Inhalation induced stresses and flow characteristics in human airways through fluid-structure interaction analysis

Better understanding of stresses and flow characteristics in the human airways is very important for many clinical applications such as aerosol drug therapy, inhalation toxicology, and airway remodeling process. The bifurcation geometry of airway generations 3 to 5 based on the ICRP tracheobronchial model was chosen to analyze the flow characteristics and stresses during inhalation. A computational model was developed to investigate the airway tissue flexibility effect on stresses and flow characteristics in the airways. The finite-element method with the fluid-structure interaction analysis was employed to investigate the transient responses of the flow characteristics and stresses in the airways during inhalation. The simulation results showed that tissue flexibility affected the maximum airflow velocity, airway pressure, and wall shear stress about 2%, 7%, and 6%, respectively. The simulation results also showed that the differences between the orthotropic and isotropic material models on the airway stresses were in the ranges of 25-52%. The results from the present study suggest that it is very important to incorporate the orthotropic tissue properties into a computational model for studying flow characteristics and stresses in the airways.

[1]  N. Cheshire,et al.  Fluid structure interaction of patient specific abdominal aortic aneurysms: a comparison with solid stress models , 2006, Biomedical engineering online.

[2]  Samir Vinchurkar,et al.  Validating CFD predictions of respiratory aerosol deposition: effects of upstream transition and turbulence. , 2007, Journal of biomechanics.

[3]  M Nathan,et al.  Friction in airway smooth muscle: mechanism, latch, and implications in asthma. , 1996, Journal of applied physiology.

[4]  D Elad,et al.  Computational model of oscillatory airflow in a bronchial bifurcation. , 1998, Respiration physiology.

[5]  P. Worth Longest,et al.  Transport and deposition of respiratory aerosols in models of childhood asthma , 2006 .

[6]  E. Shaughnessy,et al.  Introduction to fluid mechanics , 2004 .

[7]  P. Worth Longest,et al.  Computational Models for Simulating Multicomponent Aerosol Evaporation in the Upper Respiratory Airways , 2005 .

[8]  Thomas J. Gal,et al.  Nunn’s Applied Respiratory Physiology. 5th ed. , 2000 .

[9]  H. Horinouchi,et al.  Respiratory flow in a realistic tracheostenosis model. , 2003, Journal of biomechanical engineering.

[10]  Ted B. Martonen,et al.  Mathematical Model of Airflow in the Lungs of Children I: Effects of Tumor Sizes and Locations , 2000 .

[11]  Peter Grütter,et al.  Probing the viscoelastic behavior of cultured airway smooth muscle cells with atomic force microscopy: stiffening induced by contractile agonist. , 2005, Biophysical journal.

[12]  C. Plopper,et al.  Tethering tracheobronchial airways within the lungs. , 2003, American journal of respiratory and critical care medicine.

[13]  M. Shearer,et al.  Mathematical Model of Airflow in the Lungs of Children II: Effects of Ventilatory Parameters , 2000 .

[14]  Michael P. Hlastala,et al.  Physiology of respiration , 1996 .

[15]  P. Worth Longest,et al.  Evaluation of hexahedral, prismatic and hybrid mesh styles for simulating respiratory aerosol dynamics , 2008 .

[16]  Ted B. Martonen,et al.  Effects of tumors on inhaled pharmacologic drugs , 2007, Cell Biochemistry and Biophysics.

[17]  Arnab Majumdar,et al.  Viscoelastic and dynamic nonlinear properties of airway smooth muscle tissue: roles of mechanical force and the cytoskeleton. , 2006, American journal of physiology. Lung cellular and molecular physiology.

[18]  R. Glenny,et al.  Mechanical ventilation induces inflammation, lung injury, and extra-pulmonary organ dysfunction in experimental pneumonia , 2006, Laboratory Investigation.

[19]  Icrp Human Respiratory Tract Model for Radiological Protection , 1994 .

[20]  K. Bowman Mechanical Behavior of Materials , 2003 .

[21]  A E Minetti,et al.  Inspiratory flow pattern in humans. , 1984, Journal of applied physiology: respiratory, environmental and exercise physiology.

[22]  Yu Zhang,et al.  Measurement of the Effect of Cartilaginous Rings on Particle Deposition in a Proximal Lung Bifurcation Model , 2005 .

[23]  R D Kamm,et al.  Mechanical stress is communicated between different cell types to elicit matrix remodeling , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[24]  Chris Lacor,et al.  Tracheal stenosis: a flow dynamics study. , 2007, Journal of applied physiology.

[25]  Jeffrey M Drazen,et al.  Chronic effects of mechanical force on airways. , 2006, Annual review of physiology.

[26]  Melanie M. Choe,et al.  An in vitro airway wall model of remodeling. , 2003, American journal of physiology. Lung cellular and molecular physiology.

[27]  Toshio Kobayashi,et al.  Influence of wall elasticity in patient-specific hemodynamic simulations , 2007 .

[28]  G Cumming,et al.  Angles of branching and diameters of branches in the human bronchial tree. , 1967, The Bulletin of mathematical biophysics.

[29]  Thomas Heistracher,et al.  Physiologically realistic models of bronchial airway bifurcations , 1995 .

[30]  R. Pidaparti,et al.  Computational Analysis of Fluid Characteristics in Rigid and Flexible Human Respiratory Airway Models , 2008 .

[31]  Ted B. Martonen,et al.  Effects of Carinal Ridge Shapes on Lung Airstreams , 1994 .

[32]  C. Cook,et al.  Volume-pressure and length-tension measurements in human tracheal and bronchial segments. , 1961, Journal of applied physiology.

[33]  Nathan Ida,et al.  Introduction to the Finite Element Method , 1997 .

[34]  B. Suki,et al.  Airway geometry and wall mechanical properties estimated from subglottal input impedance in humans. , 1994, Journal of applied physiology.

[35]  R. Hyatt,et al.  Static mechanical properties of bronchi in normal excised human lungs. , 1978, Journal of applied physiology: respiratory, environmental and exercise physiology.

[36]  Y. Zhao,et al.  Steady inspiratory flow in a model symmetric bifurcation. , 1994, Journal of biomechanical engineering.

[37]  H. Y. Luo,et al.  Particle deposition in obstructed airways. , 2007, Journal of biomechanics.

[38]  P. Longest,et al.  Effects of mesh style and grid convergence on particle deposition in bifurcating airway models with comparisons to experimental data. , 2007, Medical engineering & physics.

[39]  Peter M. Suter,et al.  Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial. , 1999, JAMA.

[40]  J L Bert,et al.  Mechanical properties of human tracheal cartilage. , 1992, Journal of applied physiology.

[41]  C Kleinstreuer,et al.  Targeted drug aerosol deposition analysis for a four-generation lung airway model with hemispherical tumors. , 2003, Journal of biomechanical engineering.

[42]  D E Olson,et al.  Models of the human bronchial tree. , 1971, Journal of applied physiology.

[43]  H. Y. Luo,et al.  Respiratory flow in obstructed airways. , 2006, Journal of biomechanics.