Frontiers in Physiology · 2021 · 24 citations · 28 references
MedicineAnatomyPhysiologyBiological Systems ModelingFluid DynamicsPhysiological Systems ModelingCirculatory PhysiologyHemodynamicsLiver AnatomyLiver Blood FlowLiver PhysiologyVascular AnatomyBlood FlowBlood Flow DynamicsBlood PressureCirculatory System ModelingDeterministic ModelsHepatic HemodynamicsHepatic VasculaturePorous Media
The liver plays a key role in the metabolic homeostasis of the whole organism. To carry out its functions, it is endowed with a peculiar circulatory system, made of three main dendritic flow structures and lobules. Understanding the vascular anatomy of the liver is clinically relevant since various liver pathologies are related to vascular disorders. Here, we develop a novel liver circulation model with a deterministic architecture based on the constructal law of design over the entire scale range (from macrocirculation to microcirculation). In this framework, the liver vascular structure is a combination of superimposed tree-shaped networks and porous system, where the main geometrical features of the dendritic fluid networks and the permeability of the porous medium, are defined from the constructal viewpoint. With this model, we are able to emulate physiological scenarios and to predict changes in blood pressure and flow rates throughout the hepatic vasculature due to resection or thrombosis in certain portions of the organ, simulated as deliberate blockages in the blood supply to these sections. This work sheds light on the critical impact of the vascular network on mechanics-related processes occurring in hepatic diseases, healing and regeneration that involve blood flow redistribution and are at the core of liver resilience.
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The normal adult human liver biopsy: A quantitative reference standard
Aleta R. Crawford, Xi‐Zhang Lin, James M. Crawford · Hepatology · 1998 · 316 citations · Full text
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Sylvie Lorente, Mathieu Hautefeuille, Aczel Sánchez-Cedillo · Scientific Reports · 2020 · 109 citations · Full text
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