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1.
Soft Matter ; 20(26): 5183-5194, 2024 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-38895807

RESUMO

In this paper, we present a numerical model that can describe the pore formation/cavitation in viscoelastic food materials during drying. The food material has been idealized as a spherical object, with a core/shell structure and a central gas-filled cavity. The shell represents a skin as present in fruits/vegetables, having a higher elastic modulus than the tissue, which we approximate as a hydrogel. The gas-filled pore is in equilibrium with the core hydrogel material, and it represents pores in food tissues as present in intercellular junctions. The presence of a rigid skin is a known prerequisite for cavitation (inflation of the pore) during drying. For modeling, we follow the framework of Suo and coworkers, describing the inhomogeneous large deformation of soft materials like hydrogels - where stresses couple back to moisture transport. In this paper, we have extended such models with energy transport and viscoelasticity, as foods are viscoelastic materials, which are commonly heated during their drying. To approach the realistic properties of food materials we have made viscoelastic relaxation times a function of Tg/T, the ratio of (moisture dependent) glass transition temperature and actual product temperature. We clearly show that pore inflation only occurs if the skin gets into a glassy state, as has been observed during the (spray) drying of droplets of soft materials like foods.

2.
Exp Physiol ; 104(11): 1688-1700, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31424582

RESUMO

NEW FINDINGS: What is the central question of this study? Can impaired deformational indicators for genotype positive for hypertrophic cardiomyopathy in subjects that do not exhibit a left-ventricular wall hypertrophy condition (G+LVH-) be determined using non-invasive 3D echocardiography? What is the main finding and its importance? Using 3D-STE and modern shape analysis, peculiar deformational impairments can be detected in G+LVH- subjects that can be classified with good accuracy. Moreover, the patterns of impairment are located mainly on the apical region in agreement with other evidence coming from previous biomechanical investigations. ABSTRACT: We propose a non-invasive procedure for predicting genotype positive for hypertrophic cardiomyopathy (HCM) in subjects that do not exhibit a left-ventricular wall hypertrophy condition (G+LVH-); the procedure is based on the enhanced analysis of medical imaging from 3D speckle tracking echocardiography (3D-STE). 3D-STE, due to its low quality images, has not been used so far to detect effectively the G+LVH- condition. Here, we post-processed echocardiographic images exploiting the tools of modern shape analysis, and we studied the motion of the left ventricle (LV) during an entire cycle. We enrolled 82 controls, 21 HCM patients and 11 G+LVH- subjects. We followed two steps: (i) we selected the most impaired regions of the LV by analysing its strains; and (ii) we used shape analysis on these regions to classify the subjects. The G+LVH- subjects showed different trajectories and deformational attributes. We found high classification performance in terms of area under the receiver operating characteristic curve (∼90), sensitivity (∼78) and specificity (∼79). Our results showed that (i) G+LVH- subjects present important deformational impairments relative to healthy controls and (ii) modern shape analysis can efficiently predict genotype by means of a non-invasive and inexpensive technique such as 3D-STE.


Assuntos
Cardiomiopatia Hipertrófica/fisiopatologia , Adulto , Ecocardiografia/métodos , Feminino , Genótipo , Ventrículos do Coração/fisiopatologia , Humanos , Hipertrofia Ventricular Esquerda/fisiopatologia , Masculino , Pessoa de Meia-Idade , Fenótipo , Curva ROC , Disfunção Ventricular Esquerda/fisiopatologia
3.
J Theor Biol ; 467: 23-30, 2019 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-30716332

