Title
Mathematical modelling of cerebral blood circulation and cerebral autoregulation: towards preventing intracranial hemorrhages in preterm newborns.
Abstract
Impaired cerebral autoregulation leads to fluctuations in cerebral blood flow, which can be especially dangerous for immature brain of preterm newborns. In this paper, two mathematical models of cerebral autoregulation are discussed. The first one is an enhancement of a vascular model proposed by Piechnik et al. We extend this model by adding a polynomial dependence of the vascular radius on the arterial blood pressure and adjusting the polynomial coefficients to experimental data to gain the autoregulation behavior. Moreover, the inclusion of a Preisach hysteresis operator, simulating a hysteretic dependence of the cerebral blood flow on the arterial pressure, is tested. The second model couples the blood vessel system model by Piechnik et al. with an ordinary differential equation model of cerebral autoregulation by Ursino and Lodi. An optimal control setting is proposed for a simplified variant of this coupled model. The objective of the control is the maintenance of the autoregulatory function for a wider range of the arterial pressure. The control can be interpreted as the effect of a medicament changing the cerebral blood flow by, for example, dilation of blood vessels. Advanced numerical methods developed by the authors are applied for the numerical treatment of the control problem.
Year
DOI
Venue
2014
10.1155/2014/965275
COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE
Keywords
Field
DocType
homeostasis,algorithms,diagnostic imaging,hemodynamics,finite element analysis,blood pressure
Hemodynamics,Intracranial Hemorrhages,Autoregulation,Dilation (morphology),Computer science,Anesthesia,Cerebral autoregulation,Cerebral blood flow,Blood pressure,Blood vessel
Journal
Volume
ISSN
Citations 
2014
1748-670X
2
PageRank 
References 
Authors
0.49
2
5
Name
Order
Citations
PageRank
Renée Lampe120.49
Nikolai D. Botkin2219.26
Varvara Turova320.49
Tobias Blumenstein420.83
Ana Alves-Pinto520.49