Shear Stress Gradient Research Articles

Altered RBC deformability in diabetes: clinical characteristics and RBC pathophysiology

BackgroundReduced red blood cell deformability (RBCD) is associated with diabetic vascular complications, but early pathophysiological RBC changes and predictive demographic and clinical factors in populations with diabetes are unclear. An understanding of early diabetes-specific RBC changes associated with impaired RBCD is essential in investigating mechanisms that predispose to diabetic vascular complications.MethodsWe conducted an outpatient cross-sectional study of participants in a well-controlled diabetes cohort (N81) and nondiabetic controls (N78) at the National Institutes of Health. First, between-group differences in RBCD measures were assessed with shear stress-gradient ektacytometry. Differences in structural RBC parameters were assessed using osmotic gradient ektacytometry and NaCl osmotic fragility. Functional RBC changes were assessed using hemoglobin-oxygen dissociation: p50.ResultsAll shear-stress gradient RBCD measures were significantly altered in the diabetes cohort vs. nondiabetic controls, even after adjustment for confounding covariates (p < 0.001). Adjusted for diabetes-status and demographic factors, significant predictors of reduced RBCD included older age, Black race, male gender, hyperglycemia, and vascular complications (all p < 0.05). Reduced RBCD was also associated with aberrant osmotic-gradient parameters, with a left-shift on osmotic gradient profile indicative of dehydrated RBCs in diabetes. A structure-function relationship was observed with reduced RBCD associated with reduced osmotic fragility (P < 0.001) and increased hemoglobin-oxygen dissociation (P < 0.01).ConclusionsFindings suggest impaired RBCD incurs similar demographic and clinical risk factors as diabetic vascular disease, with early pathophysiological RBC changes indicative of disordered RBC hydration in diabetes. Findings provide strong evidence for disordered oxygen release as a functional consequence of reduced RBCD.Clinical trial number: NCT00071526.

4D-Flow MRI and Vector Ultrasound in the In-Vitro Evaluation of Surgical Aortic Heart Valves - a Pilot Study.

The aim of this study was the initial investigation of 4D-Flow MRI and Vector Ultrasound as novel imaging techniques in the in-vitro analysis of hemodynamics in anatomical models. Specifically, by looking at the hemodynamic performance of state-of-the-art surgical heart valves in a 3D-printed aortic arch. The mock circulatory loop simulated physiological, pulsatile flow. Two mechanical and three biological aortic valves prostheses were compared in a 3D-printed aortic arch. 4D magnetic resonance imaging and vector flow Doppler ultrasound served as imaging methods. Hemodynamic parameters such as wall shear stress, flow velocities and pressure gradients were analyzed. The flow analysis revealed characteristic flow-patterns in the 3D-printed aortic arch. The blood-flow in the arch presented complex patterns, including the formation of helixes and vortices. Higher proximal peak velocities and lower flow volumes were found for biological valves. The mock circulatory loop in combination with modern radiological imaging provides a sufficient basis for the hemodynamic comparison of aortic valves.

TCT-375 The Role of Endothelial Shear Stress and Shear Stress Gradient in the Development and Disruption of Coronary Calcified Nodules

TCT-375 The Role of Endothelial Shear Stress and Shear Stress Gradient in the Development and Disruption of Coronary Calcified Nodules

Spatial patterns of high-risk biomechanical metrics in plaques with abnormal vs. normal physiological flow indices