RESUMO

The controversy between passive and active ventricular filling has been debated for decades and the question about the existence of an active diastole remains open. In this work, we advocate the model of active diastole by considering the heart as a suction pump and we add some more clues to support this point of view by the analysis of the pressure-volume (PV) loops of the left heart, comprising of the left ventricle (LV) and atrium (LA). Our working hypothesis is based on the dichotomy motor-brake: the cardiac muscle can act as a motor, when shortening against a load, or as a brake, when lengthening to a load. We discuss our hypothesis by means of a lumped model of the left heart, where both chambers are considered as hollow spherical shells. The notion of active stretch, introduced to describe the contractile behavior of the muscle fibers, plays a major role in our model. Then, the contraction of the muscle is related to the pressure and volume of the chamber through a nonlinear hyperelastic energy density function. Despite its simplicity, the model enlightens some important features of the LV-LA coupling and of the pumping function of the heart. Based on experimental PV data of the left heart of a normal human subject, it is shown that the contraction patterns of the LV and LA are synchronized with each other and have distinguishing features in each phase of the cardiac cycle. These results highlight the interplay between the two chambers and support the idea that the heart may act as a suction pump functioning in turn as a motor or a brake in order to meet specific demands in each phase of the cardiac cycle.


Assuntos
Coração/fisiologia , Modelos Cardiovasculares , Função Atrial , Átrios do Coração , Ventrículos do Coração , Humanos , Função Ventricular
4.
Soft Matter ; 14(12): 2310-2321, 2018 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-29419843

RESUMO

We study the dynamics of the dehydration process of a hydrogel with a cavity filled with water. We identify two transient phases: the first one dominated by an inflatable-balloon deformation mode, and the second by a suction effect, determining highly not homogeneous deformation modes of the hydrogel walls. This last phase triggers negative pressures into the cavity up to the typical values of water cavitation. An analysis of the factors allowing cavitation pressure to form inside the cavity is proposed, to allow for precise tuning of the key geometrical and material parameters.

5.
J Theor Biol ; 409: 18-26, 2016 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-27552851

RESUMO

Our goal is to reproduce the key features of carangiform swimming by modeling muscle functioning using the notion of active distortions, thus emphasizing the kinematical role of muscle, the generation of movement, rather than the dynamical one, the production of force. This approach, already proposed to model the action of muscles in different contexts, is here tested again for the problem of developing an effective and reliable framework to model and simulate swimming. A proper undulatory movement of a fish-like body is reproduced by defining a pattern of distortions, tuned in both space and time, meant to model the muscles activation which produce the flexural motion of body fish; eventually, interactions with the surrounding water yields the desired thrust. Carangiform swimmers have a relatively inflexible anterior body section and a generally flat, flexible posterior section. Because of this configuration, undulations sent rearward along the body attain a significant amplitude only in the posterior section. We compare the performances of different swimming gaits, and we are able to find some important relations between key parameters such as frequencies, wavelength, tail amplitude, and the achieved swim velocity, or the generated thrust, which summarize the swimming performance. In particular, an interesting relation is found between the Strouhal number and the wavelength of muscles activation. We highlight the muscle function during fish locomotion describing the activation of muscles and the relation between the force production and the shortening-lengthening cycle of muscle. We found a great accordance between results and empirical relations, giving an implicit validation of our models.


Assuntos
Peixes/fisiologia , Modelos Biológicos , Músculo Esquelético/fisiologia , Natação/fisiologia , Animais
6.
Am Nat ; 186(2): 165-75, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26655146

RESUMO

Luxuriant, bushy antlers, bizarre crests, and huge, twisting horns and tusks are conventionally understood as products of sexual selection. This view stems from both direct observation and from the empirical finding that the size of these structures grows faster than body size (i.e., ornament size shows positive allometry). We contend that the familiar evolutionary increase in the complexity of ornaments over time in many animal clades is decoupled from ornament size evolution. Increased body size comes with extended growth. Since growth scales to the quarter power of body size, we predicted that ornament complexity should scale according to the quarter power law as well, irrespective of the role of sexual selection in the evolution and function of the ornament. To test this hypothesis, we selected three clades (ammonites, deer, and ceratopsian dinosaurs) whose species bore ornaments that differ in terms of the importance of sexual selection to their evolution. We found that the exponent of the regression of ornament complexity to body size is the same for the three groups and is statistically indistinguishable from 0.25. We suggest that the evolution of ornament complexity is a by-product of Cope's rule. We argue that although sexual selection may control size in most ornaments, it does not influence their shape.


