Modeling the hepatic arterial flow in living liver donor after left hepatectomy and postoperative boundary condition exploration.

Preoperative and postoperative hepatic perfusion is modeled with one-dimensional (1-D) Navier-Stokes equations. Flow rates obtained from ultrasound (US) data and impedance resulted from structured trees are the inflow and outflow boundary condition (BC), respectively. Structured trees terminate at the size of the arterioles, which can enlarge their size after hepatectomy. In clinical studies, the resistance to pulsatile arterial flow caused by the microvascular bed can be reflected by the resistive index (RI), a frequently used index in assessing arterial resistance. This study uses the RI in a novel manner to conveniently obtain the postoperative outflow impedance from the preoperative impedance. The major emphasis of this study is to devise a model to capture the postoperative hepatic hemodynamics after left hepatectomy. To study this, we build a hepatic network model and analyze its behavior under four different outflow impedance: (a) the same as preoperative impedance; (b) evaluated using the RI and preoperative impedance; (c) computed from structured tree BC with increased radius of terminal vessels; and (d) evaluated using structured tree with both increased radius of root vessel, ie, the outlets of the postoperative hepatic artery, and increased radius of terminal vessels. Our results show that both impedance from (b) and (d) give a physiologically reasonable postoperative hepatic pressure range, while the RI in (b) allows for a fast approximation of postoperative impedance. Since hemodynamics after hepatectomy are not fully understood, the methods used in this study to explore postoperative outflow BC are informative for future models exploring hemodynamic effects of partial hepatectomy.

Anatomically based simulation of hepatic perfusion in the human liver.

Liver structures of a healthy subject are digitised and segmented from computed tomography (CT) images, and hepatic perfusion is modelled in the hepatic artery and portal vein of the healthy subject with structured tree-based outflow boundary conditions. This self-similar structured tree is widely used in the literature, eg, blood flow simulation in larger systemic arteries and cerebral circulation, and is used in this study to model the effect of the smaller hepatic arteries and arterioles, as well as the smaller hepatic portal veins and portal venules. Physiologically reasonable results are obtained. Since the structured tree terminates at the size of the microvasculature system in liver lobules, the structured tree boundary condition will enable the proposed organ-level model of hepatic arterial flow to be easily connected to tissue-level models of liver lobules. Blood flow in the hepatic vein is also modelled in this subject with three-element Windkessel model as outflow boundary conditions. The benefit of integrating the perfusion in all hepatic vascular vessels is that it helps us analyse some complicated clinical phenomenon more efficiently, eg, one possible application is to obtain the portal pressure gradient (PPG) to help examine the reliability of hepatic venous pressure gradient (HVPG) as an indirect measure of portal pressure. Moreover, since four to six generations of hepatic vessels, which are sufficient for liver classification analysis, were employed in the model, this study is setting the computational foundation of a potentially handy surgical tool.

Predicting ocean rogue waves from point measurements: An experimental study for unidirectional waves.

Rogue waves are strong localizations of the wave field that can develop in different branches of physics and engineering, such as water or electromagnetic waves. Here, we experimentally quantify the prediction potentials of a comprehensive rogue-wave reduced-order precursor tool that has been recently developed to predict extreme events due to spatially localized modulation instability. The laboratory tests have been conducted in two different water wave facilities and they involve unidirectional water waves; in both cases we show that the deterministic and spontaneous emergence of extreme events is well predicted through the reported scheme. Due to the interdisciplinary character of the approach, similar studies may be motivated in other nonlinear dispersive media, such as nonlinear optics, plasma, and solids, governed by similar equations, allowing the early stage of extreme wave detection.

Unsteady evolution of localized unidirectional deep-water wave groups.

We study the evolution of localized wave groups in unidirectional water wave envelope equations [the nonlinear Schrödinger (NLSE) and the modified NLSE (MNLSE)]. These localizations of energy can lead to disastrous extreme responses (rogue waves). We analytically quantify the role of such spatial localization, introducing a technique to reduce the underlying partial differential equation dynamics to a simple ordinary differential equation for the wave packet amplitude. We use this reduced model to show how the scale-invariant symmetries of the NLSE break down when the additional terms in the MNLSE are included, inducing a critical scale for the occurrence of extreme waves.

Impedance boundary conditions for general transient hemodynamics.

We discuss the implementation and calibration of a new generalized structured tree boundary condition for hemodynamics. The main idea is to approximate the impedance corresponding to the vessels downstream from a specific outlet. Unlike previous impedance conditions, the one considered here is applicable to general transient flows as opposed to periodic ones only. The physiological character of the approach significantly simplifies calibration. We also describe a novel way to incorporate autoregulation mechanisms in structured arterial trees at minimal computational cost. The strength of the approach is illustrated and validated on several examples through comparison with clinical data.