Modeling a 3-D multiscale blood-flow and heat-transfer framework for realistic vascular systems

Thermal wave and Pennes' models of bioheat transfer in human skin: A transient comparative analysis

The primary focus of this study is to analyze comparative heat transfer in a two-dimensional (2D) multilayered human skin using thermal waves and Pennes' bioheat transfer models. The model comprises the epidermis, dermis, hypodermis tissue, and inner cells, and aims to understand their response to microwave (MW) power and electromagnetic (EM) frequency. The system of equations involves EM wave frequency and bioheat equations and uses the finite element method (FEM) for solving. It encompasses a range of microwave power levels (4-16 W), frequencies (0.9-4 GHz), and exposure durations (0-180 s). It examines how MW power and frequency affect temperature predictions due to different relaxation times. The results are visually represented, illustrating microwave power dissipation, isothermal profiles within the skin tissue, temperature trends at several locations, relaxation times, specific absorption rate (SAR), and the mean surface temperature of the multilayered dermal cell. Thermal analysis shows that Pennes' equation predicts higher temperatures than the thermal wave model of bioheat transfer (TWMBT). A notable disparity in temperature evolution is observed between the two models, especially in high-frequency transient heating scenarios. The TWMBT forecasts a delay in heat transfer, offering valuable insights into the more realistic short-term thermal behavior that the classical Pennes' model fails to capture. This comparative study underscores the significance of selecting an appropriate bioheat transfer model for precise thermal analysis in biomedical applications, such as hyperthermia treatment and thermal diagnostics. The findings emphasize the potential of the TWMBT to enhance the accuracy of thermal treatments in clinical settings.

Effect of tumor heterogeneity on enhancing drug delivery to vascularized tumors using thermo-sensitive liposomes triggered by hyperthermia: A multi-scale and multi-physics computational model

In this study, a novel multi-scale and multi-physics image-based computational model is introduced to assess the delivery of doxorubicin (Dox) loaded temperature-sensitive liposomes (TSLs) in the presence of hyperthermia. Unlike previous methodologies, this approach incorporates capillary network geometry extracted from images, resulting in a more realistic physiological tumor model. This model holds significant promise in advancing personalized medicine by integrating patient-specific tumor properties. The finite element method is employed to solve the equations governing intravascular and interstitial fluid flows, as well as the transport of therapeutic agents within the tissue. Realistic biological conditions and intricate processes like intravascular pressure, drug binding to cells, and cellular uptake are also considered to enhance the model's accuracy. The results underscore the significant impact of vascular architecture on treatment outcomes. Variation in vascular network pattern yielded changes of up to 38 % in the fraction of killed cells (FKCs) parameter under identical conditions. Pressure control of the parent vessels can also improve FKCs by approximately 17 %. Tailoring the treatment plan based on tumor-specific parameters emerged as a critical factor influencing treatment efficacy. For instance, changing the time interval between the administration of Dox-loaded TSLs and hyperthermia can result in a 48 % improvement in treatment outcomes. Additionally, devising a customized heating schedule led to a 20 % increase in treatment efficacy. Our proposed model highlights the significant effect of tumor characteristics and vascular network structure on the final treatment outcomes of the presented combination treatment.

Recasting Current Knowledge of Human Fetal Circulation: The Importance of Computational Models

Computational hemodynamic simulations are becoming increasingly important for cardiovascular research and clinical practice, yet incorporating numerical simulations of human fetal circulation is relatively underutilized and underdeveloped. The fetus possesses unique vascular shunts to appropriately distribute oxygen and nutrients acquired from the placenta, adding complexity and adaptability to blood flow patterns within the fetal vascular network. Perturbations to fetal circulation compromise fetal growth and trigger the abnormal cardiovascular remodeling that underlies congenital heart defects. Computational modeling can be used to elucidate complex blood flow patterns in the fetal circulatory system for normal versus abnormal development. We present an overview of fetal cardiovascular physiology and its evolution from being investigated with invasive experiments and primitive imaging techniques to advanced imaging (4D MRI and ultrasound) and computational modeling. We introduce the theoretical backgrounds of both lumped-parameter networks and three-dimensional computational fluid dynamic simulations of the cardiovascular system. We subsequently summarize existing modeling studies of human fetal circulation along with their limitations and challenges. Finally, we highlight opportunities for improved fetal circulation models.