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The Ins & Outs of Breathing

 

By Mike Slack, Fluent Europe Ltd.

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There is growing interest in the healthcare industry to use CFD to develop models of living systems. These models are being used to better understand biological processes, drug delivery, and interactions between the body and implanted medical devices. One area of interest is the human respiratory system. The geometrical, physical, and biological descriptions of this system are complex, and are the subject of ongoing research. The nose, in particular, is an effective filter that has undergone thousands of years of evolutionary change. It is well known that particles larger than 10 microns are normally captured within the nasal cavity while smaller particles or droplets can make it beyond this region and travel deeper into the respiratory system. The convoluted flow passageways of the nasal cavity promote inertial deposition at high flow rates, while turbulent diffusion is believed to cause deposition at lower flow rates.

Static pressure contours on the nasal cavity and trachea during inhalation
Static pressure contours on the nasal cavity and trachea during inhalation

Through a joint collaboration involving Materialise and Fluent Europe Ltd, a CFD model of the human airways has been developed to study the inhalation of particulate matter. Two geometries, taken from MRI scans, were made available for the study: a nasal cavity that extends from the nostrils to the top of the larynx, and a trachea from the same patient that extends from the larynx to the first stages of the bronchi. The movement of the volunteer's heart and lungs during the MRI procedure reduced the resolution of the smaller bronchial branches, so these regions were not included in the study. Materialise's Magics software was used to blend the two geometries together, and GAMBIT and TGrid were used to create a fine, unstructured tetrahedral mesh. A time-varying inhalation and exhalation profile representing a nasal breather at rest was applied to the bronchi branch ends as a boundary condition. Turbulence, and turbulence-particle interaction were included in the simulations. To correctly capture turbulent deposition, it was necessary to model the turbulence all the way to the surfaces of the model. The mucus layer lining the nasal cavity was modeled as a thin porous boundary layer capable of capturing particulates. Deformation of the passageways during the breathing cycle was not included in the model.

Velocity contours on several slices through the nasal cavity
Velocity contours on several slices through the nasal cavity
Large (12 microns, red) and small (1 micron, blue) particles at three times during the breathing cycle; the large particles are trapped in the nasal cavity; the small ones are inhaled (left) and then expelled during exhalation (center and right) 0.30 seconds 2.20 seconds 3.80 seconds

The initial CFD work has been a sensitivity study to investigate the impact of different boundary conditions and turbulence-particle interactions on the deposition of large and small particles. Particles 1 and 12 microns in diameter were followed during a complete breathing cycle. To account for the particles passing beyond the extents of the model and into the deep lung, those that passed beyond the branch ends during inhalation were counted. During exhalation, a percentage of those particles were re-introduced at the branch ends. The findings showed that particle deposition is very sensitive to the turbulence-particle interactions, and to the way that the mucus layer is represented. By refining the assumptions, it has been possible to develop a model of the upper respiratory system that captures the appropriate proportion of material reaching the different surfaces of the respiratory system.

The project represents the first stage in the development of a computational lung modeling capability. It is hoped that this type of model will eventually help both clinicians and medical device manufacturers to better understand and design drug delivery and life support systems in the future.


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