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Toma M, Mayer J, Bekbolatova M, Devine T, Ryo P. Impact of Convulsive Maternal Seizures on Fetus Dynamics. INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING 2025; 41:e3901. [PMID: 39721594 DOI: 10.1002/cnm.3901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Revised: 10/21/2024] [Accepted: 12/07/2024] [Indexed: 12/28/2024]
Abstract
The study findings demonstrate that the amniotic fluid plays an important role in protecting the fetus during convulsive maternal seizures. The amniotic fluid was found to be an effective buffer, significantly reducing the transfer of kinetic energy to the fetus during these events. This highlights the sufficient protection provided by the amniotic fluid in such circumstances. The research was conducted using a model that simulates the complex interactions between a pregnant woman's anatomy, the uterus, and the fetus immersed in amniotic fluid. Key parameters such as speed, acceleration, and Euler angles were captured using sensors and used as input for the computational model in the simulations. The results showed that during an oscillatory movement, which is characteristic of a maternal seizure, the fetus and placenta exhibit variable kinematics relative to the uterus. Despite these variations, the amniotic fluid was found to be a significant protective buffer. The discovery of the protective role of the amniotic fluid during maternal seizures provides valuable insights for obstetricians. It can help in managing patient care during such pregnancy complications, emphasizing the importance of the amniotic fluid in fetal protection.
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Affiliation(s)
- Milan Toma
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology, College of Osteopathic Medicine, New York City, New York, USA
| | - Jonathan Mayer
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology, College of Osteopathic Medicine, New York City, New York, USA
| | - Molly Bekbolatova
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology, College of Osteopathic Medicine, New York City, New York, USA
| | - Tim Devine
- The Ferrara Center for Patient Safety and Clinical Simulation, New York Institute of Technology, College of Osteopathic Medicine, New York City, New York, USA
| | - Paula Ryo
- The Ferrara Center for Patient Safety and Clinical Simulation, New York Institute of Technology, College of Osteopathic Medicine, New York City, New York, USA
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Bekbolatova M, Mayer J, Jose R, Syed F, Kurgansky G, Singh P, Pao R, Zaw H, Devine T, Chan-Akeley R, Toma M. Biomechanical Effects of Seizures on Cerebral Dynamics and Brain Stress. Brain Sci 2024; 14:323. [PMID: 38671975 PMCID: PMC11048267 DOI: 10.3390/brainsci14040323] [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: 03/06/2024] [Revised: 03/22/2024] [Accepted: 03/26/2024] [Indexed: 04/28/2024] Open
Abstract
Epilepsy is one of the most common neurological disorders globally, affecting about 50 million people, with nearly 80% of those affected residing in low- and middle-income countries. It is characterized by recurrent seizures that result from abnormal electrical brain activity, with seizures varying widely in manifestation. The exploration of the biomechanical effects that seizures have on brain dynamics and stress levels is relevant for the development of more effective treatments and protective strategies. This study uses a blend of experimental data and computational simulations to assess the brain's physical response during seizures, particularly focusing on the behavior of cerebrospinal fluid and the resulting mechanical stresses on different brain regions. Notable findings show increases in stress, predominantly in the posterior gyri and brainstem, during seizures and an evidence of brain displacement relative to the skull. These observations suggest a dynamic and complex interaction between the brain and skull, with maximum shear stress regions demonstrating the limited yet essential protective role of the CSF. By providing a deeper understanding of the mechanical changes occurring during seizures, this research supports the goal of advancing diagnostic tools, informing more targeted treatment interventions, and guiding the creation of customized therapeutic strategies to enhance neurological care and protect against the adverse effects of seizures.