BackgroundPlaques associated with abnormally low physiological flow reserve indices are appropriate for percutaneous coronary intervention (PCI). However, recent trials demonstrate that PCI of ischemia-producing lesions does not reduce major adverse cardiac events (MACE). Low endothelial shear stress (ESS) or high ESS gradient (ESSG) are associated with MACE wherever they occur along the plaque. This study aims to determine the presence of high-risk ESS metrics in obstructive coronary plaques with high-risk (<0.80) vs. borderline-risk (0.80–0.89) vs. normal Instantaneous Wave-free Ratio (iFR) (>0.89). MethodsWe included 50 coronary arteries (50 patients) with variable iFR values who underwent coronary angiography and optical coherence tomography (OCT), followed by 3D reconstruction and computational fluid dynamics calculations of ESS/ESSG. The cohort was divided into 3 groups: iFR < 0.80, iFR 0.80–0.89, and iFR > 0.89. Spatial distribution of ESS metrics was reported along the course of each plaque, and high-risk ESS metrics and their location were compared among the 3 iFR subgroups. ResultsHigh-risk ESS features (Minimal ESS, Maximum ESSG) were similarly distributed along the course of the atherosclerotic plaque in the three iFR subgroups, both in absolute value and in location: Min ESS: 0.5 ± 0.3 vs. 0.4 ± 0.2 vs. 0.4 ± 0.2 Pa respectively (p = 0.60); Max ESSG any direction: 13.7 ± 9.4 vs. 10.4 ± 10.6 vs. 10.0 ± 7.8 Pa/mm respectively (p = 0.30). ESS metrics were spatially located up to ≥18 mm from the plaque minimal luminal area (MLA) in both directions. ConclusionHigh-risk ESS metrics are similarly observed in plaques with normal or abnormal iFR, both in absolute value and spatial location in reference to the MLA. Utilizing iFR to identify plaques likely to cause MACE would miss the majority of plaques mechanistically at high-risk to destabilize and cause future adverse cardiac events.

Use microfluidics to study cell migration in response to fluid shear stress gradients

Cells respond not only to biological regulatory factors but also to physical stimuli such as electric fields, light, and shear stress in their environment. These stimuli can lead to cell migration and morphological changes. In the human body, cells encounter fluid shear stress induced by interstitial flow, lymphatic flow, blood flow, or organ-specific conditions within their micro-environments. Therefore, fluid shear stress, a classic mechanical force, has gained significant attention in wound healing and cancer metastasis. In this study, a microfluidic chip was developed to both culture cells and generate a shear stress gradient to direct cell migration. The design of this device’s geometry allows the generation of a shear stress gradient perpendicular to the direction of medium flow. This greatly eliminates the influence of flow-induced cell responses. Using mouse fibroblast cells (NIH3T3) and human lung cancer cells (CL1-5) as models, their migration directionality, migration rates, and alignment in response to the shear stress gradient were investigated. Within the stress range of 0.095–0.155 Pa and a gradient of 0.015 Pa/mm, NIH3T3 cells did not exhibit significant directional migration, differences in migration rates, or specific alignment patterns. In contrast, CL1-5 cells preferred higher shear stress environments and alignment parallel to the medium flow, suggesting that these conditions could induce higher mobility in these cancer cells.

Prediction of cutting forces, damage locations and machined surface integrity in machining of circular-cell honeycomb composites: Simulations, parametric effects and experimental validations

The machining of honeycomb cores presents challenges due to exerted unbalanced cutting forces from discontinuous hexagonal structures, where severe tool wear and cracking on the machined surface occurs. In this study, the established cutting force models consider alterations of the wall thickness and immersion angles when mono-oblique and duplex-oblique cutting tools are engaged. The maximum cutting forces and the produced damages compared to the tool positions are analytically simulated and validated. The increased cutting temperatures and the shear stress gradients with respect to cutting speeds and feed rates were analysed after fitting them with the experimental results. Moreover, the vibration-induced cutting-edge-rounding and fracturing on the machined surface were identified. In the validation experiments, a wide range of cutting speeds (100–300 m/min) and feed rates (0.2–1.0 mm/rev) were operated for practical utilities. It was proven that the highest cutting forces (∼26.59 N) took place at the entry node of the hexagonal cell; whilst the cutting forces’ fluctuations (±20.35 N) under high frequency (∼2.5 kHz) and high intensity (∼ 8290 dB) could result in cutting-edge rounding from tool wear. The damage locations on the machined surfaces, as well as the corresponding fracturing mechanisms of fibres incubating the in-plane and out-of-plane cracks were verified and discussed.

Can β-blockers prevent intracranial aneurysm rupture? - insights from Computational Fluid Dynamics analysis.

