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In vivo measurement of blood clot mechanics from computational fluid dynamics based on intravital microscopy images

DOI:10.1016/j.compbiomed.2019.01.001 期刊:Computers in Biology and Medicine 出版年份:2019 更新时间:2025-09-23 15:22:29
摘要: Ischemia which leads to heart attacks and strokes is one of the major causes of death in the world. Whether an occlusion occurs or not depends on the ability of a growing thrombus to resist flow forces exerted on its structure. This manuscript provides the first known in vivo measurement of how much stress a clot can withstand, before yielding to the surrounding blood flow. Namely, Lattice-Boltzmann Method flow simulations are performed based on 3D clot geometries, which are estimated from intravital microscopy images of laser-induced injuries in cremaster microvasculature of live mice. In addition to reporting the blood clot yield stresses, we also show that the thrombus 'core' does not experience significant deformation, while its 'shell' does. This indicates that the shell is more prone to embolization. Therefore, drugs should be designed to target the shell selectively, while leaving the core intact to minimize excessive bleeding. Finally, we laid down a foundation for a nondimensionalization procedure which unraveled a relationship between clot mechanics and biology. Hence, the proposed framework could ultimately lead to a unified theory of thrombogenesis, capable of explaining all clotting events. Thus, the findings presented herein will be beneficial to the understanding and treatment of heart attacks, strokes and hemophilia.
作者: Olufemi Emmanuel Kadri,Vishnu Deep Chandran,Surblyte Migle,Roman S. Voronov
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To measure in vivo the mechanical strength of blood clots, specifically the yield stress, using a hybrid approach combining intravital microscopy and computational fluid dynamics to understand thrombogenesis and its implications for heart attacks, strokes, and hemophilia.

The study provides the first in vivo measurement of blood clot yield stress, revealing that the thrombus shell deforms under higher fluid-induced stresses while the core remains intact, indicating the shell is more prone to embolization. This suggests targeted drug therapies could dissolve the shell selectively to reduce bleeding risks. The nondimensionalization approach offers a foundation for a unified theory of thrombogenesis, with potential benefits for understanding and treating cardiovascular diseases.

1. 3D clot shapes are extrapolated from 2D cross-sections assuming parabolic profiles, which may not be accurate for early stages. 2. Pseudo steady-state assumption in simulations may not fully capture transient effects. 3. Thrombi are assumed impermeable, though reality may involve porosity. 4. Blood escape from injury sites and vessel deformations are not modeled. 5. Blood is treated as Newtonian, though it has non-Newtonian properties at low shear rates.

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