| | - Dae‐Hyun Kim
- Department of Veterinary SurgeryChungnam National University College of Veterinary Medicine99, Daehak‐roYuseong‐guDaejeon34134Republic of Korea
| | - Hak‐Joon Sung
- Department of Medical EngineeringYonsei University College of Medicine50–1 Yonsei‐roSeodaemun‐guSeoul03722Republic of Korea
- TMD LAB Co. Ltd.6th floor, 31, Gwangnaru‐ro 8‐gil, Seongdong‐guSeoul03722Republic of Korea
- Department of Brain Korea 21 FOUR Project for Medical Science and Medical EngineeringYonsei University College of Medicine50–1 Yonsei‐roSeodaemun‐guSeoul03722Republic of Korea
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Raghuram A, Galloy A, Nino M, Sanchez S, Hasan D, Raghavan S, Samaniego EA. Comprehensive morphomechanical analysis of brain aneurysms. Acta Neurochir (Wien) 2023; 165:461-470. [PMID: 36595056 DOI: 10.1007/s00701-022-05476-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 12/21/2022] [Indexed: 01/04/2023]
Abstract
OBJECTIVE Brain aneurysms comprise different compartments that undergo unique biological processes. A detailed multimodal analysis incorporating 3D aneurysm wall enhancement (AWE), computational fluid dynamics (CFD), and finite element analysis (FEA) data can provide insights into the aneurysm wall biology. METHODS Unruptured aneurysms were prospectively imaged with 7 T high-resolution MRI (HR-MRI). 3D AWE color maps of the entire aneurysm wall were generated and co-registered with contour plots of morphomechanical parameters derived from CFD and FEA. A multimodal analysis of the entire aneurysm was performed using 3D circumferential AWE (3D-CAWE), wall tension (WT), time-averaged wall shear stress (TAWSS), wall shear stress gradient (WSSG), and oscillatory shear index (OSI). A detailed compartmental analysis of each aneurysm's dome, bleb, and neck was also performed. RESULTS Twenty-six aneurysms were analyzed. 3D-CAWE + aneurysms had higher WT (p = 0.03) and higher TAWSS (p = 0.045) than 3D-CAWE- aneurysms. WT, TAWSS, and WSSG were lower in areas of focal AWE in the aneurysm dome compared to the neck (p = 0.009, p = 0.049, and p = 0.040, respectively), whereas OSI was higher in areas of focal AWE compared to the neck (p = 0.020). When compared to areas of no AWE of the aneurysm sac (AWE = 0.92 vs. 0.49, p = 0.001), blebs exhibited lower WT (1.6 vs. 2.45, p = 0.010), lower TAWSS (2.6 vs. 6.34), lower OSI (0.0007 vs. 0.0010), and lower WSSG (2900 vs. 5306). Fusiform aneurysms had a higher 3D-CAWE and WT than saccular aneurysms (p = 0.046 and p = 0.003, respectively). CONCLUSIONS Areas of focal high AWE in the sac and blebs are associated with low wall tension, low wall shear stress, and low flow conditions (TAWSS and WSSG). Conversely, the neck had average AWE, high wall tension, high wall shear stress, and high flow conditions. The aneurysm dome and the aneurysm neck have different morphomechanical environments, with increased mechanical load at the neck.
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Affiliation(s)
| | - Adam Galloy
- Roy J Carver Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USA
| | - Marco Nino
- Roy J Carver Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USA
| | | | - David Hasan
- Department of Neurosurgery, Duke University, Durham, NC, USA
| | - Suresh Raghavan
- Roy J Carver Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USA
| | - Edgar A Samaniego
- Department of Neurology, University of Iowa, Iowa City, IA, USA. .,Department of Neurosurgery, University of Iowa, Iowa City, IA, USA. .,Department of Radiology, University of Iowa, Iowa City, IA, USA. .,Current Institution, The University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, 52246, USA.
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Luciano M, Versaevel M, Vercruysse E, Procès A, Kalukula Y, Remson A, Deridoux A, Gabriele S. Appreciating the role of cell shape changes in the mechanobiology of epithelial tissues. BIOPHYSICS REVIEWS 2022; 3:011305. [PMID: 38505223 PMCID: PMC10903419 DOI: 10.1063/5.0074317] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 02/23/2022] [Indexed: 03/21/2024]
Abstract
The wide range of epithelial cell shapes reveals the complexity and diversity of the intracellular mechanisms that serve to construct their morphology and regulate their functions. Using mechanosensitive steps, epithelial cells can sense a variety of different mechanochemical stimuli and adapt their behavior by reshaping their morphology. These changes of cell shape rely on a structural reorganization in space and time that generates modifications of the tensional state and activates biochemical cascades. Recent studies have started to unveil how the cell shape maintenance is involved in mechanical homeostatic tasks to sustain epithelial tissue folding, identity, and self-renewal. Here, we review relevant works that integrated mechanobiology to elucidate some of the core principles of how cell shape may be conveyed into spatial information to guide collective processes such as epithelial morphogenesis. Among many other parameters, we show that the regulation of the cell shape can be understood as the result of the interplay between two counteracting mechanisms: actomyosin contractility and intercellular adhesions, and that both do not act independently but are functionally integrated to operate on molecular, cellular, and tissue scales. We highlight the role of cadherin-based adhesions in force-sensing and mechanotransduction, and we report recent developments that exploit physics of liquid crystals to connect cell shape changes to orientational order in cell aggregates. Finally, we emphasize that the further intermingling of different disciplines to develop new mechanobiology assays will lead the way toward a unified picture of the contribution of cell shape to the pathophysiological behavior of epithelial tissues.