Hypertension is a risk factor for intracranial aneurysm rupture. We analyzed whether the intake of drugs from specific classes of anti-hypertensive medications affects hemodynamic parameters of intracranial aneurysm dome. We recorded medical history including medications and the in-hospital blood pressure values. We then obtained 3D reconstruction of each patients' aneurysm dome and the feeding artery. Using OpenFOAM software we performed Computational Fluid Dynamics analysis of blood flow through the modeled structures. Blood was modeled as Newtonian fluid, using the incompressible transient solver. As the inlet boundary condition we used the patient-specific Internal Carotid Artery blood velocity waves obtained with Doppler ultrasound. We calculated haemodynamic parameters of the aneurysm dome. All presented analyses are cross-sectional.We included 72 patients with a total of 91 unruptured intracranial aneurysms. The history of β-blocker intake significantly influenced hemodynamic parameters of aneurysm dome. The patients on β-blockers had significantly smaller aneurysm domes (5.09 ± 2.11 mm vs. 7.41 ± 5.89 mm; p = 0.03) and did not have aneurysms larger than 10 mm (0% vs 17.0%; p = 0.01). In the Computational Fluid Dynamics analysis, walls of aneurysms in patients who took β-blockers were characterized by lower Wall Shear Stress Gradient (1.67 ± 1.85 Pa vs. 4.3 ± 6.06 Pa; p = 0.03), Oscillatory Shear Index (0.03 ± 0.02 vs. 0.07 ± 0.10; p = 0.04) and Surface Vortex Fraction (16.2% ± 5.2% vs. 20.0% ± 6.8%; p<0.01). After controlling for covariates, we demonstrated difference of Surface Vortex Fraction (F[1, 48] = 4.36; p = 0.04) and Oscillatory Shear Index (F[1, 48] = 6.51; p = 0.01) between patients taking and not taking β-blockers, respectively. Intake of β-blockers might contribute to more favorable hemodynamics inside aneurysmal sac. Other antihypertensive medication classes were not associated with differences in intracranial aneurysm parameters.

Numerical investigation on flow-induced wall shear stress variation of metastatic cancer cells in lymphatics with elastic valves

Hematogenous metastasis occurs when cancer cells detach from the extracellular matrix in the primary tumor into the bloodstream or lymphatic system. Elucidating the response of metastatic tumor cells in suspension to the flow conditions in lymphatics with valves from a mechanical/fluidic perspective is necessary. A physiologically relevant computational model of a lymphatic vessel with valves was constructed using fully coupled fluid–cell–vessel interactions to investigate the effects of lymphatic vessel contractility, valve properties, and cell size and stiffness on the variations in magnitude and gradient of the flow-induced wall shear stress (WSS) experienced by suspended tumor cells. Results indicated that the maximum WSSmax increased with the increments in cell diameter, vessel contraction amplitude, and valve stiffness. The decrease in vessel contraction period and valve aspect ratio also increased the maximum WSSmax. The influence of the properties of the valve on the WSS was more significant among the factors mentioned above. The maximum WSSmax acting on the cancer cell when the cell reversed the direction of its motion in the valve region increased by 0.5–1.4 times that before the cell entered the valve region. The maximum change in WSS was in the range of 0.004–0.028 Pa/µm depending on the factors studied. They slightly exceeded the values associated with breast cancer cell apoptosis. The results of this study provide biofluid mechanics-based support for mechanobiological research on the metastasis of metastatic cancer cells in suspension within the lymphatics.

Fluid-Dynamic Modeling of Flow in Embryonic Tissue Indicates That Lymphatic Valve Location Is Not Consistently Determined by the Local Fluid Shear or Its Gradient.

Intravascular lymphatic valves often occur in proximity to vessel junctions. It is commonly held that disturbed flow at junctions is responsible for accumulation of valve-forming cells (VFCs) at these locations as the initial step in valve creation, and the one which explains the association with these sites. However, evidence in favor is largely limited to cell culture experiments. We acquired images of embryonic lymphatic vascular networks from day E16.5, when VFC accumulation has started but the developing valve has not yet altered the local vessel geometry, stained for Prox1, which co-localizes with Foxc2. Using finite-element computational fluid mechanics, we simulated the flow through the networks, under conditions appropriate to this early development stage. Then we correlated the Prox1 distributions with the distributions of simulated fluid shear and shear stress gradient. Across a total of 16 image sets, no consistent correlation was found between Prox1 distribution and the local magnitude of fluid shear, or its positive or negative gradient. This, the first direct semi-empirical test of the localization hypothesis to interrogate the tissue from invivo at the critical moment of development, does not support the idea that a feature of the local flow determines valve localization.