Assuntos
Evolução Biológica , Seleção Genética , Caracteres Sexuais , Animais , Tamanho Corporal , Cefalópodes/anatomia & histologia , Cefalópodes/crescimento & desenvolvimento , Cervos/anatomia & histologia , Cervos/crescimento & desenvolvimento , Dinossauros/anatomia & histologia , Dinossauros/crescimento & desenvolvimento , Fósseis , Fractais , Filogenia
7.
J Anat ; 227(5): 631-46, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26467240

RESUMO

Ceratopsidae represents a group of quadrupedal herbivorous dinosaurs that inhabited western North America and eastern Asia during the Late Cretaceous. Although horns and frills of the cranium are highly variable across species, the lower jaw historically has been considered to be relatively conservative in morphology. Here, the lower jaws from 58 specimens representing 21 ceratopsoid taxa were sampled, using geometric morphometrics and 2D finite element analysis (FEA) to explore differences in morphology and mechanical performance across Ceratopsoidea (the clade including Ceratopsidae, Turanoceratops and Zuniceratops). Principal component analyses and non-parametric permuted manovas highlight Triceratopsini as a morphologically distinct clade within the sample. A relatively robust and elongate dentary, a larger and more elongated coronoid process, and a small and dorso-ventrally compressed angular characterize this clade, as well as the absolutely larger size. By contrast, non-triceratopsin chasmosaurines, Centrosaurini and Pachyrhinosaurini have similar morphologies to each other. Zuniceratops and Avaceratops are distinct from other taxa. No differences in size between Pachyrhinosaurini and Centrosaurini are recovered using non-parametric permuted anovas. Structural performance, as evaluated using a 2D FEA, is similar across all groups as measured by overall stress, with the exception of Triceratopsini. Shape, size and stress are phylogenetically constrained. A longer dentary as well as a long coronoid process result in a lower jaw that is reconstructed as relatively much more stressed in triceratopsins.


Assuntos
Dinossauros/anatomia & histologia , Mandíbula/anatomia & histologia , Pontos de Referência Anatômicos/anatomia & histologia , Animais , Fenômenos Biomecânicos/fisiologia , Dinossauros/fisiologia , Análise de Elementos Finitos , Fósseis , Herbivoria/fisiologia , Mandíbula/fisiologia , Filogenia , Análise de Componente Principal , Estresse Mecânico , Dente/anatomia & histologia
8.
Soft Matter ; 11(8): 1492-9, 2015 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-25579612

RESUMO

We describe the anisotropic swelling within the Flory-Rehner thermodynamic model through an extension of the elastic component of the free-energy, which takes into account the oriented hampering of the swelling-induced deformations due to the presence of stiffer fibers. We also characterize the homogeneous free-swelling solutions of the corresponding anisotropic stress-diffusion problem, and discuss an asymptotic approximation of the key equations, which allows us to explicitly derive the anisotropic solution of the problem. We propose a proof-of-concept of our model, realizing thin bilayered gel sheets with layers having different anisotropic structures. In particular, for seedpod-like sheets, we observe and quantitatively measure the helicoid versus ribbon transition determined by the aspect ratio of the composite sheet.


Assuntos
Géis/química , Anisotropia , Difusão , Modelos Químicos , Soluções/química , Termodinâmica
9.
Syst Biol ; 62(6): 878-900, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23925509

