Contact pressure explains half of the abdominal aortic aneurysms wall thickness inter-study variability.

The stochastic rupture risk assessment of an abdominal aortic aneurysm (AAA) critically depends on sufficient data set size that would allow for the proper distribution estimate. However, in most published cases, the data sets comprise no more than 100 samples, which is deemed insufficient to describe the tails of AAA wall thickness distribution correctly. In this study, we propose a stochastic Bayesian model to merge thickness data from various groups.

Tension-based abdominal aortic aneurysm rupture risk assessment improves its accuracy and reduces the time of analysis.

The biomechanical rupture risk assessment (BRRA) of abdominal aortic aneurysms (AAA) has higher sensitivity than maximal diameter criterion (D) but its estimation is time-consuming and relies on an uncertain estimation of wall thickness. The aim of this study is to test tension-based criterion in the BRRA of AAA which removes the necessity of wall thickness measurement and should be faster. For that, we retrospectively analyzed 99 patients with intact AAA (25 females).

MATLAB-Based Algorithm and Software for Analysis of Wavy Collagen Fibers.

Knowledge of soft tissue fiber structure is necessary for accurate characterization and modeling of their mechanical response. Fiber configuration and structure informs both our understanding of healthy tissue physiology and of pathological processes resulting from diseased states. This study develops an automatic algorithm to simultaneously estimate fiber global orientation, abundance, and waviness in an investigated image.

Renewal approach for the energy-momentum relation of the Fröhlich polaron.

We study the qualitative behaviour of the energy-momentum relation of the Fröhlich polaron at fixed coupling strength. Among other properties, we show that it is non-decreasing and that the correction to the quasi-particle energy is negative. We give a proof that the effective mass lies in that does not need the validity of a central limit theorem for the path measure.

Effect of aortic bifurcation geometry on pressure and peak wall stress in abdominal aorta: Fluid-structure interaction study.

Background And Objective: Geometry of aorto-iliac bifurcation may affect pressure and wall stress in aorta and thus potentially serve as a predictor of abdominal aortic aneurysm (AAA), similarly to hypertension.

Methods: Effect of aorto-iliac bifurcation geometry was investigated via parametric analysis based on two-way weakly coupled fluid-structure interaction simulations. The arterial wall was modelled as isotropic hyperelastic monolayer, and non-Newtonian behaviour was introduced for the fluid.

Low cycle fatigue properties of porcine aorta - Pilot study.

Introduction: Biomechanical rupture risk assessment of aortic tissues is commonly based on computed stress to measured uniaxial static strength comparison. Loading of the arterial wall, however, is cyclic; thus, the static strength may not be a proper limit value. This study investigates the low cycle fatigue of porcine aortic samples tested in a circumferential direction.

Methodology for estimation of undeformed thickness of arterial tissues.

Soft tissue sample thickness measurement is one of the major sources of differences between mechanical responses published by different groups. New method for the estimation of unloaded sample thickness of soft tissues is proposed in this study. Ten 30 × 30 mm and ten 20 × 20 mm samples of porcine anterior thoracic aortas were loaded by gradually increased radial force.

Biomechanical Rupture Risk Assessment in Management of Patients with Abdominal Aortic Aneurysm in COVID-19 Pandemic.

Background: The acute phase of the COVID-19 pandemic requires a redefinition of healthcare system to increase the number of available intensive care units for COVID-19 patients. This leads to the postponement of elective surgeries including the treatment of abdominal aortic aneurysm (AAA). The probabilistic rupture risk index (PRRI) recently showed its advantage over the diameter criterion in AAA rupture risk assessment.

Effect of Water-Induced and Physical Aging on Mechanical Properties of 3D Printed Elastomeric Polyurethane.

In this study, the effect of moisture on the elastic and failure properties of elastomeric polyurethane (EPU 40) 3D printed via Vat Photopolymerization was investigated. EPU 40 samples were printed, and uniaxial tensile tests were performed on Dry-fresh, Dry-aged (eight months aged), and after various times of being immersed in water (0−8 months). Elastic response, initial stiffness, failure strength, and failure elongation were analyzed.

A quarter of a century biomechanical rupture risk assessment of abdominal aortic aneurysms. Achievements, clinical relevance, and ongoing developments.

Abdominal aortic aneurysm (AAA) disease, the local enlargement of the infrarenal aorta, is a serious condition that causes many deaths, especially in men exceeding 65 years of age. Over the past quarter of a century, computational biomechanical models have been developed towards the assessment of AAA risk of rupture, technology that is now on the verge of being integrated within the clinical decision-making process. The modeling of AAA requires a holistic understanding of the clinical problem, in order to set appropriate modeling assumptions and to draw sound conclusions from the simulation results.

Full-Range Optical Imaging of Planar Collagen Fiber Orientation Using Polarized Light Microscopy.

A novel method for semiautomated assessment of directions of collagen fibers in soft tissues using histological image analysis is presented. It is based on multiple rotated images obtained via polarized light microscopy without any additional components, i.e.

On stress in abdominal aortic aneurysm: Linear versus non-linear analysis and aneurysm rupture risk.

We present comprehensive biomechanical analyses of abdominal aortic aneurysms (AAA) for 43 patients. We compare stress magnitudes and stress distributions within arterial walls of abdominal aortic aneurysms (AAA) obtained using two simulation and modelling methods: (a) Fully automated and computationally very efficient linear method embedded in the software platform Biomechanics based Prediction of Aneurysm Rupture Risk (BioPARR), freely available from https://bioparr.mech.