Comparative analysis of mechanical wall shear stress and hemodynamics to study the influence of asymmetry in abdominal aortic aneurysm and descending thoracic aortic aneurysm

An aneurysm's rupture is commonly associated with its maximum diameter, yet biomechanical studies emphasize the significant influence of mechanical wall shear stress (WSS) in this process. This study focuses on two models of aortic aneurysms: abdominal aortic aneurysm and descending thoracic aortic aneurysm. Five cases, comprising two for model 1 and three for model 2, are examined to explore both axisymmetric and asymmetric shapes, as patient geometry may manifest as either fusiform (axisymmetric) or saccular (asymmetric), while maintaining a consistent aneurysm diameter and adjusting the bulge shape factor to induce asymmetry. Hemodynamic factors, including WSS and wall shear stress gradient, are computed to evaluate thrombus formation and rupture risk within the aneurysms. Our results indicate the presence of recirculation zones in both the medial and transverse planes, generating vortices within the aneurysm. These vortices are more prominent in asymmetric cases compared to axisymmetric cases, leading to increased blood residence time within the aneurysm and a higher likelihood of thrombus formation. Thrombus formation can further impede blood flow, heightening the risk of embolism or ischemic events. Rupture occurs when the WSS surpasses tissue strength; thus, if the tissue strength of all aneurysms is same, our findings suggest that rupture risk varies according to asymmetry. In the transverse direction, our results demonstrate that in model 1, case 1 exhibits uniform WSS on both sides, while in case 2, WSS is higher at the posterior sides of the aneurysm sac. Conversely, in model 2, WSS is higher at the anterior side of the aneurysm. In the medial direction of the aneurysm, WSS is highest for case 5, followed by case 3, case 4, case 2, and case 1, respectively, indicating elevated WSS when the anterior bulge dominates over the posterior bulge for each model. Overall, a higher rupture risk is observed in model 2 compared to model 1 due to increased mechanical stresses.

Role of minimization entropy generation and heat transfer on the nanofluid peristaltic flow via Reiner-Philippoff model

The primary objective of this study is to explore the effects of minimizing entropy generation in the context of peristaltic flow within an asymmetric tapered channel, using Buongiorno’s nanofluid model to account for pseudoplastic and dilatant behaviors of the nanofluid. To accurately represent the non-Newtonian characteristics of the fluid, we employ the Reiner-Philippoff (RPh) fluid model, known for its intricate nature among non-Newtonian models. In the RPh model, the relationship between shear stress and velocity gradient is nonlinear, and it also accounts for the implicit coupling between stress and deformation rate, presenting a formidable challenge. Our investigation incorporates the effects of thermophoresis motion, the viscosity parameter of the RPh fluid, and Brownian motion into the governing equations. We simplify these equations under the assumptions of low Reynolds numbers and long wavelengths. Subsequently, we numerically solve the resulting nonlinear equations. We thoroughly discuss the significant impact of RPh nanofluid parameters on entropy generation and the Bejan number by presenting graphical representations. Notably, we observe that the fluid transitions from a dilatant behavior to Newtonian behavior and from Newtonian behavior to pseudoplastic behavior as we vary the RPh fluid parameter. Furthermore, we briefly address the influence of thermophoretic diffusion, the Brinkman number, the RPh fluid parameter, Prandtl number, and Brownian motion parameters on entropy production and the Bejan number. It is experimented that the entropy generation is less for dilatants fluid and higher for pseudoplastic fluids. We can also notice that the entropy generation significantly increases by Brinkman number Br for both types of fluid. We also provide a mathematical and graphical examination of the effects of all these significant parameters.

Disturbed fluid flow reinforces endothelial tractions and intercellular stresses

Disturbed fluid flow is well understood to have significant ramifications on endothelial function, but the impact disturbed flow has on endothelial biomechanics is not well understood. In this study, we measured tractions, intercellular stresses, and cell velocity of endothelial cells exposed to disturbed flow using a custom-fabricated flow chamber. Our flow chamber exposed cells to disturbed fluid flow within the following spatial zones: zone 1 (inlet; length 0.676–2.027 cm): 0.0037 ± 0.0001 Pa; zone 2 (middle; length 2.027–3.716 cm): 0.0059 ± 0.0005 Pa; and zone 3 (outlet; length 3.716–5.405 cm): 0.0051 ± 0.0025 Pa. Tractions and intercellular stresses were observed to be highest in the middle of the chamber (zone 2) and lowest at the chamber outlet (zone 3), while cell velocity was highest near the chamber inlet (zone 1), and lowest near the middle of the chamber (zone 2). Our findings suggest endothelial biomechanical response to disturbed fluid flow to be dependent on not only shear stress magnitude, but the spatial shear stress gradient as well. We believe our results will be useful to a host of fields including endothelial cell biology, the cardiovascular field, and cellular biomechanics in general.

