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Heterogeneity of Oxygen Saturation in Heterogeneity of Oxygen Saturation in

Heterogeneity of Oxygen Saturation in - PowerPoint Presentation

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Heterogeneity of Oxygen Saturation in - PPT Presentation

Microvascular Networks Jeremy Flannery Supervisor Dr Dan Goldman Department of Medical Biophysics The University of Western Ontario April 6 2010 Introduction Properties of Arterioles Extend from arteries and lead to capillaries ID: 927358

oxygen saturation hematocrit flow saturation oxygen flow hematocrit bifurcation blood rbc vessel plasma heterogeneity levels effect conservation distribution find

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Slide1

Heterogeneity of Oxygen Saturation in Microvascular Networks

Jeremy Flannery

Supervisor: Dr. Dan Goldman

Department of Medical Biophysics

The University of Western Ontario

April 6, 2010

Slide2

Introduction

Properties of Arterioles

Extend from arteries and lead to capillaries

Diameters of about 100-10 μmSmooth muscle (SM) surroundsMany levels of bifurcation and branching: networks

Arteriole

Venule

Capillary

Function of Arterioles

Control vascular resistance through SM contraction and dilation

Allow blood flow into capillaries

Can allow for oxygen exchange

Slide3

Background

Blood components

Plasma ~55% (accumulates on edges of vessel)

Red blood cells (RBC) ~44% (accumulates in centre of vessel)White blood cells and platelets ~1-2%

Plasma and RBC accumulation

Plasma SkimmingSaturation Bifurcation Effect

Slide4

Background

Plasma Skimming Effect

Alters hematocrit at bifurcations when flow distribution is asymmetric (

Empirical Bifurcation Law)Leads to lowered apparent hematocrit at network exit

Blood Flow Fraction vs. Red Cell Flow Fraction in Daughter Vessel

Slide5

Background

Saturation Bifurcation Effect :

Caused by diffusive oxygen losses from outer RBCs

Creates radial gradients in oxygen saturation within arterioles

low saturation

RBCs

near wall

high saturationRBCs near centre

high hematocrit

& oxygen saturationlow hematocrit& oxygen saturation

Slide6

Objectives

To create an accurate theoretical model for oxygen distribution in

in vivo

microvascular networksInvestigate the effects of property alterations on oxygen saturation heterogeneityAnalyse hematocrit and oxygen saturations at lower levels of vessel bifurcationUse known biological properties to explain experimentally observed decrease in oxygen saturation at the capillary level

Slide7

MATLAB Theoretical Model

Arteriolar network with 4 levels of bifurcations

Symmetric diameters at each bifurcation

Variable relative blood flow at each bifurcationConserve blood flow, RBC flow, oxygen flow at bifurcations

Set blood flow division at each bifurcationDetermine RBC division by empirical bifurcation law

Calculate oxygen saturation division

Slide8

Methods

Vessel flow profiles in daughter vessels

Fluid speed

Red blood cell (hematocrit)Oxygen saturation

Solve for constants so, h

o, and uo

using conservation of flow

Slide9

Conservation Laws

Conservation of volume flow:

Conservation of RBC flow:

Conservation of oxygen flow:

Slide10

Methods Continued

Determine ‘a’ value for flow division

Find relationship between flow distribution as function of ‘a’

Extrapolate to find ‘a’ for given fractional distribution of flow at each bifurcation

Slide11

Methods Continued

Determine ‘b’ RBC exponential at each bifurcation

Find relationship between RBC flow fraction for each daughter vessel as function of ‘b’

Extrapolate to find ‘b’ based on calculated RBC flow fraction

Slide12

Results

Slide13

Results

Increased heterogeneity of saturation at lower levels of arteriolar network

Values greater than original 0.35 occur

Slide14

Results

Increased heterogeneity of saturation at lower levels of arteriolar network

Values greater than original 0.7 occur

Slide15

Results

Q factor

Mean

d

ischarge hematocrit

at level 4

Mean

oxygen saturation at level 4

0.5

0.35

0.7

0.4

0.3423

0.6828

0.25

0.3004

0.5902

Increasing difference in flow between daughter vessels decreases average hematocrit and oxygen saturation

Apparent loss of hematocrit and oxygen saturation from initial values

Slide16

Discussion

Heterogeneity in hematocrit due to:

Plasma skimming effect

Heterogeneity in oxygen saturation mainly due to:Saturation bifurcation effect Plasma skimmingInaccuracies of model

Flow speed and oxygen saturation quadratic distributionsZero oxygen saturation at walls of vessels

No oxygen loss by diffusion along networkAssumed diameter symmetry at bifurcations

Constant flow distributions at each bifurcation

Slide17

Conclusion

Model showed:

Heterogeneity in hematocrit and saturation levels

Apparent loss of saturation and hematocritModel demonstrates and explains:Saturation bifurcation effectRole of plasma skimming

Pre-capillary loss of oxygen saturation and hematocrit not only due to diffusion through vessel walls

Slide18

Acknowledgments

Dr. Dan Goldman- Supervisor

Dr. Chris Ellis- Originator of saturation bifurcation idea

Slide19

Questions?