Balloon dilation catheters are often used to quantify the physiological state of peristaltic activity in tubular organs and comment on their ability to propel fluid which is important for healthy human function. To fully understand this system's behavior, we analyzed the effect of a solitary peristaltic wave on a fluid-filled elastic tube with closed ends. A reduced order model that predicts the resulting tube wall deformations, flow velocities, and pressure variations is presented. This simplified model is compared with detailed fluid–structure three-dimensional (3D) immersed boundary (IB) simulations of peristaltic pumping in tube walls made of hyperelastic material. The major dynamics observed in the 3D simulations were also displayed by our one-dimensional (1D) model under laminar flow conditions. Using the 1D model, several pumping regimes were investigated and presented in the form of a regime map that summarizes the system's response for a range of physiological conditions. Finally, the amount of work done during a peristaltic event in this configuration was defined and quantified. The variation of elastic energy and work done during pumping was found to have a unique signature for each regime. An extension of the 1D model is applied to enhance patient data collected by the device and find the work done for a typical esophageal peristaltic wave. This detailed characterization of the system's behavior aids in better interpreting the clinical data obtained from dilation catheters. Additionally, the pumping capacity of the esophagus can be quantified for comparative studies between disease groups.
more » « less- Award ID(s):
- 1931372
- PAR ID:
- 10504462
- Publisher / Repository:
- ASME
- Date Published:
- Journal Name:
- Journal of Biomechanical Engineering
- Volume:
- 143
- Issue:
- 7
- ISSN:
- 0148-0731
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
A FLIP device gives cross-sectional area along the length of the esophagus and one pressure measurement, both as a function of time. Deducing mechanical properties of the esophagus including wall material properties, contraction strength, and wall relaxation from these data are a challenging inverse problem. Knowing mechanical properties can change how clinical decisions are made because of its potential for in-vivo mechanistic insights. To obtain such information, we conducted a parametric study to identify peristaltic regimes by using a 1D model of peristaltic flow through an elastic tube closed on both ends and also applied it to interpret clinical data. The results gave insightful information about the effect of tube stiffness, fluid/bolus density and contraction strength on the resulting esophagus shape through quantitive representations of the peristaltic regimes. Our analysis also revealed the mechanics of the opening of the contraction area as a function of bolus flow resistance. Lastly, we concluded that peristaltic driven flow displays three modes of peristaltic geometries, but all physiologically relevant flows fall into two peristaltic regimes characterized by a tight contraction.more » « less
-
null (Ed.)Using numerical simulations, we probe the fluid flow in an axisymmetric peristaltic vessel fitted with elastic bi-leaflet valves. In this biomimetic system that mimics the flow generated in lymphatic vessels, we investigate the effects of the valve and vessel properties on pumping performance of the valved peristaltic vessel. The results indicate that valves significantly increase pumping by reducing backflow. The presence of valves, however, increases the viscous resistance, therefore requiring greater work compared to valveless vessels. The benefit of the valves is the most significant when the fluid is pumped against an adverse pressure gradient and for low vessel contraction wave speeds. We identify the optimum vessel and valve parameters leading to the maximum pumping efficiency. We show that the optimum valve elasticity maximizes the pumping flow rate by allowing the valve to block the backflow more effectively while maintaining low resistance during the forward flow. We also examine the pumping in vessels where the vessel contraction amplitude is a function of the adverse pressure gradient, as found in lymphatic vessels. We find that, in this case, the flow is limited by the work generated by the contracting vessel, suggesting that the pumping in lymphatic vessels is constrained by the performance of the lymphatic muscle. Given the regional heterogeneity of valve morphology observed throughout the lymphatic vasculature, these results provide insight into how these variations might facilitate efficient lymphatic transport in the vessel's local physiologic context.more » « less
-
This paper addresses peristaltic flow induced in a non-axisymmetric annular tube by a periodic small-amplitude wave of arbitrary shape propagating axially along its inner surface, assumed to be a circular cylinder. The study is motivated by recent in vivo experimental observations pertaining to the flow of cerebrospinal fluid along the perivascular spaces of cerebral arteries. The analysis employs the lubrication approximation, describing low-Reynolds-number peristaltic flow in the long-wavelength approximation. Closed-form analytic expressions are derived for the average pumping rate in infinitely long tubes and also in tubes of finite length. Consideration is also given to the transverse motion arising in non-axisymmetric tubes. For small-amplitude waves, the solution is reduced to the integration of a parameter-free Stokes-flow problem, which is solved for relevant cross-sectional shapes, with closed-form analytical results derived for thin canals.more » « less
-
null (Ed.)Most biological functional systems are complex, and this complexity is a fundamental driver of diversity. Because input parameters interact in complex ways, a holistic understanding of functional systems is key to understanding how natural selection produces diversity. We present uncertainty quantification (UQ) as a quantitative analysis tool on computational models to study the interplay of complex systems and diversity. We investigate peristaltic pumping in a racetrack circulatory system using a computational model and analyse the impact of three input parameters (Womersley number, compression frequency, compression ratio) on flow and the energetic costs of circulation. We employed two models of peristalsis (one that allows elastic interactions between the heart tube and fluid and one that does not), to investigate the role of elastic interactions on model output. A computationally cheaper surrogate of the input parameter space was created with generalized polynomial chaos expansion to save computational resources. Sobol indices were then calculated based on the generalized polynomial chaos expansion and model output. We found that all flow metrics were highly sensitive to changes in compression ratio and insensitive to Womersley number and compression frequency, consistent across models of peristalsis. Elastic interactions changed the patterns of parameter sensitivity for energetic costs between the two models, revealing that elastic interactions are probably a key physical metric of peristalsis. The UQ analysis created two hypotheses regarding diversity: favouring high flow rates (where compression ratio is large and highly conserved) and minimizing energetic costs (which avoids combinations of high compression ratios, high frequencies and low Womersley numbers).more » « less
-
The interactions between fluid flow and structural components of collapsible tubes are representative of those in several physiological systems. Although extensively studied, there exists a lack of characterization of the three-dimensionality in the structural deformations of the tube and its influence on the flow field. This experimental study investigates the spatio-temporal relationship between 3D tube geometry and the downstream flow field under conditions of fully open, closed, and slamming-type oscillating regimes. A methodology is implemented to simultaneously measure three-dimensional surface deformations in a collapsible tube and the corresponding downstream flow field. Stereophotogrammetry was used to measure tube deformations, and simultaneous flow field measurements included pressure and planar Particle Image Velocimetry (PIV) data downstream of the collapsible tube. The results indicate that the location of the largest collapse in the tube occurs close to the downstream end. In the oscillating regime, sections of the tube downstream of the largest mean collapse experience the largest oscillations in the entire tube that are completely coherent and in phase. At a certain streamwise distance upstream of the largest collapse, a switch in the direction of oscillations occurs with respect to those downstream. Physically, when the tube experiences constriction downstream of the location of the largest mean collapse, this causes the accumulation of fluid and build-up of pressure in the upstream regions and an expansion of these sections. Fluctuations in the downstream flow field are significantly influenced by tube fluctuations along the minor axes. The fluctuations in the downstream flowfield are influenced by the propagation of disturbances due to oscillations in tube geometry, through the advection of fluid through the tube. Further, the manifestation of the LU-type pressure fluctuations is found to be due to the variation in the propagation speed of the disturbances during the different stages within a period of oscillation of the tube.more » « less