A parametric study of the effect of 3D plaque shape on local hemodynamics and implications for plaque instability

The vast majority of heart attacks occur when vulnerable plaques rupture, releasing their lipid content into the blood stream leading to thrombus formation and blockage of a coronary artery. Detection of these unstable plaques before they rupture remains a challenge. Hemodynamic features including wall shear stress (WSS) and wall shear stress gradient (WSSG) near the vulnerable plaque and local inflammation are known to affect plaque instability. In this work, a computational workflow has been developed to enable a comprehensive parametric study detailing the effects of 3D plaque shape on local hemodynamics and their implications for plaque instability. Parameterized geometric 3D plaque models are created within a patient-specific coronary artery tree using a NURBS (non-uniform rational B-splines)-based vascular modeling pipeline. Realistic blood flow features are simulated by using a Navier–Stokes solver within an isogeometric finite-element analysis framework. Near wall hemodynamic quantities such as WSS and WSSG are quantified, and vascular distribution of an inflammatory marker (VCAM-1) is estimated. Results show that proximally skewed eccentric plaques have the most vulnerable combination of high WSS and high positive spatial WSSG, and the presence of multiple lesions increases risk of rupture. The computational tool developed in this work, in conjunction with clinical data, -could help identify surrogate markers of plaque instability, potentially leading to a noninvasive clinical procedure for the detection of vulnerable plaques before rupture.

Vertical structure of flows on a shallow reef flat: A coral reef surf zone

We present a 1D model of the vertical structure of wave-driven flows on a shallow coral reef and compare that model to observations made on the reef flat on Ofu, American Samoa. This model is based on longstanding approaches to modeling flow structure in beach surf zones including the averaged effects of breaking and broken surface waves. Waves enter the model through an imbalance between the radiation stress and barotropic pressure gradients that exists below the troughs of the waves, which is offset by turbulent shear stress gradients. Assuming that the depth varying eddy viscosity takes the form found in open channel flows, i.e., a parabola, the horizontal momentum equation can be integrated twice with respect to height to derive the distribution with height of the velocity. The resulting theory is compared to observations made on a reef flat located on Ofu, American Samoa. Using a velocity scale in the eddy viscosity model that is proportional to the rms wave velocity, modeled profiles match observations reasonably well (average skill= 0.66), although there is some ambiguity introduced because matching observations and theory requires the addition of a correction that is found to depend on the square of the rms wave height.

Low yield stress measurements with a microfluidic rheometer.

Yield stress, τy, is a key rheological property of complex materials such as gels, dense suspensions, and dense emulsions. While there is a range of established techniques to measure τy in the order of tens to thousands of pascals, the measurement of low τy, specifically below 1 Pa, remains underexplored. In this article, we present the measurement of low apparent τy using a Hele-Shaw microfluidic extensional flow device (MEFD). Using the MEFD, we observe a gradient in shear stress, τ, such that τ is lower near the center or stagnation point, and higher away from the stagnation point. For a yield stress fluid, we observe that, below a certain flow rate, τ exceeds τy only in the outer region, leading to stagnation or unyielding of the fluid in the inner region. We use scaling analysis based on a Hele-Shaw linear extensional flow to deduce τy by measuring the size of the unyielded region, S. We validate this scaling relationship using Carbopol solutions with concentrations ranging between 0.015 to 0.3%, measuring τy as low as ∼10 mPa to ∼1 Pa, and comparing it with τy measured using a standard rheometer. While the experimental lower limit of our technique is 5 mPa, modifying the geometry or improving the image analysis can reduce this limit to the order of 10-4 Pa. The MEFD facilitates rapid measurement of τy, allowing for its real-time assessment. We further report τy of human blood samples between 30 to 80 mPa with their hematocrit ranging between 14 to 63%. Additionally, we determine τy for a mucus simulant (∼0.7 Pa), and lactic drink (∼7 mPa) to demonstrate the versatility of the MEFD technique.

A self-assembly and cellular migration based fabrication of high-density 3D tubular constructs of barrier forming membranes.