RESUMO

Cat-like carnivorous mammals represent a relatively homogeneous group of species whose morphology appears constrained by exclusive adaptations for meat eating. We present the most comprehensive data set of extant and extinct cat-like species to test for evolutionary transformations in size, shape and mechanical performance, that is, von Mises stress and surface traction, of the mandible. Size and shape were both quantified by means of geometric morphometrics, whereas mechanical performance was assessed applying finite element models to 2D geometry of the mandible. Additionally, we present the first almost complete composite phylogeny of cat-like carnivorans for which well-preserved mandibles are known, including representatives of 35 extant and 59 extinct species of Felidae, Nimravidae, and Barbourofelidae. This phylogeny was used to test morphological differentiation, allometry, and covariation of mandible parts within and among clades. After taking phylogeny into account, we found that both allometry and mechanical variables exhibit a significant impact on mandible shape. We also tested whether mechanical performance was linked to morphological integration. Mechanical stress at the coronoid process is higher in sabertoothed cats than in any other clade. This is strongly related to the high degree of covariation within modules of sabertooths mandibles. We found significant correlation between integration at the clade level and per-clade averaged stress values, on both original data and by partialling out interclade allometry from shapes when calculating integration. This suggests a strong interaction between natural selection and the evolution of developmental and functional modules at the clade level.


Assuntos
Felidae/anatomia & histologia , Mandíbula/anatomia & histologia , Filogenia , Animais , Carnivoridade/fisiologia , Gatos , Simulação por Computador , Modelos Lineares , Modelos Biológicos , Análise Multivariada , Software
10.
Phys Rev E ; 109(1-1): 014601, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38366464

RESUMO

Active gels play an important role in biology and in inspiring biomimetic active materials, due to their ability to change shape, size, and create their own morphology. We study a particular class of active gels, generated by polymerizing actin in the presence of cross-linkers and clusters of myosin as molecular motors, which exhibit large contractions. The relevant mechanics for these highly swollen gels is the result of the interplay between activity and liquid flow: gel activity yields a structural reorganization of the gel network and produces a flow of liquid that eventually exits from the gel boundary. This dynamics inherits lengthscales that are typical of the liquid flow processes. The analyses we present provide insights into the contraction dynamics, and they focus on the effects of the geometry on both gel velocity and fluid flow.

11.
Curr Res Food Sci ; 8: 100762, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38808328

RESUMO

In this paper, we describe a model for pore formation in food materials during drying. As a proxy for fruits and vegetables, we take a spherical hydrogel, with a stiff elastic skin, and a central cavity filled with air and water vapour. The model describes moisture transport coupled to large deformation mechanics. Both stress and chemical potential are derived from a free energy functional, following the framework developed by Suo and coworkers. We have compared Finite Volume and Finite Element implementations and analytical solutions with each other, and we show that they render similar solutions. The Finite Element solver has a larger range of numerical stability than the Finite Volume solver, and the analytical solution also has a limited range of validity. Since the Finite Element solver operates using the mathematically intricate weak form, we introduce the method in a tutorial manner for food scientists. Subsequently, we have explored the physics of the pore formation problem further with the Finite Element solver. We show that the presence of an elastic skin is a prerequisite for the growth of the central cavity. The elastic skin must have an elastic modulus of at least 10 times that of the hydrogel. An initial pore with 10% of the size of the gel can grow to 5 times its initial size. Such an increase in porosity has been reported in the literature on drying of vegetables, if a dense hard skin is formed, known as case hardening. We discuss that models as presented in this paper, where moisture transport is strongly coupled to large deformation mechanics, are required if one wants to describe pore/structure formation during drying and intensive heating (as baking and frying) of food materials from first principles.

12.
Phys Rev E ; 106(1-2): 015003, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35974526

RESUMO

We study the morphing of three-dimensional objects within the framework of nonlinear elasticity with large distortions. A distortion field induces a target metric, and the configuration which is effectively realized by a material body is the one that minimizes the distance, measured through the elastic energy, between the target metric and the actual one. Morphing through distortions might have a paramount feature: the resulting configurations might be stress-free; if this is the case, the distortions field is called compatible. We maintain that the morphing through compatible distortions is a key strategy exploited by many soft biological materials, which can exhibit very large shape-change in response to distortions controlled by stimuli such as chemicals or temperature changes, while keeping their stress state almost null. Thus, the study of compatible distortions, and of the related shape-changes, is quite important. Here, we show a blueprint for stress-free morphing based on the notions of metric tensor and of Riemann curvature which can be used to design large morphing of three-dimensional objects.