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Affiliation(s)
- Molly Bekbolatova
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA; (M.B.); (J.M.); (R.J.); (F.S.); (G.K.); (P.S.)
| | - Jonathan Mayer
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA; (M.B.); (J.M.); (R.J.); (F.S.); (G.K.); (P.S.)
| | - Rejath Jose
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA; (M.B.); (J.M.); (R.J.); (F.S.); (G.K.); (P.S.)
| | - Faiz Syed
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA; (M.B.); (J.M.); (R.J.); (F.S.); (G.K.); (P.S.)
| | - Gregory Kurgansky
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA; (M.B.); (J.M.); (R.J.); (F.S.); (G.K.); (P.S.)
| | - Paramvir Singh
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA; (M.B.); (J.M.); (R.J.); (F.S.); (G.K.); (P.S.)
| | - Rachel Pao
- NewYork-Presbyterian Queens Hospital, New York City, NY 11355, USA;
| | - Honey Zaw
- Icahn School of Medicine at Mount Sinai, 1428 Madison Avenue, Atran Berg Building, 8th Floor, New York City, NY 10029, USA;
| | - Timothy Devine
- The Ferrara Center for Patient Safety and Clinical Simulation, Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA;
| | | | - Milan Toma
- Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA; (M.B.); (J.M.); (R.J.); (F.S.); (G.K.); (P.S.)
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Frankini E, Basile EJ, Syed F, Wei OC, Toma M. Understanding Traumatic Brain Injuries in Military Personnel: Investigating the Dynamic Interplay of the Cerebrospinal Fluid and Brain During Blasts. Cureus 2023; 15:e46962. [PMID: 38022246 PMCID: PMC10640779 DOI: 10.7759/cureus.46962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2023] [Indexed: 12/01/2023] Open
Abstract
Background It is estimated that around 450,000 traumatic brain injury cases have occurred in the 21st century with possible under-reporting. Computational simulations are increasingly used to study the pathophysiology of traumatic brain injuries among US military personnel. This approach allows for investigation without ethical concerns surrounding live subject testing. Methodology The pertinent data on head acceleration is applied to a detailed 3D model of a patient-specific head, which encompasses all significant components of the brain and its surrounding fluid. The use of finite element analysis and smoothed-particle hydrodynamics serves to replicate the interaction between these elements during discharge through simulation of their fluid-structure dynamics. Results The stress levels of the brain are assessed at varying time intervals subsequent to the explosion. The regions where there is an intersection between the skull and brain are observed, along with the predominant orientations in which displacement of the brain occurs resulting in a brain injury. Conclusions It has been determined that the cerebrospinal fluid is inadequate in preventing brain damage caused by multiple abrupt directional shifts of the head. Accordingly, additional research must be undertaken to enhance our comprehension of the injury mechanisms linked with consecutive changes in acceleration impacting the head.
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Affiliation(s)
- Elisabeth Frankini
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA
| | - Eric J Basile
- Department of Internal Medicine, University of Florida, Gainesville, USA
| | - Faiz Syed
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA
| | - Ong Chi Wei
- School of Chemistry, Chemical Engineering and Biotechnology, Nanyang Technological University, Singapore, SGP
| | - Milan Toma
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA
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Syed F, Khan S, Toma M. Modeling Dynamics of the Cardiovascular System Using Fluid-Structure Interaction Methods. BIOLOGY 2023; 12:1026. [PMID: 37508455 PMCID: PMC10376821 DOI: 10.3390/biology12071026] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 07/07/2023] [Accepted: 07/18/2023] [Indexed: 07/30/2023]
Abstract
Using fluid-structure interaction algorithms to simulate the human circulatory system is an innovative approach that can provide valuable insights into cardiovascular dynamics. Fluid-structure interaction algorithms enable us to couple simulations of blood flow and mechanical responses of the blood vessels while taking into account interactions between fluid dynamics and structural behaviors of vessel walls, heart walls, or valves. In the context of the human circulatory system, these algorithms offer a more comprehensive representation by considering the complex interplay between blood flow and the elasticity of blood vessels. Algorithms that simulate fluid flow dynamics and the resulting forces exerted on vessel walls can capture phenomena such as wall deformation, arterial compliance, and the propagation of pressure waves throughout the cardiovascular system. These models enhance the understanding of vasculature properties in human anatomy. The utilization of fluid-structure interaction methods in combination with medical imaging can generate patient-specific models for individual patients to facilitate the process of devising treatment plans. This review evaluates current applications and implications of fluid-structure interaction algorithms with respect to the vasculature, while considering their potential role as a guidance tool for intervention procedures.
