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  • Open Access

    ARTICLE

    Associations between CD133, CK19 and G2/M in cirrhotic HCV (genotype-4) patients with or without accompanying tumor

    Hoda M. EL-EMSHATY1, Entsar A. SAAD2, Mona S. GOUIDA3, Zahraa R. ELSHAHAWY1,2

    BIOCELL, Vol.42, No.2, pp. 55-60, 2018, DOI:10.32604/biocell.2018.07009

    Abstract Hepatitis C virus (HCV)-cirrhotic patients have the highest threat of developing hepatocellular carcinoma (HCC) and may be at risk of extra hepatic cancer. The present study was designed to investigate CD133 and CK19 in HCV (genotype-4)-cirrhotic patients with/without HCC or extra hepatic cancer, to assess the degree of their correlation with cell cycle abnormalities and finally to assess the role of their combination as diagnostic tool for discrimination of cirrhotic patients with HCC from those with extra hepatic cancer. The study included 77 HCV-cirrhotic patients and 20 healthy non-disease control group. Patients were categorized histo-pathologically into: 24 have only liver… More >

  • Open Access

    ARTICLE

    Patient-Specific Echo-Based Fluid-Structure Interaction Modeling Study of Blood Flow in the Left Ventricle with Infarction and Hypertension

    Longling Fan1,*, Jing Yao 2, *, Chun Yang3, Di Xu2, Dalin Tang1, 4, §

    CMES-Computer Modeling in Engineering & Sciences, Vol.114, No.2, pp. 221-237, 2018, DOI:10.3970/cmes.2018.114.221

    Abstract Understanding cardiac blood flow behaviors is of importance for cardiovascular research and clinical assessment of ventricle functions. Patient-specific Echo-based left ventricle (LV) fluid-structure interaction (FSI) models were introduced to perform ventricle mechanical analysis, investigate flow behaviors, and evaluate the impact of myocardial infarction (MI) and hypertension on blood flow in the LV. Echo image data were acquired from 3 patients with consent obtained: one healthy volunteer (P1), one hypertension patient (P2), and one patient who had an inferior and posterior myocardial infarction (P3). The nonlinear Mooney-Rivlin model was used for ventricle tissue with material parameter values chosen to match echo-measure… More >

  • Open Access

    ABSTRACT

    Fluid-Structure Interaction Human Carotid Plaque Progression Simulation Using 3D Meshless Generalized Finite Difference Models Based on Patient-Tracking In Vivo MRI Data

    Dalin Tang1, Chun Yang2, Satya Atluri3

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.18, No.3, pp. 67-68, 2011, DOI:10.3970/icces.2011.018.067

    Abstract Cardiovascular disease is the leading cause of death worldwide. Many victims of the disease died suddenly without prior symptoms. It is a great challenge for clinicians and researchers to develop screening techniques and assessment methodologies to identify those patients for early treatment and prevention of the fatal clinical event. Considerable effort has been devoted investigating mechanisms governing atherosclerotic plaque progression and rupture [Friedman, Bargeron, Deters, Hutchins and Mark (1987); Friedman and Giddens (2005); Giddens, Zarins, Glagov, S. (1993); Ku, Giddens, Zarins and Glagov (1985); Gibson et al. (1993); Liu and Tang (2010); Stone et al. (2003); Yang, Tang, Atluri et… More >

  • Open Access

    ABSTRACT

    Patient Specific Knee Joint Finite Element Model Validation with High Accuracy Kinematics from Biplane Dynamic Radiography

    G. Papaioannou1, G. Nianios1, C. Mitroyiannis1, S.Tashman2, K.H. Yang2

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.8, No.1, pp. 7-12, 2008, DOI:10.3970/icces.2008.008.007

    Abstract Little is known about in vivo menisci loads and displacements in the knee during strenuous activities. We have developed a method that combines biplane high-speed dynamic radiography (DRSA) and a subject-specific finite element model for studying in vivo meniscal behavior. In a very controlled uniaxial compression loading condition, removing of the pressure sensor from the model can result in relatively large errors in contact and cartilage stress that are not reflected in the change of meniscal displacement. More >

  • Open Access

    ARTICLE

    Computational Modeling of Human Bicuspid Pulmonary Valve Dynamic Deformation in Patients with Tetralogy of Fallot

    Caili Li1, §, Christopher Baird2, Jing Yao3, Chun Yang4, Liang Wang5, Han Yu5, Tal Geva6, Dalin Tang5*, 7, §

    CMES-Computer Modeling in Engineering & Sciences, Vol.119, No.1, pp. 227-244, 2019, DOI:10.32604/cmes.2019.06036

    Abstract Pulmonary valve stenosis (PVS) is one common right ventricular outflow tract obstruction problem in patients with tetralogy of Fallot (TOF). Congenital bicuspid pulmonary valve (BPV) is a condition of valvular stenosis, and the occurrence of congenital BPV is often associated with TOF. Dynamic computational models of normal pulmonary root (PR) with tri-leaflet and PR with BPV in patients with TOF were developed to investigate the effect of geometric structure of BPV on valve stress and strain distributions. The pulmonary root geometry included valvular leaflets, sinuses, interleaflet triangles and annulus. Mechanical properties of pulmonary valve leaflet were obtained from biaxial testing… More >

  • Open Access

    ARTICLE

    A Novel Atlas-Based Strategy for Understanding Cardiac Dysfunction in Patients with Congenital Heart Disease

    Sara Salehyar1, †, Nickolas Forsch1,†,*, Kathleen Gilbert2,3, Alistair A. Young3,4, James C. Perry5, Sanjeet Hegde5, Jeffrey H. Omens1,6, Andrew D. McCulloch1,6