13.
J Cardiovasc Dev Dis ; 9(11)2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-36421928

RESUMO

The directions of primary strain lines of local deformation in Epicardial and Endocardial layers have been the subject of debate in recent years. Different methods led to different conclusions and a complete assessment of strain direction patterns in large and variable (in terms of pathology) cohorts of healthy and diseased patients is still lacking. Here, we use local deformation tensors in order to evaluate the angle of strain lines with respect to the horizontal circumferential direction in both Epi- and Endo-layers. We evaluated this on a large group of 193 subjects including 82 healthy control and 111 patients belonging to a great variety of pathological conditions. We found that Epicardial strain lines obliquely directed while those of Endocardium are almost circumferential. This result occurs irrespective of pathological condition. We propose that the geometric vinculum characterizing Endocardium and Epicardium in terms of different lever arm length and orientation of muscular fibers during contraction inescapably requires Endocardial strain lines to be circumferentially oriented and this is corroborated by experimental results. Further investigations on transmural structure of myocytes could couple results presented here in order to furnish additional experimental explanations.

14.
Int J Numer Method Biomed Eng ; 36(2): e3252, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31444852

RESUMO

In a previous contribution, a new Riemannian shape space, named TPS space, was introduced to perform statistics on shape data. This space was endowed with a Riemannian metric and a flat connection, with torsion, compatible with the given metric. This connection allows the definition of a Parallel Transport of the deformation compatible with the three-fold decomposition in spherical, deviatoric, and non-affine components. Such a parallel transport also conserves the Γ-energy, strictly related to the total elastic strain energy stored by the body in the original deformation. A new approach is here presented in order to calculate the bending energy on the body alone (body bending energy) and to restrict it exclusively within physical boundaries of objects involved in the deformation analysis. The novelty of this new procedure resides in the fact that we propose a new metric to be preserved during the TPS direct transport. This allows transporting the shape change more coherently with the mechanical meaning of the deformation. The geometry of the TPS space is then further discussed in order to better represent the relationship between the Γ-energy, the strain energy, and the so-called bending energy densities.


Assuntos
Diagnóstico por Imagem/métodos , Algoritmos , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos
15.
Med Image Anal ; 46: 35-56, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29502032

RESUMO

In landmarks-based Shape Analysis size is measured, in most cases, with Centroid Size. Changes in shape are decomposed in affine and non affine components. Furthermore the non affine component can be in turn decomposed in a series of local deformations (partial warps). If the extent of deformation between two shapes is small, the difference between Centroid Size and m-Volume increment is barely appreciable. In medical imaging applied to soft tissues bodies can undergo very large deformations, involving large changes in size. The cardiac example, analyzed in the present paper, shows changes in m-Volume that can reach the 60%. We show here that standard Geometric Morphometrics tools (landmarks, Thin Plate Spline, and related decomposition of the deformation) can be generalized to better describe the very large deformations of biological tissues, without losing a synthetic description. In particular, the classical decomposition of the space tangent to the shape space in affine and non affine components is enriched to include also the change in size, in order to give a complete description of the tangent space to the size-and-shape space. The proposed generalization is formulated by means of a new Riemannian metric describing the change in size as change in m-Volume rather than change in Centroid Size. This leads to a redefinition of some aspects of the Kendall's size-and-shape space without losing Kendall's original formulation. This new formulation is discussed by means of simulated examples using 2D and 3D platonic shapes as well as a real example from clinical 3D echocardiographic data. We demonstrate that our decomposition based approaches discriminate very effectively healthy subjects from patients affected by Hypertrophic Cardiomyopathy.