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Affiliation(s)
- Faiz Syed
- College of Osteopathic Medicine, New York Institute of Technology, Northern Boulevard, Old Westbury, NY 11568, USA
| | - Sahar Khan
- College of Osteopathic Medicine, New York Institute of Technology, Northern Boulevard, Old Westbury, NY 11568, USA
| | - Milan Toma
- College of Osteopathic Medicine, New York Institute of Technology, Northern Boulevard, Old Westbury, NY 11568, USA
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Xu F, Wang J, Yang Y, Wang L, Dai Z, Han R. On methodology and application of smoothed particle hydrodynamics in fluid, solid and biomechanics. ACTA MECHANICA SINICA = LI XUE XUE BAO 2023; 39:722185. [PMID: 36776492 PMCID: PMC9903288 DOI: 10.1007/s10409-022-22185-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 11/10/2022] [Indexed: 06/04/2023]
Abstract
Smoothed particle hydrodynamics (SPH), as one of the earliest meshfree methods, has broad prospects in modeling a wide range of problems in engineering and science, including extremely large deformation problems such as explosion and high velocity impact. This paper aims to provide a comprehensive overview on the recent advances of SPH method in the fields of fluid, solid, and biomechanics. First, the theory of SPH is described, and improved algorithms of SPH with high accuracy are summarized, such as the finite particle method (FPM). Techniques used in SPH method for simulating fluid, solid and biomechanics problems are discussed. The δ-SPH method and Godunov SPH (GSPH) based on the Riemann model are described for handling instability issues in fluid dynamics. Next, the interface contact algorithm for fluid-structure interaction is also discussed. The common algorithms for improving the tensile instability and the framework of total Lagrangian SPH are examined for challenging tasks in solid mechanics. In terms of biomechanics, the governing equations and the coupling forces based on SPH method are exemplified. Then, various typical engineering applications and recent advances are elaborated. The application of fluid mainly depicts the interaction between fluid and rigid body as well as elastomer, while some complicated fluid-structure interaction ocean engineering problems are also presented. In the aspect of solid dynamics, galaxy, geotechnical mechanics, explosion and impact, and additive manufacturing are summarized. Furthermore, the recent advancements of SPH method in biomechanics, such as hemodynamically and gut health, are discussed in general. In addition, to overcome the limitations of computational efficiency and computational scale, the multiscale adaptive resolution, the parallel algorithm and the automated mesh generation are addressed. The development of SPH software in China and abroad is also summarized. Finally, the challenging task of SPH method in the future is summarized. In future research work, the establishment of multi-scale coupled SPH model and deep learning technology in solid and biodynamics will be the focus of expanding the engineering applications of SPH methods.
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Affiliation(s)
- Fei Xu
- School of Aeronautics, Northwestern Polytechnical University, Xi’an, 710072 China
- Institute for Computational Mechanics and Its Applications, Northwestern Polytechnical University, Xi’an, 710072 China
| | - Jiayi Wang
- School of Aeronautics, Northwestern Polytechnical University, Xi’an, 710072 China
| | - Yang Yang
- School of Aeronautics, Northwestern Polytechnical University, Xi’an, 710072 China
- Institute for Computational Mechanics and Its Applications, Northwestern Polytechnical University, Xi’an, 710072 China
| | - Lu Wang
- School of Architecture and Engineering, Chang’an University, Xi’an, 710064 China
| | - Zhen Dai
- School of Aeronautics, Northwestern Polytechnical University, Xi’an, 710072 China
| | - Ruiqi Han
- School of Aeronautics, Northwestern Polytechnical University, Xi’an, 710072 China
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Toma M, Singh-Gryzbon S, Frankini E, Wei Z(A, Yoganathan AP. Clinical Impact of Computational Heart Valve Models. MATERIALS (BASEL, SWITZERLAND) 2022; 15:3302. [PMID: 35591636 PMCID: PMC9101262 DOI: 10.3390/ma15093302] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/26/2022] [Accepted: 04/29/2022] [Indexed: 12/17/2022]
Abstract
This paper provides a review of engineering applications and computational methods used to analyze the dynamics of heart valve closures in healthy and diseased states. Computational methods are a cost-effective tool that can be used to evaluate the flow parameters of heart valves. Valve repair and replacement have long-term stability and biocompatibility issues, highlighting the need for a more robust method for resolving valvular disease. For example, while fluid-structure interaction analyses are still scarcely utilized to study aortic valves, computational fluid dynamics is used to assess the effect of different aortic valve morphologies on velocity profiles, flow patterns, helicity, wall shear stress, and oscillatory shear index in the thoracic aorta. It has been analyzed that computational flow dynamic analyses can be integrated with other methods to create a superior, more compatible method of understanding risk and compatibility.
