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

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机构: [1]Department of Radiology, Affiliated Hospital of Hebei University, Hebei University, Baoding, China, [2]Department ofMechanics and Engineering Science, College of Engineering, Peking University, Beijing, China, [3]College of Medicine, HebeiUniversity, Baoding, China, [4]PKU-HKUST Shenzhen-Hongkong Institution, Shenzhen, China, [5]Shenzhen Graduate School,Peking University, Shenzhen, China
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关键词: hepatic hemangioma computer tomography abdominal arterial tree hemodynamics morphology

摘要:
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 [Formula: see text] 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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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 生理学
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 生理学
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出版当年[2018]版:
Q2 PHYSIOLOGY
最新[2023]版:
Q2 PHYSIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Department of Radiology, Affiliated Hospital of Hebei University, Hebei University, Baoding, China,
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通讯机构: [2]Department ofMechanics and Engineering Science, College of Engineering, Peking University, Beijing, China, [3]College of Medicine, HebeiUniversity, Baoding, China, [4]PKU-HKUST Shenzhen-Hongkong Institution, Shenzhen, China,
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