Assuntos
Cardiomiopatia Hipertrófica/diagnóstico por imagem , Ecocardiografia Tridimensional , Interpretação de Imagem Assistida por Computador/métodos , Pericárdio/diagnóstico por imagem , Algoritmos , Cardiomiopatia Hipertrófica/patologia , Estudos de Casos e Controles , Humanos , Aumento da Imagem/métodos , Pericárdio/patologia
16.
IEEE J Biomed Health Inform ; 22(2): 503-515, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-28103561

RESUMO

Statistical shape modeling is a powerful tool for visualizing and quantifying geometric and functional patterns of the heart. After myocardial infarction (MI), the left ventricle typically remodels in response to physiological challenges. Several methods have been proposed in the literature to describe statistical shape changes. Which method best characterizes left ventricular remodeling after MI is an open research question. A better descriptor of remodeling is expected to provide a more accurate evaluation of disease status in MI patients. We therefore designed a challenge to test shape characterization in MI given a set of three-dimensional left ventricular surface points. The training set comprised 100 MI patients, and 100 asymptomatic volunteers (AV). The challenge was initiated in 2015 at the Statistical Atlases and Computational Models of the Heart workshop, in conjunction with the MICCAI conference. The training set with labels was provided to participants, who were asked to submit the likelihood of MI from a different (validation) set of 200 cases (100 AV and 100 MI). Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve were used as the outcome measures. The goals of this challenge were to (1) establish a common dataset for evaluating statistical shape modeling algorithms in MI, and (2) test whether statistical shape modeling provides additional information characterizing MI patients over standard clinical measures. Eleven groups with a wide variety of classification and feature extraction approaches participated in this challenge. All methods achieved excellent classification results with accuracy ranges from 0.83 to 0.98. The areas under the receiver operating characteristic curves were all above 0.90. Four methods showed significantly higher performance than standard clinical measures. The dataset and software for evaluation are available from the Cardiac Atlas Project website1.

17.
Int Orthod ; 15(2): 165-179, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28416159

RESUMO

The aim of this work was to model tooth movement in a more clinically-exact fashion, thanks to the use of new IT tools and imaging systems (cone-beam). Image segmentation and 3D reconstruction now enable us to model the anatomy realistically, while finite element (FE) analysis makes it possible to evaluate stresses and their distribution on the level of the tooth, the periodontal ligament (PDL) and the alveolar bone when a force is applied. The principle is to monitor tooth movement by obtaining optical impressions at each stage of treatment. The model corresponds to a genuine clinical situation. FE analysis is correlated with the clinically-observed displacement. The protocol remains long and complex. It nevertheless makes it possible to obtain, throughout the duration of treatment, patient-specific models that can be exploited using finite element methods. It requires further validation in more thorough studies but offers interesting prospects: precise study of induced tooth movement, distribution of stresses in the PDL, and development of a customized previsualization tool.


Assuntos
Simulação por Computador , Análise de Elementos Finitos , Técnicas de Movimentação Dentária , Adolescente , Fenômenos Biomecânicos , Tomografia Computadorizada de Feixe Cônico , Humanos , Imageamento Tridimensional , Masculino , Má Oclusão/terapia
18.
Sci Rep ; 7(1): 12259, 2017 09 25.
Artigo em Inglês | MEDLINE | ID: mdl-28947754

RESUMO

We characterized motion attributes arising from LV spatio-temporal analysis of motion distributions in myocardial infarction. Time-varying 3D finite element shape models were obtained in 300 Controls and 300 patients with myocardial infarction. Inter-individual left ventricular shape differences were eliminated using parallel transport to the grand mean of all cases. The first three principal component (PC) scores were used to characterize trajectory attributes. Scores were tested with ANOVA/MANOVA using patient disease status (Infarcts vs. Controls) as a factor. Infarcted patients had significantly different magnitude, orientation and shape of left ventricular trajectories in comparison to Controls. Significant differences were found for the angle between PC scores 1 and 2 in the endocardium, and PC scores 1 and 3 in the epicardium. The largest differences were found in the magnitude of endocardial motion. Endocardial PC scores in shape space showed the highest classification power using support vector machine, with higher total accuracy in comparison to previous methods. Shape space performed better than size-and-shape space for both epicardial and endocardial features. In conclusion, LV spatio-temporal motion attributes accurately characterize the presence of infarction. This approach is easily generalizable to different pathologies, enabling more precise study of the pathophysiological consequences of a wide spectrum of cardiac diseases.