    Molecular & Cellular Biomechanics, Vol.16, No.3, pp. 179-183, 2019, DOI:10.32604/mcb.2019.07384

    Abstract Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease. Infants diagnosed with TOF require surgical interventions to survive into adulthood. However, as a result of postoperative structural malformations and long-term ventricular remodeling, further interventions are often required later in life. To help identify those at risk of disease progression, serial cardiac magnetic resonance (CMR) imaging is used to monitor these patients. However, most of the detailed information on cardiac shape and biomechanics contained in these large four-dimensional (4D) data sets goes unused in clinical practice for lack of efficient and comprehensive quantitative analysis tools. While… More >

  • Open Access

    ARTICLE

    DSA-Based Quantitative Assessment of Cerebral Hypoperfusion in Patients with Asymmetric Carotid Stenosis

    Xu Zhang1,‡, Jie Gao2,‡, Xinke Yao1, Zhengze Dai3,4, Gelin Xu2,*, Yan Cai1,*, Zhiyong Li1,5,*

    Molecular & Cellular Biomechanics, Vol.16, No.1, pp. 27-39, 2019, DOI:10.32604/mcb.2019.06140

    Abstract Digital subtraction angiography (DSA) is often used to evaluate the morphological and pathological changes of cerebral arteries in clinical practice. This study aims to explore the possibility of assessing cerebral hypoperfusion with DSA in patients with carotid stenosis. Thirty patients with a mild to severe stenosis on one side, and a mild stenosis on the other side of the carotid artery were recruited. Frontal, parietal, temporal and occipital lobes were chosen as regions of interest for measuring the quantitative perfusion parameters from their time-density curves (TDCs) of DSA images. The perfusion parameters were compared between the two hemispheres by using… More >

  • Open Access

    ARTICLE

    Stress-Based Plaque Vulnerability Index and Assessment for Carotid Atherosclerotic Plaques Using Patient-Specific Vessel Material Properties

    Qingyu Wang1, Dalin Tang1,2,*, Gador Canton3, Zheyang Wu2, Thomas S. Hatsukami4, Kristen L. Billiar5, Chun Yuan6

    Molecular & Cellular Biomechanics, Vol.15, No.4, pp. 189-201, 2018, DOI:10.32604/mcb.2018.04572

    Abstract Cardiovascular diseases are closely linked to atherosclerotic plaque development and rupture. Assessment of plaque vulnerability is of fundamental significance to cardiovascular research and disease diagnosis, prevention, treatment and management. Magnetic resonance image (MRI) data of carotid atherosclerotic plaques from 8 patients (5 male, 3 female; age: 62-83, mean=71) were acquired at the University of Washington (UW), Seattle by the Vascular Imaging Laboratory (VIL) with written informed consent obtained. Patient-specific vessel material properties were quantified using Cine MRI data for modeling use. 3D thin-layer models were used to obtain plaque stress and strain for plaque assessment. A stress-based plaque vulnerability index… More >

  • Open Access

    ARTICLE

    Combining Smaller Patch, RV Remodeling and Tissue Regeneration in Pulmonary Valve Replacement Surgery Design May Lead to Better Post-Surgery RV Cardiac Function for Patients with Tetralogy of Fallot

    Zhedian Zhou1, Tal Geva2, Rahul H. Rathod2, Alexander Tang2, Chun Yang3, Kristen L. Billiar4, Dalin Tang1,*,3, Pedro del Nido5

    Molecular & Cellular Biomechanics, Vol.15, No.2, pp. 99-115, 2018, DOI: 10.3970/mcb.2018.00558

    Abstract Patients with repaired Tetralogy of Fallot (ToF), a congenital heart defect which includes a ventricular septal defect and severe right ventricular outflow obstruction, account for the majority of cases with late onset right ventricle (RV) failure. The current surgical approach, which includes pulmonary valve replacement/insertion (PVR), has yielded mixed results. A computational parametric study using 7 patient-specific RV/LV models based on cardiac magnetic resonance (CMR) data as "virtual surgery" was performed to investigate the impact of patch size, RV remodeling and tissue regeneration in PVR surgery design on RV cardiac functions. Two patch sizes, three degrees of scar trimming (RV… More >

  • Open Access

    ARTICLE

    Comparison of Right Ventricle Morphological and Mechanical Characteristics for Healthy and Patients with Tetralogy of Fallot: An In Vivo MRI-Based Modeling Study

    Dalin Tang1,*,2, Heng Zuo2,*, Chun Yang2, Zheyang Wu2, Xueying Huang3, Rahul H. Rathod4, Alexander Tang4, Kristen L. Billiar5, Tal Geva4

    Molecular & Cellular Biomechanics, Vol.14, No.3, pp. 137-151, 2017, DOI:10.3970/mcb.2017.014.137

    Abstract Patients with repaired tetralogy of Fallot (TOF) account for the majority of cases with late onset right ventricle failure. Comparing TOF patients with healthy people may provide information to address this challenge. Cardiac magnetic resonance (CMR) data were obtained from 16 TOF patients (patient group, PG) and 6 healthy volunteers (healthy group, HG). At begin-of-ejection, better patient group (n=5, BPG) stress was very close to HG stress (54.7±38.4 kPa vs. 51.2±55.7 kPa, p=0.6889) while worse patient group (n=11, WPG) stress was 84% higher than HG stress (p=0.0418). Stress may be used as an indicator to differentiate BPG patients from WPG… More >

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