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Affiliation(s)
- Marine Luciano
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
| | - Marie Versaevel
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
| | - Eléonore Vercruysse
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
| | - Anthony Procès
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
| | - Yohalie Kalukula
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
| | - Alexandre Remson
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
| | - Amandine Deridoux
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
| | - Sylvain Gabriele
- University of Mons, Interfaces and Complex Fluids Laboratory, Mechanobiology and Biomaterials Group, Research Institute for Biosciences, CIRMAP, 20 Place du Parc, B-7000 Mons, Belgium
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Veeturi SS, Pinter NK, Monteiro A, Baig AA, Rai HH, Waqas M, Siddiqui AH, Rajabzadeh-Oghaz H, Tutino VM. An Image-Based Workflow for Objective Vessel Wall Enhancement Quantification in Intracranial Aneurysms. Diagnostics (Basel) 2021; 11:diagnostics11101742. [PMID: 34679440 PMCID: PMC8534502 DOI: 10.3390/diagnostics11101742] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 08/31/2021] [Accepted: 09/19/2021] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND VWE in contrast-enhanced magnetic resonance imaging (MRI) is a potential biomarker for the evaluation of IA. The common practice to identify IAs with VWE is mainly based on a visual inspection of MR images, which is subject to errors and inconsistencies. Here, we develop and validate a tool for the visualization, quantification and objective identification of regions with VWE. METHODS N = 41 3D T1-MRI and 3D TOF-MRA IA images from 38 patients were obtained and co-registered. A contrast-enhanced MRI was normalized by the enhancement intensity of the pituitary stalk and signal intensities were mapped onto the surface of IA models generated from segmented MRA. N = 30 IAs were used to identify the optimal signal intensity value to distinguish the enhancing and non-enhancing regions (marked by an experienced neuroradiologist). The remaining IAs (n = 11) were used to validate the threshold. We tested if the enhancement area ratio (EAR-ratio of the enhancing area to the IA surface-area) could identify high risk aneurysms as identified by the ISUIA clinical score. RESULTS A normalized intensity of 0.276 was the optimal threshold to delineate enhancing regions, with a validation accuracy of 81.7%. In comparing the overlap between the identified enhancement regions against those marked by the neuroradiologist, our method had a dice coefficient of 71.1%. An EAR of 23% was able to discriminate high-risk cases with an AUC of 0.7. CONCLUSIONS We developed and validated a pipeline for the visualization and objective identification of VWE regions that could potentially help evaluation of IAs become more reliable and consistent.
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Affiliation(s)
- Sricharan S. Veeturi
- Canon Stroke and Vascular Research Center, Buffalo, NY 14203, USA; (S.S.V.); (M.W.); (A.H.S.); (H.R.-O.)
- Department of Mechanical and Aerospace Engineering, University at Buffalo, Buffalo, NY 14260, USA
| | - Nandor K. Pinter
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
- Dent Neurologic Institute, Buffalo, NY 14226, USA
| | - Andre Monteiro
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
| | - Ammad A. Baig
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
| | - Hamid H. Rai
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
| | - Muhammad Waqas
- Canon Stroke and Vascular Research Center, Buffalo, NY 14203, USA; (S.S.V.); (M.W.); (A.H.S.); (H.R.-O.)
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
| | - Adnan H. Siddiqui
- Canon Stroke and Vascular Research Center, Buffalo, NY 14203, USA; (S.S.V.); (M.W.); (A.H.S.); (H.R.-O.)
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
| | - Hamidreza Rajabzadeh-Oghaz
- Canon Stroke and Vascular Research Center, Buffalo, NY 14203, USA; (S.S.V.); (M.W.); (A.H.S.); (H.R.-O.)
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
| | - Vincent M. Tutino
- Canon Stroke and Vascular Research Center, Buffalo, NY 14203, USA; (S.S.V.); (M.W.); (A.H.S.); (H.R.-O.)
- Department of Mechanical and Aerospace Engineering, University at Buffalo, Buffalo, NY 14260, USA
- Department of Neurosurgery, University at Buffalo, Buffalo, NY 14203, USA; (N.K.P.); (A.M.); (A.A.B.); (H.H.R.)
- Department of Pathology and Anatomical Sciences, University at Buffalo, Buffalo, NY 14203, USA
- Correspondence: ; Tel.: +1-(716)-829-5400; Fax: +1-(716)-854-1850
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