Flow-induced vibration analysis of constricted artery models with surrounding soft tissue.

Arterial stenosis is a vascular pathology which leads to serious cardiovascular diseases. Blood flow through a constriction generates sound and vibration due to fluctuating turbulent pressures. Generated vibro-acoustic waves propagate through surrounding soft tissues and reach the skin surface and may provide valuable insight for noninvasive diagnostic purposes. Motivated by the aforementioned phenomena, vibration of constricted arteries is investigated employing computational models. The flow-induced pressure field in an artery is modeled as broadband harmonic pressure loading based on previous studies in the literature and applied on the inner artery wall. Harmonic analysis is performed for determining radial velocity responses on the outer surface of the models. Results indicate that stenosis severities higher than 70% lead to significant increase in response amplitudes, especially at high frequencies between 250 and 600 Hz. The findings agree well with experimental and theoretical results in the literature considering bending mode frequencies, amplitude scales, and mainly excited frequency ranges. It is seen that artery vibration is sensitive to the phase behavior of pressure loading but its effect becomes less significant with the presence of surrounding tissue. As the surrounding tissue thickness increases, radial velocity response amplitudes decrease but the effect of changes in tissue elastic modulus is more pronounced.

[1]  Lorraine G. Olson,et al.  A study of displacement-based fluid finite elements for calculating frequencies of fluid and fluid-structure systems , 1983 .

[2]  C Clark,et al.  Turbulent wall pressure measurements in a model of aortic stenosis. , 1977, Journal of biomechanics.

[3]  R. J. Tobin,et al.  Wall pressure spectra scaling downstream of stenoses in steady tube flow. , 1976, Journal of biomechanics.

[4]  A. O. Borisyuk Model study of noise field in the human chest due to turbulent flow in a larger blood vessel , 2003 .

[5]  K. Bathe,et al.  Solution methods for eigenvalue problems in structural mechanics , 1973 .

[6]  R. Baets,et al.  Non-invasive technique for assessment of vascular wall stiffness using laser Doppler vibrometry , 2014 .

[7]  A Gefen,et al.  Mechanical compression-induced pressure sores in rat hindlimb: muscle stiffness, histology, and computational models. , 2004, Journal of applied physiology.

[8]  R. Lees,et al.  Evaluation of carotid stenosis by phonoangiography. , 1975, The New England journal of medicine.

[9]  R. Clough,et al.  Dynamics Of Structures , 1975 .

[10]  M R Drost,et al.  Passive transverse mechanical properties of skeletal muscle under in vivo compression. , 2001, Journal of biomechanics.

[11]  Richard D Komistek,et al.  A non-invasive acoustic and vibration analysis technique for evaluation of hip joint conditions. , 2010, Journal of biomechanics.

[12]  Pavlos P Vlachos,et al.  Acoustic source separation for the detection of coronary artery sounds. , 2011, The Journal of the Acoustical Society of America.

[13]  Cuneyt Sert,et al.  Computational analysis of high frequency fluid-structure interactions in constricted flow , 2013 .

[14]  J J Fredberg,et al.  Origin and character of vascular murmurs: model studies. , 1977, The Journal of the Acoustical Society of America.

[15]  Andrew J. Hull,et al.  Beamformed nearfield imaging of a simulated coronary artery containing a stenosis , 1998, IEEE Transactions on Medical Imaging.

[16]  Francis Loth,et al.  Acoustic radiation from a fluid-filled, subsurface vascular tube with internal turbulent flow due to a constriction. , 2005, The Journal of the Acoustical Society of America.

[17]  Petro Julkunen,et al.  Experimental and computational analysis of soft tissue stiffness in forearm using a manual indentation device. , 2011, Medical engineering & physics.

[18]  N R Cholvin,et al.  Wall vibrations induced by flow through simulated stenosis in models and arteries. , 1977, Journal of biomechanics.

[19]  S. Delp,et al.  Rectus femoris and vastus intermedius fiber excursions predicted by three-dimensional muscle models. , 2006, Journal of biomechanics.

[20]  C. Clark,et al.  The fluid mechanics of aortic stenosis--I. Theory and steady flow experiments. , 1976, Journal of biomechanics.

[21]  Pierre-Jean Arnoux,et al.  Tonic finite element model of the lower limb. , 2006, Journal of biomechanical engineering.

[22]  L. Back,et al.  Shear-Layer Flow Regimes and Wave Instabilities and Reattachment Lengths Downstream of an Abrupt Circular Channel Expansion , 1972 .