Biomechanical properties of ascending aortic aneurysms: Quantification of inter- and intra-patient variability.

This study investigates the biomechanical properties of ascending aortic aneurysms focusing on the inter-patient differences vs. the heterogeneity within a patient's aneurysm. Each specimen was tested on a biaxial testing device and the resulting stress-strain response was fitted to a four-parameter Fung constitutive model.

Methodology for Estimation of Annual Risk of Rupture for Abdominal Aortic Aneurysm.

Background And Objective: Estimating patient specific annual risk of rupture of abdominal aortic aneurysm (AAA) is currently based only on population. More accurate knowledge based on patient specific data would allow surgical treatment of only those AAAs with significant risk of rupture. This would be beneficial for both patients and health care system.

Sources of inconsistency in mean mechanical response of abdominal aortic aneurysm tissue.

Introduction: There is a striking difference in the reported mean response of abdominal aortic aneurysm tissue in academic literature depending on the type of tests (uniaxial vs biaxial) performed. In this paper, the hypothesis variability caused by differences in experimental protocols is explored using porcine aortic tissue as a substitute for aneurysmal tissue.

Methods: Nine samples of porcine aorta were created and both uniaxial and biaxial tests were performed.

Failure properties of abdominal aortic aneurysm tissue are orientation dependent.

Introduction: Biomechanical rupture risk assessment of abdominal aortic aneurysm (AAA) requires information about failure properties of aneurysmal tissue. There are large differences between reported values. Among others, studies vary in using either axially or circumferentially oriented samples.

Effect of testing conditions on the mechanical response of aortic tissues from planar biaxial experiments: Loading protocol and specimen side.

This study concerns procedural aspects of planar biaxial experiments on aortic tissues that have not been exhaustively addressed in the literature. The following questions are explored. First, is there a difference in the apparent mechanical properties if the experiments are conducted in a force-controlled regime or a displacement-controlled regime.

Biomechanical indices are more sensitive than diameter in predicting rupture of asymptomatic abdominal aortic aneurysms.

Objective: Several studies of biomechanical rupture risk assessment (BRRA) showed its advantage over the diameter criterion in rupture risk assessment of abdominal aortic aneurysm (AAA). However, BRRA studies have not investigated the predictability of biomechanical risk indices at different time points ahead of rupture, nor have they been performed blinded for biomechanical analysts. The objective of this study was to test the predictability of the BRRA method against diameter-based risk indices in a quasi-prospective patient cohort study.

Moderate thickness of lipid core in shoulder region of atherosclerotic plaque determines vulnerable plaque A parametric study.

Peak stress in the fibrous cap of atherosclerotic plaque is largely determined by the cap thickness which cannot be accurately estimated in vivo. This parametric study investigates idealized atherosclerotic plaque geometries. Finite element modeling is applied to search for larger morphological features associated with high cap stresses.

A simple method of incorporating the effect of the Uniform Stress Hypothesis in arterial wall stress computations.

Purpose: Residual stress has a great influence on the mechanical behaviour of arterial wall. Numerous research groups used the Uniform Stress Hypothesis to allow the inclusion of the effects of residual stress when computing stress distributions in the arterial wall. Nevertheless, the available methods used for this purpose are very computationally expensive, due to their iterative nature.

[Fractures of the base of the V metatarsal bone-current concepts revised].

Fractures of the base of the fifth metatarsal bone are one of the most frequent fractures to the foot and ankle. Despite the high frequency and although a number of studies are now available, treatment frequently does not follow the available evidence. Among the reasons is the inconsistent terminology used and that the studies available are neglected.

Impact of isotropic constitutive descriptions on the predicted peak wall stress in abdominal aortic aneurysms.

Biomechanics-based assessment of Abdominal Aortic Aneurysm (AAA) rupture risk has gained considerable scientific and clinical momentum. However, computation of peak wall stress (PWS) using state-of-the-art finite element models is time demanding. This study investigates which features of the constitutive description of AAA wall are decisive for achieving acceptable stress predictions in it.

Predictive capabilities of various constitutive models for arterial tissue.

Introduction: Aim of this study is to validate some constitutive models by assessing their capabilities in describing and predicting uniaxial and biaxial behavior of porcine aortic tissue.

Methods: 14 samples from porcine aortas were used to perform 2 uniaxial and 5 biaxial tensile tests. Transversal strains were furthermore stored for uniaxial data.

Applicability of simplified computational models in prediction of peak wall stress in abdominal aortic aneurysms.

In the paper impact of different material models on the calculated peak wall stress (PWS) and peak wall rupture risk (PWRR) in abdominal aortic aneurysms (AAAs) is assessed. Computational finite element models of 70 patient-specific AAAs were created using two different material models - a realistic one based on mean population results of uniaxial tests of AAA wall considered as reference, and a 100 times stiffer artificial model. The calculated results of PWS and PWRR were tested to evaluate statistical significance of differences caused by the non-realistic material model.

Assisting people with Nystagmus through image stabilization: Using an ARX model to overcome processing delays.

Pathological Nystagmus is characterized by an unintended and involuntary eye-movement, which tends to impact on visual acuity. Today only view therapies (for instance medication or surgeries) to treat nystagmus are at hand and the existing therapies only show partial improvement. Only general Assistive Technology (AT) solutions like glasses, screen magnifiers, speech output, display adaptation and concepts holders are at hand to support daily living.