Biomedical Engineering and Bioengineering Commons^™

Hemodynamic Assessment Of Y-Incision Aortic Root Enlargement Using Computational Simulations, Astitwa Ghimire

Electronic Theses and Dissertations

The Yang procedure is a new aortic root enlargement technique used to enlarge the aortic annulus by multiple valve sizes. The procedure prevents patient prosthesis mismatch and establishes a viable platform for future valve-in-valve implantation. This study used the Yang procedure to investigate the hemodynamics in the aortic root and bioprosthetic valve regions after aortic root enlargement. Results indicate the velocity magnitude at the sinus regions of a patient who underwent the Yang procedure was slower, indicating risks of flow stasis and thrombosis. Simulation results denote computational models can be created for optimization of surgical procedures.

Fully Coupled Fluid Structure Interaction Simulation Of Bioprosthetic Heart Valves: A Numerical And Experimental Analysis, Masod Sadipour

Electronic Theses and Dissertations

Aortic stenosis impacts approximately 7% of the global population. In the past decade, the role of computational modeling has been becoming considerably important in the design of BHVs. To obtain reliable solutions in computational modeling, it is essential to consider accurate properties of bioprosthetic heart valves (BHVs), such as density and mechanical properties. Previous computational studies assumed (bovine pericardium) BP used in BHVs density was comparable to water or blood. Yet, BP is subjected to multiple treatments like fixation and anti-calcification. In Chapter 2, I measured BP density and its effect on BHV leaflet stress and strain. In the second …

Patient Movement Monitoring Based On Imu And Deep Learning, Mohsen Sharifi Renani

Electronic Theses and Dissertations

Osteoarthritis (OA) is the leading cause of disability among the aging population in the United States and is frequently treated by replacing deteriorated joints with metal and plastic components. Developing better quantitative measures of movement quality to track patients longitudinally in their own homes would enable personalized treatment plans and hasten the advancement of promising new interventions. Wearable sensors and machine learning used to quantify patient movement could revolutionize the diagnosis and treatment of movement disorders. The purpose of this dissertation was to overcome technical challenges associated with the use of wearable sensors, specifically Inertial Measurement Units (IMUs), as a …

Contact Simulation For Evaluating Patient Specific Surgical Guide Stability, Vincent Nierste

Electronic Theses and Dissertations

This study proposes a novel computational method to quantify guide stability for Patient Specific Instrumentation (PSI) guides. A finite element contact model was used to analyze the final position of PSI guides on a femur across a range of loading parameters representing forces applied by a surgeon during operative use. Separate segmentation methods were used for the guide and bone geometry to represent differences between segmentation and actual patient geometry. The region of loading parameters over which the guide exhibited a consistent final position was measured and reported as Guide Stability Score. The model was verified using cadaver specimens for …

Transcatheter Mitral Valve Replacement: Structural And Hemodynamic Analysis, Saba Ravaghi

Electronic Theses and Dissertations

Transcatheter mitral valve replacement (TMVR) is being developed to become a substitute therapy for surgery in prohibitive or high surgical risk patients to treat severe mitral regurgitation. A limited number of TMVR systems are under clinical evaluation. However, transcatheter mitral valve (TMV) long-term durability and hemodynamic performance is not known. TMV durability and hemodynamics must match with that of surgical bioprostheses for potential commercialization of TMVR. Experimental and computational approaches were used to find the leaflets’ three-dimensional anisotropic mechanical properties in a transcatheter Edwards SAPIEN 3 valve and a surgical Carpentier-Edwards PERIMOUNT Magna mitral valve and finite element (FE) simulations …

Development Of Low Frequency Electron Paramagnetic Resonance Methods And Instrumentation For Biological Applications, Laura A. Buchanan

Electronic Theses and Dissertations

EPR is a powerful biophysical tool that can be used to measure tumor physiology. With the addition of magnetic field gradients, the spectral properties of paramagnetic species can be mapped. To facilitate EPR imaging, methods and instrumentation at frequencies between 250 MHz and 1 GHz were developed.

At low spin concentrations, the rapid scan background signal is often many times larger than the EPR signal of interest. To help remove the background contribution, a data acquisition procedure that takes advantage of a cross-loop resonator and bipolar power supplies was developed at 250 MHz. In this procedure, two scans are collected. …

Computer-Aided Cancer Diagnosis And Grading Via Sparse Directional Image Representations, Hadi Rezaeilouyeh

Electronic Theses and Dissertations

Prostate cancer and breast cancer are the second cause of death among cancers in males and females, respectively. If not diagnosed, prostate and breast cancers can spread and metastasize to other organs and bones and make it impossible for treatment. Hence, early diagnosis of cancer is vital for patient survival. Histopathological evaluation of the tissue is used for cancer diagnosis. The tissue is taken during biopsies and stained using hematoxylin and eosin (H&E) stain. Then a pathologist looks for abnormal changes in the tissue to diagnose and grade the cancer. This process can be time-consuming and subjective. A reliable and …

Modeling Hrtf For Sound Localization In Normal Listeners And Bilateral Cochlear Implant Users, Douglas A. Miller

Electronic Theses and Dissertations

Mathematical models can be very useful for understanding complicated systems and for testing algorithms through simulation that would be difficult or expensive to implement. This dissertation presents a model that attempts to simulate the sound localization performance of persons using bilateral cochlear implants. The expectation is that this model could prove to be a useful tool in developing new signal processing algorithms for neural encoding strategies.

The head related transfer function (HRTF) is a critical component of this model, and in the ideal case, provides the base characteristics of head shadow, torso and pinna effects. This defines the temporal, intensity …

Biomechanical Comparison Of Lower Limb Unloading Between Common Modalities Of Ankle Foot Orthoses, Andrea Blake Wanamaker

Electronic Theses and Dissertations

Tibial stress fractures and other lower extremity injuries can be treated using an ankle foot orthosis (AFO). AFOs are popular because they allow the patient to ambulate somewhat naturally while reducing weight bearing on the injured limb. Despite their popularity, it is currently unclear how well AFOs reduce lower extremity weight bearing.

The first objective of this investigation was to examine the ability of three commonly used ankle foot orthoses to reduce weight bearing within the lower limb by comparing the ground reaction force measured from a force platform to the force measured from an insole pressure measurement device inside …

Computational Representation Of The Patellofemoral Joint, Abraham Wright

Electronic Theses and Dissertations

Many people suffer from knee pain due to abnormal function of the patellofemoral joint and are not able to enjoy normal activities of daily living. Surgical treatments are available and new methods are being developed by the medical industry. However, computational tools to efficiently evaluate the effects of the intervention on patellofemoral function are lacking.

Therefore, a validated and efficient computational model of the patellofemoral joint was developed. The subject specific finite element model was validated against the patellar kinematics recorded during cadaveric patellofemoral laxity experiments of the natural knee. The development involved a sequential process in which the soft-tissue …

A Model For Electrical Communication Between Cochlear Implants And The Brain, Douglas A. Miller

Electronic Theses and Dissertations

In the last thirty years, cochlear implants have become an invaluable instrument in the treatment of severe-to-profound hearing impairment. An important aspect of research in the continued development of cochlear implants is the in vivo assessment of signal processing algorithms intended to improve perception of speech and other auditory signals. In trying to determine how closely cochlear implant recipients process sound relative to the processing done by a normal auditory system, various assessment techniques have been applied. The most common technique has been measurement of auditory evoked potentials (AEPs), which involves the recording of neural responses to auditory stimulation. Depending …