[23]  William L. Keith,et al.  Effects of Convection and Decay of Turbulence on the Wall Pressure Wavenumber-Frequency Spectrum , 1997 .

[24]  H. Mansy,et al.  Boundary element model for simulating sound propagation and source localization within the lungs. , 2007, The Journal of the Acoustical Society of America.

[25]  K. Bathe,et al.  Analysis of fluid-structure interactions. a direct symmetric coupled formulation based on the fluid velocity potential , 1985 .

[26]  Panying Rong,et al.  Automatic identification of hypernasality in normal and cleft lip and palate patients with acoustic analysis of speech. , 2017, The Journal of the Acoustical Society of America.

[27]  Sue Duval,et al.  Audible Coronary Artery Stenosis. , 2016, The American journal of medicine.

[28]  B. M. Kim,et al.  Experimental measurements of turbulence spectra distal to stenoses. , 1974, Journal of biomechanics.

[29]  T. Holsgrove,et al.  Development of a non-invasive diagnostic technique for acetabular component loosening in total hip replacements. , 2015, Medical engineering & physics.

[30]  V. Grinchenko,et al.  VIBRATION AND NOISE GENERATION BY ELASTIC ELEMENTS EXCITED BY A TURBULENT FLOW , 1997 .

[31]  R. Blickhan,et al.  A finite-element model for the mechanical analysis of skeletal muscles. , 2000, Journal of theoretical biology.

[32]  J. Fredberg Pseudo-sound generation at atherosclerotic constrictions in arteries. , 1974, Bulletin of mathematical biology.

[33]  Theodore Sussman,et al.  Fluid–structure interaction analysis with a subsonic potential-based fluid formulation , 2003 .

[34]  A. O. Borisyuk EXPERIMENTAL STUDY OF NOISE PRODUCED BY STEADY FLOW THROUGH A SIMULATED VASCULAR STENOSIS , 2002 .

[35]  K. Furie,et al.  Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. , 2007, Circulation.

[36]  A. Borisyuk,et al.  Modeling of Noise Generation by a Vascular Stenosis , 2002 .

[37]  R. Lees,et al.  Phonoangiography: a new noninvasive diagnostic method for studying arterial disease. , 1970, Proceedings of the National Academy of Sciences of the United States of America.

[38]  A. O. Borisyuk Experimental Study of Wall Pressure Fluctuations in a Pipe behind a Stenosis , 2003 .

[39]  Jonathan Mamou,et al.  Speed of sound in diseased liver observed by scanning acoustic microscopy with 80 MHz and 250 MHz. , 2016, The Journal of the Acoustical Society of America.

[40]  John Semmlow,et al.  Acoustic detection of coronary artery disease. , 2007, Annual review of biomedical engineering.

[41]  K. Furie,et al.  Heart disease and stroke statistics--2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. , 2008, Circulation.

[42]  S Acikgoz,et al.  Experimental and Computational Models for Simulating Sound Propagation Within the Lungs. , 2008, Journal of vibration and acoustics.

[43]  D. Giddens,et al.  Disorder distal to modeled stenoses in steady and pulsatile flow. , 1978, Journal of biomechanics.

[44]  D. F. Young Fluid Mechanics of Arterial Stenoses , 1979 .

[45]  You Chang,et al.  The development of a whole-head human finite-element model for simulation of the transmission of bone-conducted sound. , 2016, The Journal of the Acoustical Society of America.

[46]  S. Levinson,et al.  Sonoelastic determination of human skeletal muscle elasticity. , 1995, Journal of biomechanics.

[47]  A. Borisyuk Experimental study of wall pressure fluctuations in rigid and elastic pipes behind an axisymmetric narrowing , 2010 .

[48]  V. Feigin,et al.  Stroke epidemiology in the developing world , 2005, The Lancet.

[49]  S. A. Abdallah,et al.  Arterial stenosis murmurs: an analysis of flow and pressure fields. , 1988, The Journal of the Acoustical Society of America.

[50]  Wilson Chopra A Study of Displacement-based Fluid Finite Elements for Calculating Frequencies of Fluid and Fluid-structure Systems , 1983 .

[51]  S. Crow,et al.  Orderly structure in jet turbulence , 1971, Journal of Fluid Mechanics.

[52]  Jung Hee Seo,et al.  A coupled flow-acoustic computational study of bruits from a modeled stenosed artery , 2012, Medical & Biological Engineering & Computing.