Assuntos
Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/fisiopatologia , Imageamento Tridimensional/normas , Imageamento por Ressonância Magnética/normas , Movimento (Física) , Infarto do Miocárdio/diagnóstico por imagem , Infarto do Miocárdio/fisiopatologia , Ventrículos do Coração/patologia , Humanos , Infarto do Miocárdio/patologia , Análise Espaço-Temporal
19.
Sci Rep ; 7(1): 6257, 2017 07 24.
Artigo em Inglês | MEDLINE | ID: mdl-28740203

RESUMO

Left ventricle and left atrium are and have been practically always analyzed separately in common clinically and non-clinically oriented cardiovascular investigations. Both classic and speckle tracking echocardiographic data contributed to the knowledge about deformational impairments occurring in systo-diastolic differences. Recently new trajectory based approaches allowed a greater awareness about the entire left ventricle or left atrium revolution and on their deficiencies that take place in presence of hypertrophic cardiomyopathy. However, surprisingly, the concomitant function of the two left heart chambers has not been analyzed for their geometrical/mechanical relationship. For the first time we study here, by acquiring left ventricle and left atrial geometries on the same heartbeat, the trajectory attributes of the entire left heart treated as a whole shape and the shape covariation of its two subunits. We contrasted healthy subjects with patients affected by hypertrophic cardiomyopathy. We found impaired left heart trajectory mainly in terms of orientation and size. More importantly, we found profound differences in the direction of morphological covariation of left ventricle and left atrium. These findings open to new perspectives in pathophysiological evaluation of different diseases by allowing the appreciation of concomitant functioning of both left heart whole geometry and of its two chambers.


Assuntos
Nó Atrioventricular/fisiologia , Cardiomiopatia Hipertrófica/fisiopatologia , Átrios do Coração/fisiopatologia , Ventrículos do Coração/fisiopatologia , Homeostase , Orientação Espacial , Adulto , Estudos de Casos e Controles , Feminino , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade
20.
Sci Rep ; 6: 34906, 2016 10 07.
Artigo em Inglês | MEDLINE | ID: mdl-27713503

RESUMO

The analysis of full Left Atrium (LA) deformation and whole LA deformational trajectory in time has been poorly investigated and, to the best of our knowledge, seldom discussed in patients with Hypertrophic Cardiomyopathy. Therefore, we considered 22 patients with Hypertrophic Cardiomyopathy (HCM) and 46 healthy subjects, investigated them by three-dimensional Speckle Tracking Echocardiography, and studied the derived landmark clouds via Geometric Morphometrics with Parallel Transport. Trajectory shape and trajectory size were different in Controls versus HCM and their classification powers had high AUC (Area Under the Receiving Operator Characteristic Curve) and accuracy. The two trajectories were much different at the transition between LA conduit and booster pump functions. Full shape and deformation analyses with trajectory analysis enabled a straightforward perception of pathophysiological consequences of HCM condition on LA functioning. It might be worthwhile to apply these techniques to look for novel pathophysiological approaches that may better define atrio-ventricular interaction.


Assuntos
Cardiomiopatia Hipertrófica/diagnóstico por imagem , Cardiomiopatia Hipertrófica/fisiopatologia , Modelos Cardiovasculares , Adulto , Função do Átrio Esquerdo/fisiologia , Cardiomiopatia Hipertrófica/patologia , Estudos de Casos e Controles , Ecocardiografia Tridimensional , Feminino , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/patologia , Átrios do Coração/fisiopatologia , Humanos , Imageamento Tridimensional , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Máquina de Vetores de Suporte
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