6 resultados para Respiração abdominal lenta

em Universidad Politécnica de Madrid


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To propose an automated patient-specific algorithm for the creation of accurate and smooth meshes of the aortic anatomy, to be used for evaluating rupture risk factors of abdominal aortic aneurysms (AAA). Finite element (FE) analyses and simulations require meshes to be smooth and anatomically accurate, capturing both the artery wall and the intraluminal thrombus (ILT). The two main difficulties are the modeling of the arterial bifurcations, and of the ILT, which has an arbitrary shape that is conforming to the aortic wall.

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A semi-automatic segmentation algorithm for abdominal aortic aneurysms (AAA), and based on Active Shape Models (ASM) and texture models, is presented in this work. The texture information is provided by a set of four 3D magnetic resonance (MR) images, composed of axial slices of the abdomen, where lumen, wall and intraluminal thrombus (ILT) are visible. Due to the reduced number of images in the MRI training set, an ASM and a custom texture model based on border intensity statistics are constructed. For the same reason the shape is characterized from 35-computed tomography angiography (CTA) images set so the shape variations are better represented. For the evaluation, leave-one-out experiments have been held over the four MRI set.

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A novel method for generating patient-specific high quality conforming hexahedral meshes is presented. The meshes are directly obtained from the segmentation of patient magnetic resonance (MR) images of abdominal aortic aneu-rysms (AAA). The MRI permits distinguishing between struc-tures of interest in soft tissue. Being so, the contours of the lumen, the aortic wall and the intraluminal thrombus (ILT) are available and thus the meshes represent the actual anato-my of the patient?s aneurysm, including the layered morpholo-gies of these structures. Most AAAs are located in the lower part of the aorta and the upper section of the iliac arteries, where the inherent tortuosity of the anatomy and the presence of the ILT makes the generation of high-quality elements at the bifurcation is a challenging task. In this work we propose a novel approach for building quadrilateral meshes for each surface of the sectioned geometry, and generating conforming hexahedral meshes by combining the quadrilateral meshes. Conforming hexahedral meshes are created for the wall and the ILT. The resulting elements are evaluated on four patients? datasets using the Scaled Jacobian metric. Hexahedral meshes of 25,000 elements with 94.8% of elements well-suited for FE analysis are generated.

