A Multiscale-Multiphysics Framework for Modeling Organ-scale Liver Regrowth

Fuente: arXiv
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Main Authors: Ebrahem, Adnan, Hohl, Jannes, Jessen, Etienne, Eikelder, Marco F. P. ten, Schillinger, Dominik
Format: Preprint
Published: 2024
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author Ebrahem, Adnan
Hohl, Jannes
Jessen, Etienne
Eikelder, Marco F. P. ten
Schillinger, Dominik
author_facet Ebrahem, Adnan
Hohl, Jannes
Jessen, Etienne
Eikelder, Marco F. P. ten
Schillinger, Dominik
contents We present a framework for modeling liver regrowth on the organ scale that is based on three components: (1) a multiscale perfusion model that combines synthetic vascular tree generation with a multi-compartment homogenized flow model, including a homogenization procedure to obtain effective parameters; (2) a poroelastic finite growth model that acts on all compartments and the synthetic vascular tree structure; (3) an evolution equation for the local volumetric growth factor, driven by the homogenized flow rate into the microcirculation as a measure of local hyperperfusion and well-suited for calibration with available data. We apply our modeling framework to a prototypical benchmark and a full-scale patient-specific liver, for which we assume a common surgical cut. Our simulation results demonstrate that our model represents hyperperfusion as a consequence of partial resection and accounts for its reduction towards a homeostatic perfusion state, exhibiting overall regrowth dynamics that correspond well with clinical observations. In addition, our results show that our model also captures local hypoperfusion in the vicinity of orphan vessels, a key requirement for the prediction of ischemia or the preoperative identification of suitable cut patterns.
format Preprint
id arxiv_https___arxiv_org_abs_2410_19529
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A Multiscale-Multiphysics Framework for Modeling Organ-scale Liver Regrowth
Ebrahem, Adnan
Hohl, Jannes
Jessen, Etienne
Eikelder, Marco F. P. ten
Schillinger, Dominik
Computational Engineering, Finance, and Science
We present a framework for modeling liver regrowth on the organ scale that is based on three components: (1) a multiscale perfusion model that combines synthetic vascular tree generation with a multi-compartment homogenized flow model, including a homogenization procedure to obtain effective parameters; (2) a poroelastic finite growth model that acts on all compartments and the synthetic vascular tree structure; (3) an evolution equation for the local volumetric growth factor, driven by the homogenized flow rate into the microcirculation as a measure of local hyperperfusion and well-suited for calibration with available data. We apply our modeling framework to a prototypical benchmark and a full-scale patient-specific liver, for which we assume a common surgical cut. Our simulation results demonstrate that our model represents hyperperfusion as a consequence of partial resection and accounts for its reduction towards a homeostatic perfusion state, exhibiting overall regrowth dynamics that correspond well with clinical observations. In addition, our results show that our model also captures local hypoperfusion in the vicinity of orphan vessels, a key requirement for the prediction of ischemia or the preoperative identification of suitable cut patterns.
title A Multiscale-Multiphysics Framework for Modeling Organ-scale Liver Regrowth
topic Computational Engineering, Finance, and Science
url https://arxiv.org/abs/2410.19529