A Layer-Specific Three-Dimensional Model for the Simulation of Balloon Angioplasty using Magnetic Resonance Imaging and Mechanical Testing

2002 ◽  
Vol 30 (6) ◽  
pp. 753-767 ◽  
Author(s):  
Gerhard A. Holzapfel ◽  
Michael Stadler ◽  
Christian A. J. Schulze-Bauer
Author(s):  
Jiang Yao ◽  
Art D. Salo ◽  
Monica Barbu-McInnis ◽  
Amy L. Lerner

A finite element model of the knee joint could be helpful in providing insight on mechanisms of injury, effects of treatment, and the role of mechanical factors in degenerative conditions. However, preparation of such a model involves many geometric simplifications and input of material properties, some of which are poorly understood. Therefore, a method to compare model predictions to actual behaviors under controlled conditions could provide confidence in the model before exploration of other loading scenarios. Our laboratory has developed a method to apply axial loads to the in vivo human knee during magnetic resonance imaging, resembling weightbearing conditions. Image processing algorithms may then be used to assess the three-dimensional kinematics of the tibia and femur during loading. A three-dimensional model of the tibio-menisco-femoral contact has been generated and the image-based kinematic boundary conditions were applied to investigate the distribution of stresses and strains in the articular cartilage and menisci throughout the loading period. In this study, our goal is to investigate the contact patterns during long term loading of up to twenty minutes in the healthy knee. Specifically, we assess the use of both elastic and poroelastic material properties in the cartilage, and compare model predictions to known loading conditions and images of tissue deformations.


Author(s):  
Hongzhang Zhu ◽  
Shi-Ting Feng ◽  
Xingqi Zhang ◽  
Zunfu Ke ◽  
Ruixi Zeng ◽  
...  

Background: Cutis Verticis Gyrata (CVG) is a rare skin disease caused by overgrowth of the scalp, presenting as cerebriform folds and wrinkles. CVG can be classified into two forms: primary (essential and non-essential) and secondary. The primary non-essential form is often associated with neurological and ophthalmological abnormalities, while the primary essential form occurs without associated comorbidities. Discussion: We report on a rare case of primary essential CVG with a 4-year history of normal-colored scalp skin mass in the parietal-occipital region without symptom in a 34-year-old male patient, retrospectively summarizing his pathological and Computer Tomography (CT) and magnetic resonance imaging (MRI) findings. The major clinical observations on the CT and MR sectional images include a thickened dermis and excessive growth of the scalp, forming the characteristic scalp folds. With the help of CT and MRI Three-dimensional (3D) reconstruction techniques, the characteristic skin changes could be displayed intuitively, providing more evidence for a diagnosis of CVG. At the 5-year followup, there were no obvious changes in the lesion. Conclusion: Based on our observations, we propose that not all patients with primary essential CVG need surgical intervention, and continuous clinical observation should be an appropriate therapy for those in stable condition.


2020 ◽  
Vol 10 (1) ◽  
pp. 14
Author(s):  
Cezary Grochowski ◽  
Kamil Jonak ◽  
Marcin Maciejewski ◽  
Andrzej Stępniewski ◽  
Mansur Rahnama-Hezavah

Purpose: The aim of this study was to assess the volumetry of the hippocampus in the Leber’s hereditary optic neuropathy (LHON) of blind patients. Methods: A total of 25 patients with LHON were randomly included into the study from the national health database. A total of 15 patients were selected according to the inclusion criteria. The submillimeter segmentation of the hippocampus was based on three-dimensional spoiled gradient recalled acquisition in steady state (3D-SPGR) BRAVO 7T magnetic resonance imaging (MRI) protocol. Results: Statistical analysis revealed that compared to healthy controls (HC), LHON subjects had multiple significant differences only in the right hippocampus, including a significantly higher volume of hippocampal tail (p = 0.009), subiculum body (p = 0.018), CA1 body (p = 0.002), hippocampal fissure (p = 0.046), molecular layer hippocampus (HP) body (p = 0.014), CA3 body (p = 0.006), Granule Cell (GC) and Molecular Layer (ML) of the Dentate Gyrus (DG)–GC ML DG body (p = 0.003), CA4 body (p = 0.001), whole hippocampal body (p = 0.018), and the whole hippocampus volume (p = 0.023). Discussion: The ultra-high-field magnetic resonance imaging allowed hippocampus quality visualization and analysis, serving as a powerful in vivo diagnostic tool in the diagnostic process and LHON disease course assessment. The study confirmed previous reports regarding volumetry of hippocampus in blind individuals.


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