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La finalidad de esta investigación se enmarca dentro de los estudios sobre hormigones de presas llevados a cabo en el Laboratorio Central de Estructuras y Materiales del CEDEX. En España se han diagnosticado 18 obras afectadas tanto por la reacción álcali-sílice de tipo rápido como por la de tipo lento. Dos de de las obras, fabricadas con áridos graníticos, no presentan signos de deterioro pero en laboratorio se han hallado productos expansivos. En las 16 presas españolas restantes, el hormigón de 10 de ellas estaba fabricado con áridos graníticos, de las cuales, 7 están afectadas por la reacción de tipo lento. Sin embargo, en las clasificaciones internacionales de las rocas potencialmente reactivas se establece habitualmente que las rocas graníticas son inocuas o de reactividad muy baja. En los casos puntuales encontrados en la literatura, la reactividad de este tipo de áridos se encuentra frecuentemente asociada al cuarzo microcristalino que contienen y ocasionalmente se asocia esta reactividad también al cuarzo deformado y/o microfisurado. En la tesis doctoral de Víctor Daniel Lanza Fernández, también realizada en el CEDEX, se han tratado los áridos de reacción rápida, dando una descripción detallada de los componentes que intervienen en este tipo de reacción y presentando un ensayo eficaz para su detección en el laboratorio. La investigación desarrollada en la presente tesis doctoral se ha centrado en los áridos de reacción lenta, mucho menos estudiados. A partir del estudio bibliográfico realizado sobre este tipo de reacción se ha detectado ciertas lagunas, basadas principalmente en la falta de un método de detección en el laboratorio para los áridos de reacción lenta. No se ha encontrado un procedimiento en el estudio petrográfico que sea fiable y cuantificable para este tipo de áridos. El ensayo acelerado de barras de mortero, que para los áridos de reacción rápida supone un método rápido y fiable, falla en la detección de los áridos de reacción lenta al aplicar los límites normalizados. Si bien en publicaciones recientes se ha propuesto la posibilidad de ampliar el tiempo de tratamiento hasta los 90 días, la duración del ensayo es más larga de lo deseado. Para resolver estas lagunas, se han tomado áridos de obras reales afectadas por la reacción álcali-sílice (en algún caso también de las canteras de donde se extrajeron los áridos para la ejecución), con lo que la reactividad de estos áridos queda demostrada por su comportamiento en obra. Al objeto de aumentar la muestra de ensayo y utilizar también áridos inocuos, se han tomado muestras de canteras, tanto en uso como abandonadas. Sobre estos áridos se ha realizado una caracterización completa con los ensayos actualmente disponibles para el estudio de su reactividad con los álcalis del cemento: estudio petrográfico, ensayo acelerado de barras de mortero y Gel-Pat modificado. En la investigación se ha desarrollado una metodología de tinción de geles álcali-sílice para la cuantificación de los mismos en el interior de las barras de mortero. Se ha relacionado el volumen de gel generado en la reacción con la expansión producida, tanto para áridos lentos, como rápidos, estableciendo analogías y diferencias en el comportamiento de ambos. La cuantificación de este tipo de compuestos realizada en las barras de mortero, abre la posibilidad de estudiar la capacidad expansiva que presentan en testigos de hormigón de obras afectadas. Este dato podría ser una herramienta importante para el desarrollo de modelos matemáticos que puedan predecir el futuro comportamiento de las estructuras afectadas por la reacción álcali-sílice. La tinción ha sido asimismo utilizada para establecer un método de detección de áridos reactivos basado en el ensayo de Gel-Pat modificado. La metodología de detección propuesta para estos áridos es cuantitativa y proporciona los resultados en 14 días, suponiendo una ventaja importante sobre los métodos actuales, que permiten detectarlos en 90 días (de forma orientativa en 56 días). This research is part of the studies on durability of concrete dams carried out in the Laboratorio Central de Estructuras y Materiales of CEDEX during the last years. At the present time, 18 public works affected by alkali-silica reaction have been diagnosed in Spain. In 12 of them the concrete was mixed with granitic aggregates, 7 of which were damaged by the slow alkali-silica reaction, 3 by the rapid alkali-silica reaction and in the other 2 cases, although there was no visual evidence of the reaction in field, the laboratory tests showed the presence of expansive products inside the concrete. However, in the international classifications of potentially reactive aggregates granitic rocks are pointed out as innocuous or as low reactivity and usually their reactivity is attributed to the presence of microcrystalline quartz and occasionally with the strained and microcracked quartz. The rapid reactive aggregates were deeply studied in a previous research (Víctor Daniel Lanza’s Thesis) also carried out in CEDEX. In this research, a detailed description of the components involved in the rapid alkali-silica reaction was given. Also, a fast method to detect them in the laboratory was developed. The research of the present PhD Thesis is focused in the slow-reactive aggregates, much less studied. The state of the art has shown some gaps in the knowledge about this reaction, mainly the absence of a reliable method to detect slow-reactive aggregates. On one side, there is no systematic and quantitative petrographic test for these aggregates. On the other side, the accelerated mortar bar test has been proved to be effective to detect rapid reactive aggregates but the standard limits fail in the detection of the slowreactive aggregates. In recent investigations it has been proposed extending the test until 90 days, but this period is considered too long. In this research, aggregates taken from affected structures have been used in the test, so their reactivity has been shown in practice. With the aim of increasing the number of samples aggregates from quarries have been also used. A method to stain alkali-silica gels has been applied to mortar bars, thereby quantifying the volume of gel generated inside. This volume has been related to the expansion of the bars, both for rapid for slow reactive aggregates, establishing similarities and differences. The quantification of the gel volume, applied to concrete cores extracted from affected structures, could be an important tool in mathematical models to predict the future behaviour of the structures affected by the alkali-silica reaction. The staining method has been also used to develop a method to detect slow reactive aggregates, based on the optimised Gel-Pat test, obtaining results in 14 days. This represents a major improvement compared to the actual methods (accelerated mortar bar test) which give an indicative value of reactivity at 56 days, and a final result at 90 days.

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In order to perform finite element (FE) analyses of patient-specific abdominal aortic aneurysms, geometries derived from medical images must be meshed with suitable elements. We propose a semi-automatic method for generating conforming hexahedral meshes directly from contours segmented from medical images. Magnetic resonance images are generated using a protocol developed to give the abdominal aorta high contrast against the surrounding soft tissue. These data allow us to distinguish between the different structures of interest. We build novel quadrilateral meshes for each surface of the sectioned geometry and generate conforming hexahedral meshes by combining the quadrilateral meshes. The three-layered morphology of both the arterial wall and thrombus is incorporated using parameters determined from experiments. We demonstrate the quality of our patient-specific meshes using the element Scaled Jacobian. The method efficiently generates high-quality elements suitable for FE analysis, even in the bifurcation region of the aorta into the iliac arteries. For example, hexahedral meshes of up to 125,000 elements are generated in less than 130 s, with 94.8 % of elements well suited for FE analysis. We provide novel input for simulations by independently meshing both the arterial wall and intraluminal thrombus of the aneurysm, and their respective layered morphologies.

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Ponencia sobre el efecto de un polimorfismo del gen ADRB3 sobre masa grasa en mujeres con sobrepeso y obesidad.