Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer Simulations

Background: The formation of hepatic hemangiomas (HH) is associated with VEGF and IL-7 that alter conduit arteries and small arterioles. To our knowledge, there are no studies to investigate the effects of HH on the hemodynamics in conduit arteries. The aim of the study is to perform morphometric an...

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Main Authors: Xiaoping Yin, Xu Huang, Qiao Li, Li Li, Pei Niu, Minglu Cao, Fei Guo, Xuechao Li, Wenchang Tan, Yunlong Huo
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-04-01
Series:Frontiers in Physiology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fphys.2018.00334/full
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author Xiaoping Yin
Xu Huang
Qiao Li
Li Li
Pei Niu
Minglu Cao
Fei Guo
Xuechao Li
Wenchang Tan
Wenchang Tan
Wenchang Tan
Yunlong Huo
Yunlong Huo
Yunlong Huo
author_facet Xiaoping Yin
Xu Huang
Qiao Li
Li Li
Pei Niu
Minglu Cao
Fei Guo
Xuechao Li
Wenchang Tan
Wenchang Tan
Wenchang Tan
Yunlong Huo
Yunlong Huo
Yunlong Huo
author_sort Xiaoping Yin
collection DOAJ
description Background: The formation of hepatic hemangiomas (HH) is associated with VEGF and IL-7 that alter conduit arteries and small arterioles. To our knowledge, there are no studies to investigate the effects of HH on the hemodynamics in conduit arteries. The aim of the study is to perform morphometric and hemodynamic analysis in abdominal conduit arteries and bifurcations of HH patients and controls.Methods: Based on morphometry reconstructed from CT images, geometrical models were meshed with prismatic elements for the near wall region and tetrahedral and hexahedral elements for the core region. Simulations were performed for computation of the non-Newtonian blood flow using the Carreau-Yasuda model, based on which multiple hemodynamic parameters were determined.Results: There was an increase of the lumen size, diameter ratio, and curvature in the abdominal arterial tree of HH patients as compared with controls. This significantly increased the surface area ratio of low time-averaged wall shear stress (i.e., SAR-TAWSS =Surface  areaTAWSS≤4 dynes·cm−2Total  surface  area× 100%) (24.1 ± 7.9 vs. 5 ± 6%, 11.6 ± 12.8 vs. < 0.1%, and 44.5 ± 9.2 vs. 21 ± 24% at hepatic bifurcations, common hepatic arteries, and abdominal aortas, respectively, between HH and control patients).Conclusions: Morphometric changes caused by HH significantly deteriorated the hemodynamic environment in abdominal conduit arteries and bifurcations, which could be an important risk factor for the incidence and progression of vascular diseases.
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spelling doaj.art-54aec85f546a40089e835d1a5720a21d2022-12-21T18:39:41ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2018-04-01910.3389/fphys.2018.00334337568Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer SimulationsXiaoping Yin0Xu Huang1Qiao Li2Li Li3Pei Niu4Minglu Cao5Fei Guo6Xuechao Li7Wenchang Tan8Wenchang Tan9Wenchang Tan10Yunlong Huo11Yunlong Huo12Yunlong Huo13Department of Radiology, Affiliated Hospital of Hebei University, Hebei University, Baoding, ChinaDepartment of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, ChinaDepartment of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, ChinaDepartment of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, ChinaDepartment of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, ChinaDepartment of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, ChinaCollege of Medicine, Hebei University, Baoding, ChinaCollege of Medicine, Hebei University, Baoding, ChinaDepartment of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, ChinaPKU-HKUST Shenzhen-Hongkong Institution, Shenzhen, ChinaShenzhen Graduate School, Peking University, Shenzhen, ChinaDepartment of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, ChinaCollege of Medicine, Hebei University, Baoding, ChinaPKU-HKUST Shenzhen-Hongkong Institution, Shenzhen, ChinaBackground: The formation of hepatic hemangiomas (HH) is associated with VEGF and IL-7 that alter conduit arteries and small arterioles. To our knowledge, there are no studies to investigate the effects of HH on the hemodynamics in conduit arteries. The aim of the study is to perform morphometric and hemodynamic analysis in abdominal conduit arteries and bifurcations of HH patients and controls.Methods: Based on morphometry reconstructed from CT images, geometrical models were meshed with prismatic elements for the near wall region and tetrahedral and hexahedral elements for the core region. Simulations were performed for computation of the non-Newtonian blood flow using the Carreau-Yasuda model, based on which multiple hemodynamic parameters were determined.Results: There was an increase of the lumen size, diameter ratio, and curvature in the abdominal arterial tree of HH patients as compared with controls. This significantly increased the surface area ratio of low time-averaged wall shear stress (i.e., SAR-TAWSS =Surface  areaTAWSS≤4 dynes·cm−2Total  surface  area× 100%) (24.1 ± 7.9 vs. 5 ± 6%, 11.6 ± 12.8 vs. < 0.1%, and 44.5 ± 9.2 vs. 21 ± 24% at hepatic bifurcations, common hepatic arteries, and abdominal aortas, respectively, between HH and control patients).Conclusions: Morphometric changes caused by HH significantly deteriorated the hemodynamic environment in abdominal conduit arteries and bifurcations, which could be an important risk factor for the incidence and progression of vascular diseases.http://journal.frontiersin.org/article/10.3389/fphys.2018.00334/fullhepatic hemangiomacomputer tomographyabdominal arterial treehemodynamicsmorphology
spellingShingle Xiaoping Yin
Xu Huang
Qiao Li
Li Li
Pei Niu
Minglu Cao
Fei Guo
Xuechao Li
Wenchang Tan
Wenchang Tan
Wenchang Tan
Yunlong Huo
Yunlong Huo
Yunlong Huo
Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer Simulations
Frontiers in Physiology
hepatic hemangioma
computer tomography
abdominal arterial tree
hemodynamics
morphology
title Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer Simulations
title_full Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer Simulations
title_fullStr Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer Simulations
title_full_unstemmed Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer Simulations
title_short Hepatic Hemangiomas Alter Morphometry and Impair Hemodynamics of the Abdominal Aorta and Primary Branches From Computer Simulations
title_sort hepatic hemangiomas alter morphometry and impair hemodynamics of the abdominal aorta and primary branches from computer simulations
topic hepatic hemangioma
computer tomography
abdominal arterial tree
hemodynamics
morphology
url http://journal.frontiersin.org/article/10.3389/fphys.2018.00334/full
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