Three-dimensional (3D) in vitro models, superior in simulating physiological conditions compared to 2D models, offer intricate cell-cell and cell-ECM interactions with diverse signaling cues like fluid shear stress and growth factor gradients. Yet, developing 3D tissue barrier models, specifically perfusable luminal structures with dense, multicellular constructs maintained for extended durations with oxygen and nutrients, remains a technical challenge. Here, we describe a molding-based approach for the fabrication of free-standing, perfusable, high cellular density tissue constructs using a self-assembly and migration process to form functional barriers. This technique utilizes a polytetrafluoroethylene (PTFE)-coated stainless-steel wire, held by stainless steel needles, as a template for a perfusable channel within an elongated PDMS well. Upon adding a bio-ink mix of cells and collagen, it self-assembles into a high cell density layer conformally around the wire. Removing the wire reveals a hollow construct, connectable to an inlet and outlet for perfusion. This scalable method allows creating varied dimensions and multicellular configurations. Notably, post-assembly, cells such as human umbilical vein endothelial cells (HUVECs) migrate to the surface and form functional barriers with adherens junctions. Permeability tests and fluorescence imaging confirm that these constructs closely mimic in vivo endothelial barrier permeability, exhibiting the lowest permeability among all in vitro models in the literature. Unlike traditional methods involving uneven post-seeding of endothelial cells leading to subpar barriers, our approach is a straightforward alternative for fabricating complex perfusable 3D tissue constructs and effective tissue barriers for use in various applications, including tissue engineering, drug screening, and disease modeling.

Standardized viscosity as a source of error in computational fluid dynamic simulations of cerebral aneurysms.

Computational fluid dynamics (CFD) simulations are a powerful tool for studying cerebral aneurysms, capable of evaluating hemodynamics in a way that is infeasible with imaging alone. However, the difficulty of incorporating patient-specific information and inherent obstacles of in vivo validation have limited the clinical usefulness of CFD of cerebral aneurysms. In this work we investigate the effect of using standardized blood viscosity values in CFD simulations of cerebral aneurysms when compared to simulations of the same aneurysms using patient-specific viscosity values derived from hematocrit measurements. The objective of this work is to determine the level of error, on average, that is, caused by using standardized values of viscosity in CFD simulations of cerebral aneurysms. By quantifying this error, we demonstrate the need for incorporating patient-specific viscosity in future CFD investigations of cerebral aneurysms. CFD simulations of forty-one cerebral aneurysms were conducted using patient-specific boundary conditions. For each aneurysm two simulations were conducted, one utilizing patient-specific blood viscosity derived from hematocrit measurements and another using a standardized value for blood viscosity. Hemodynamic parameters such as wall shear stress (WSS), wall shear stress gradient (WSSG), and the oscillatory shear index (OSI) were calculated for each of the simulations for each aneurysm. Paired t-tests for differences in the time-averaged maps of these hemodynamic parameters between standardized and patient-specific viscosity simulations were conducted for each aneurysm. Bland-Altman analysis was used to examine the cohort-wide changes in the hemodynamic parameters. Subjects were broken into two groups, those with higher than standard viscosity and those with lower than standard viscosity. An unpaired t-test was used to compare the percent change in WSS, WSSG, and OSI between patient-specific and standardized viscosity simulations for the two cohorts. The percent changes in hemodynamic parameters were correlated against the direction and magnitude of percent change in viscosity, aneurysm size, and aneurysm location. For all t-tests, a Bonferroni-corrected significance level of 0.0167 was used. 63.2%, 41.5%, and 48.7% of aneurysms showed statistically significant differences between patient-specific and standardized viscosity simulations for WSS, WSSG, and OSI respectively. No statistically significant difference was found in the percent changes in WSS, WSSG, and OSI between the group with higher than standard viscosity and those with lower than standard viscosity, indicating an increase in viscosity can cause either an increase or decrease in each of the hemodynamic parameters. On a study-wide level no significant bias was found in either direction for WSS, WSSG, or OSI between the simulation groups due to the bidirectional effect of changing viscosity. No correlation was found between percent change of viscosity and percent change of WSS, WSSG, or OSI, meaning an after-the-fact correction for patient-specific viscosity is not feasible. Standardizing viscosity values in CFD of cerebral aneurysms has a large and unpredictable impact on the calculated WSS, WSSG, and OSI when compared to CFD simulations of the same aneurysms using a patient-specific viscosity. We recommend implementing hematocrit-based patient-specific blood viscosity values for all CFD simulations of cerebral aneurysms.

