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Rasmussen, P. M.

Publications and source records attributed to Rasmussen, P. M..

3 recordsLinked to original sources

Blood flow simulation and uncertainty quantification in extensive microvascular networks: Application to brain cortical networks

0.1Spatially resolved simulation models of microcirculatory blood flow facilitate a detailed understanding of microcirculatory phenomena at the micrometer scale by capturing heterogeneity in blood flow. These models combine physical laws, empirical descriptions of the bloods complex rheological behavior, and in-vivo/ex-vivo imaging of the microvasculature. However, imaged areas often only partially represent self-contained tissue regions, leading to numerous vessels crossing boundaries and strongly influencing simulated blood flows through imposed boundary conditions. Selecting appropriate boundary conditions is challenging due to the heterogeneity of pressures and blood flows, resulting in significant uncertainties. This study addresses two key methodological aspects of spatially resolved blood flow simulations: selecting appropriate boundary conditions and quantifying the impact of boundary condition uncertainties on simulated hemodynamic variables. An adaptive method for assigning appropriate pressure boundary conditions is proposed and rigorously evaluated in extensive brain cortical networks against reference data from an established blood flow simulation model. A probabilistic approach is adopted to assess the impact of boundary condition uncertainties on blood flow simulations. The adaptive method is further integrated into a Bayesian calibration framework, inferring distributions over thousands of unknown pressure boundary conditions and providing uncertainty estimates for blood flow simulations. The adaptive method, which is straightforward to implement and scales well with extensive microvascular networks, produces hemodynamic simulations consistent with reference data, yielding depth-dependent pressure profiles and layer-wise capillary blood flow profiles consistent with previous studies. These phenomena are demonstrated to generalize also to biphasic blood flow simulation models incorporating in-vivo viscosity formulations. The uncertainty analysis further reveals a novel spatially heterogeneous and depth-dependent pattern in blood flow uncertainty. It is anticipated that the adaptive method for pressure boundary conditions will be useful in future applications of both forward and inverse blood flow modeling, and that uncertainty quantification will be valuable in complementing hemodynamic predictions with associated uncertainties. 0.2 Author summaryThis research focuses on improving the accuracy of blood flow simulations in tiny blood vessels, known as microvascular networks. These simulations help understand how blood moves through the smallest vessels in the body, crucial for studying various health conditions. However, accurately simulating blood flow is challenging because imaged areas often dont capture entire tissue regions, leading to uncertainties. I developed an adaptive method for setting boundary conditions in these simulations. Due to its adaptive nature, the method can be applied to microvascular networks from various types of tissue, making it broadly applicable. This method was tested extensively using data from brain cortical networks and produced reliable results, proving its validity and scalability to extensive networks. Additionally, probabilistic approaches were used to assess how uncertainties in boundary conditions affect the simulations. A key contribution is the integration of the adaptive method into a Bayesian calibration framework. This framework assimilates simulations with observations and infers distributions over thousands of unknown boundary conditions, providing uncertainty estimates for blood flow simulations. The proposed adaptive method and uncertainty analysis are expected to be valuable for future studies of microvascular blood flow, improving both the accuracy of the simulations and the understanding of the associated uncertainties.

physiology↗

Carbonic anhydrase inhibitors prevent presymptomatic capillary flow disturbances in a model of cerebral amyloidosis

Structured abstractO_ST_ABSINTRODUCTIONC_ST_ABSDisturbances in microvascular flow dynamics are hypothesized to precede the symptomatic phase of Alzheimers disease (AD). However, evidence in presymptomatic AD remains elusive, underscoring the need for therapies targeting these early vascular changes. METHODSWe employed a multimodal approach, combining in vivo optical imaging, molecular techniques, and ex vivo MRI, to investigate early capillary dysfunction in Tg-SwDI mice without memory impairment. We also assessed the efficacy of carbonic anhydrase inhibitors (CAIs) in preventing capillary flow disturbances. RESULTSOur study revealed capillary flow disturbances associated with alterations in capillary morphology, adhesion molecule expression, and Amyloid-{beta} (A{beta}) load in 9-10-month-old Tg-SwDI mice without memory impairment. CAI treatment ameliorated these capillary flow disturbances, enhanced oxygen availability, and reduced A{beta} load. DISCUSSIONThese findings underscore the importance of capillary flow disturbances as early biomarkers in presymptomatic AD and highlight the potential of CAIs for preserving vascular integrity in the early stages of AD.

neuroscience↗

Per-ischemic changes in penumbral blood supply and its microscopic distribution

Acute ischemic stroke (AIS) is a frequent cause of death and adult disability. AIS patient management targets the ischemic penumbra: Hypoperfused, electrically silent brain tissue, which can be salvaged by restoring blood flow during the first, critical hours after symptom onset. Neuroimaging studies in AIS patients suggest that penumbral tissue is characterized not only by hypoperfusion, but also by microvascular flow disturbances that strongly affect tissue outcome. Here, we demonstrate that microvascular flows become increasingly chaotic in the ischemic penumbra in the hours after middle cerebral artery occlusion in a rat model of AIS. Biophysical models suggest that these disturbances are accompanied by increasing hypoxia in the absence of blood flow changes. Unlike findings in severe ischemia, pericyte constrictions do not appear to occlude penumbral capillaries. We propose that microvascular flow disturbances represent a critical feature of penumbral tissue, and a potential target for neuroprotective therapy after AIS.

neuroscience↗