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Affiliation(s)
- Milan Toma
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine, Northern Boulevard, P.O. Box 8000, Old Westbury, NY 11568, USA;
| | - Shelly Singh-Gryzbon
- Wallace H. Coulter School of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA; (S.S.-G.); (A.P.Y.)
| | - Elisabeth Frankini
- Department of Osteopathic Manipulative Medicine, New York Institute of Technology College of Osteopathic Medicine, Northern Boulevard, P.O. Box 8000, Old Westbury, NY 11568, USA;
| | - Zhenglun (Alan) Wei
- Department of Biomedical Engineering, Francis College of Engineering, University of Massachusetts Lowell, Lowell, MA 01854, USA;
| | - Ajit P. Yoganathan
- Wallace H. Coulter School of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA; (S.S.-G.); (A.P.Y.)
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Fluid–Structure Interaction and Non-Fourier Effects in Coupled Electro-Thermo-Mechanical Models for Cardiac Ablation. FLUIDS 2021. [DOI: 10.3390/fluids6080294] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
In this study, a fully coupled electro-thermo-mechanical model of radiofrequency (RF)-assisted cardiac ablation has been developed, incorporating fluid–structure interaction, thermal relaxation time effects and porous media approach. A non-Fourier based bio-heat transfer model has been used for predicting the temperature distribution and ablation zone during the cardiac ablation. The blood has been modeled as a Newtonian fluid and the velocity fields are obtained utilizing the Navier–Stokes equations. The thermal stresses induced due to the heating of the cardiac tissue have also been accounted. Parametric studies have been conducted to investigate the effect of cardiac tissue porosity, thermal relaxation time effects, electrode insertion depths and orientations on the treatment outcomes of the cardiac ablation. The results are presented in terms of predicted temperature distributions and ablation volumes for different cases of interest utilizing a finite element based COMSOL Multiphysics software. It has been found that electrode insertion depth and orientation has a significant effect on the treatment outcomes of cardiac ablation. Further, porosity of cardiac tissue also plays an important role in the prediction of temperature distribution and ablation volume during RF-assisted cardiac ablation. Moreover, thermal relaxation times only affect the treatment outcomes for shorter treatment times of less than 30 s.
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Addressing Discrepancies between Experimental and Computational Procedures. BIOLOGY 2021; 10:biology10060536. [PMID: 34203829 PMCID: PMC8232572 DOI: 10.3390/biology10060536] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 06/03/2021] [Accepted: 06/10/2021] [Indexed: 11/17/2022]
Abstract
Simple Summary This technical note addresses the need to consider uncertainties when using experimental procedures to extract a geometry that is consequently used for computational simulations. Many uncertainties enter the process in both the experimental and computational techniques. Abstract Imaging subject-specific heart valve, a crucial step to its design, has experimental variables that if unaccounted for, may lead to erroneous computational analysis and geometric errors of the resulting model. Preparation methods are developed to mitigate some sources of the geometric error. However, the resulting 3D geometry often does not retain the original dimensions before excision. Inverse fluid–structure interaction analysis is used to analyze the resulting geometry and to assess the valve’s closure. Based on the resulting closure, it is determined if the geometry used can yield realistic results. If full closure is not reached, the geometry is adjusted adequately until closure is observed.
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Toma M, Concu R. Computational Biology: A New Frontier in Applied Biology. BIOLOGY 2021; 10:biology10050374. [PMID: 33925472 PMCID: PMC8145007 DOI: 10.3390/biology10050374] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 04/25/2021] [Indexed: 11/16/2022]
Abstract
All living things are related to one another [...].
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Affiliation(s)
- Milan Toma
- Serota Academic Center (Room 138), New York Institute of Technology, Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, Northern Boulevard, P.O. Box 8000, Old Westbury, NY 11568, USA
- Correspondence: (M.T.); (R.C.)
| | - Riccardo Concu
- Faculty of Science, University of Porto, Rua do Campo Alegre, s/n, 4169-007 Porto, Portugal
- Correspondence: (M.T.); (R.C.)
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