Multi-effect analysis of nanofluid flow in stenosed arteries with variable pressure gradient: analytical study

This study advances the understanding of nanofluid behaviour within stenosed arteries, highlighting the importance of considering multifaceted effects in the modelling process. It investigates the combined impact of pressure gradient variation, heat transfer, chemical reactions, and magnetic field effects on nano-blood flow in stenosed arteries. Unlike previous studies that made the assumption that the pulsatile pressure gradient remains constant during channel narrowing, this novel investigation introduces a variable pressure gradient. This, in turn, significantly impacts several associated parameters. The mathematical model describing nano-blood flow in a horizontally stenosed artery is solved using perturbation techniques. Analytical solutions for key variables, including velocity, temperature, concentration, wall shear stress, flow rate, and pressure gradient, are visually presented for various physical parameter values.

Flow and thermal behavior of solar air heater with grooved roughness

A simple and eco-friendly solar air heater (SAH) converts renewable solar energy into useful thermal energy. The implementation of roughness on the absorber plate of a solar air heater improves its air heating capability. The hot air thus produced is used in different applications such as agricultural, dairy, food processing, and cement industries. Towards that, a 2D numerical study is carried out with rectangular groove as a roughness with the RNG k−Ɛ turbulent model. The study has been carried out to find a SAH with higher performance. Two thermodynamic models are adopted to identify and qualify the best channel. The performance of the best SAH channel has been identified by the highest thermal enhancement factor (TEF) and to increase the exergetic ratio (Ɛth). A detailed study of introducing rectangular groove on heat transfer, pressure drop, thermal enhancement factor (TEF) and exergetic ratio (Ɛth) is conducted, by varying the geometrical parameters of rectangular grooves in the range of Re from 7000 to 17000. Geometrical parameters such as relative length (α), relative pitch (β) and relative height (λ) are varied in the range of 0.0067–0.040, 0.0333 to 0.10, and 0.1 to 0.5, respectively, to optimize the performance of the SAH. Higher exergetic ratio is found around the same parametric values where we get the highest TEF value. The maximum TEF is found around 1.455 at α = 0.020, β = 0.0667, and λ = 0.30 at Re of 17000 and the corresponding exergetic ratio is found around 0.9949. The length of the groove is found to augment both heat transfer and pressure drop of the solar air heater due to increased disruption of thermal and hydrodynamic boundary layers. Rate of augmentation of heat transfer decreases in case of α≥ 0.0333 due to formation of an additional stagnant zone inside the groove. The flow and thermal analysis shows that although local heat transfer within the rectangular groove is less, the rectangular groove improves the channel's overall heat transfer. Convective heat transfer coefficient is found relatively higher where there is a change in shear stress gradient.

Numerical investigation of unruptured middle cerebral artery bifurcation aneurysms: influence of aspect ratio

An aneurysm is a disease condition, which is due to the pathological weakening of an arterial wall. These aneurysms are often found in various branch points and bifurcations of an artery in the cerebral circulation. Most aneurysms come to medical attention, either due to brain hemorrhages caused by rupture or found unruptured. To consider surgically invasive treatment modalities, clinicians need scientific methods such as, hemodynamic analysis to assess rupture risk. The arterial wall loses its structural integrity when wall shear stress (WSS) and other hemodynamic parameters exceed a certain threshold. In the present study, numerical simulations are carried out for unruptured middle cerebral artery (MCA) aneurysms. Three distinct representative sizes are chosen from a larger patient pool of 26 MCA aneurysms. Logically, these aneurysms represent three growth stages of any patient with similar anatomical structure. Simulations are performed to compare the three growth phases (with different aspect ratios) of an aneurysm and correlate their hemodynamic parameters. Simulations with patient specific boundary conditions reveal that, aneurysms with a higher aspect ratio (AR) correspond to an attendant decrease in both time-averaged wall shear stress (TAWSS) and spatial wall shear stress gradients (WSSG). Smaller MCAs were observed to have higher positive wall shear stress divergence (WSSD), exemplifying the tensile nature of arterial wall stretching. Present study identifies positive wall shear stress divergence (PWSSD) to be a potential biomarker for evaluating the growth of an aneurysm.