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Fluid–structure interactions in a cylindrical layered wave guide with application in the spinal column to syringomyelia

机译:圆柱形分层波导中的流体结构相互作用,其在脊柱施加到射线柱中

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摘要

Syringomyelia is a disease of the spinal cord in which fluid-filled cavities, called syrinxes, form and expand, compressing the surrounding neural tissue and producing neurological damage. This condition can occur following spinal injury and has limited treatment options in part because of a lack of understanding of its origins. Current pathogenic theories make predictions from localised disturbances in the cerebrospinal fluid dynamics. The poroelastic spinal cord tissues have an effective compressibility as a result of the localised displacement of the intercellular fluid. Also, despite the disease progressing over months and years, the mechanical perturbations from the heart and breathing cycles and from coughs and sneezes operate over much shorter timescales of seconds down to fractions of a second, respectively. To model these pathological features, we solve the harmonic eigenvalue problem for a two-dimensional elastic fluid–solid cylindrically layered waveguide. We analyse the dispersion behaviour and mode shapes over a wide wavelength spectrum and investigate the influence of Poisson’s ratio on the wave mode characteristics. The healthy model consists of an elastic solid cylinder (spinal cord) and a surrounding annulus of inviscid fluid (cerebrospinal fluid in the subarachnoid space). To model syringomyelia we then add a cylindrical fluid space (syrinx) within the elastic cylinder. For the geometry with the inner fluid conduit present (diseased spinal cord in situ), the dispersion diagrams show three modes (0, 1, 2) that are propagatory across the wavelength spectrum. At long wavelengths, axial displacement dominates over radial, normal stress dominates over shear, but these become of the same order of magnitude as the wavelength approaches the radius of the elastic cylinder (spinal cord). Wave modes 0 and 1 induce relative motion between the elastic cylinder and the fluid contained within, which supports Williams’s so-called slosh mechanism for syrinx lengthening, and all three modes involve stress concentrations (indicated by localised gradient peaks) in the inner wall of the elastic cylinder adjacent to the contained fluid, which would tend to support radial syrinx expansion. Mode 2 is the most sensitive to changes in Poisson’s ratio (spinal cord tissue compressibility). We also investigate the progression of post-traumatic syringomyelia by simulating a sequence of discrete states in the gradual occlusion of the subarachnoid space and the subsequent formation and radial expansion of a syrinx. We predict that syrinx-fluid sloshing, hence the stress so induced, diminishes with the continued radial expansion of the syrinx. The largest normal stress concentrations at the syrinx boundary, which appear for modes 0 and 1, initially diminish with radial syrinx expansion; however, they reach a minimum value for intermediate syrinx diameters. On this basis we hypothesize that syrinx development may be part of a homeostatic mechanism to alleviate stress in the spinal cord. Understanding this process may aid in treatment development. The present work also has applications in industrial systems and serves as a platform for more advanced modelling of cylindrical waveguides in biological systems
机译:脊髓空洞症是一种脊髓疾病,其中充满液体的腔(称为syrinxes)形成并膨胀,压缩周围的神经组织并产生神经系统损害。这种情况可能在脊柱损伤后发生,并且治疗选择有限,部分原因是因为对它的起源缺乏了解。当前的病原学理论是根据脑脊髓液动力学的局部紊乱做出的预测。多孔弹性脊髓组织由于细胞间液的局部移位而具有有效的可压缩性。同样,尽管疾病发展了数月和数年,但心脏和呼吸周期以及咳嗽和打喷嚏引起的机械扰动分别在很短的几秒钟内降到了几分之一秒。为了对这些病理特征进行建模,我们解决了二维弹性流体-固体圆柱层状波导的谐波特征值问题。我们分析了宽光谱范围内的色散行为和模形状,并研究了泊松比对波模特性的影响。健康模型由弹性实心圆柱体(脊髓)和周围的无粘性液体(蛛网膜下腔中的脑脊髓液)组成。为了模拟脊髓空洞症,我们然后在弹性圆柱体中添加圆柱状流体空间(syrinx)。对于内部流体导管存在的几何形状(原位病变的脊髓),色散图显示了三种模式(0、1、2),它们在整个波长谱中传播。在长波长下,轴向位移在径向方向上占主导地位,法向应力在剪切力上占主导地位,但是当波长接近弹性圆柱体(脊髓)的半径时,轴向位移的数量级相同。波动模式0和1引起弹性圆柱体和其中的流体之间的相对运动,这支持了Williams所谓的延长syrinx的晃动机制,并且所有三种模式都涉及应力集中(由局部梯度峰表示)。弹性圆柱体,邻近所包含的流体,这将倾向于支持径向syrinx膨胀。模式2对泊松比(脊髓组织可压缩性)的变化最敏感。我们还通过模拟蛛网膜下腔逐渐闭塞的离散状态序列以及随后形成和径向扩张的syrinx来研究创伤后脊髓空洞症的进展。我们预测,随着syrinx的持续径向扩展,syrinx流体晃荡(因此引起的应力)将减小。 syrinx边界处的最大法向应力集中出现在模式0和1中,最初随着径向syrinx扩展而减小;而在模式0和1中出现。但是,它们达到中间syrinx直径的最小值。在此基础上,我们假设syrinx的发育可能是稳态机制的一部分,可以减轻脊髓的压力。了解此过程可能有助于治疗的发展。本工作还可以在工业系统中应用,并且可以用作在生物系统中对圆柱波导进行更高级建模的平台。

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