Abstract
The aspiration technique was used to characterize the mechanical behavior of the liver. Intra-operative application on human organs aimed at (i) tissue classification towards development of novel diagnostic procedures, and (ii) constitutive modeling of liver tissue. The first goal was achieved using scalar parameters extracted from time histories of aspiration pressure and deformation. Determination of parameters for nonlinear time dependent constitutive model formulations required solving the inverse problem. Glisson’s capsule was analyzed separately from parenchyma and was shown to behave as I 2-material. 207 aspiration measurements were performed on 33 patients. The influence of the contact force between the aspiration device and the liver was kept minimal in order to achieve a high reproducibility of the mechanical measurements. Histopathological characterization with biopsies taken at the measurement location allowed analyzing the influence of tissue microstructure. Tumors with high connective tissue content were shown to significantly affect the mechanical response.
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References
Bauer M, Mazza E, Jabareen M, Sultan L, Bajka M, Lang U, Zimmermann R, Holzapfel GA (2009) Assessment of the in vivo biomechanical properties of the human uterine cervix in pregnancy using the aspiration test: a feasibility study. Eur J Obstet Gynecol Reprod Biol 144:S77–S81
Brown JD, Rosen J, Kim YS, Chang L, Sinananand M, Hannaford B (2003) In-vivo and in-situ compressive properties of porcine abdominal soft tissues. In: Westwood JD, Hoffman HM, Mogel GT, Phillips R, Robb RA, Stredney D (eds) Medicine meets virtual reality 11. Studies in health technology and informatics, vol 94. IOS Press, Amsterdam, pp 26–32
BĂĽrzle W, Haller C, Ehrbar M, Mazza E (2012) Experimental investigations of fetal membrane mechanics. In: Holzapfel GA (ed) CD-ROM proceedings of the European solid mechanics conference 2012, Graz, Austria
Carter FJ, Frank TG, Davies PJ, McLean D, Cuschieri A (2001) Measurement and modelling of the compliance of human and porcine organs. Med Image Anal 5:231–236
Chui C, Kobayashi E, Chen X, Hisada T, Sakuma I (2007) Transversely isotropic properties of porcine liver tissue: experiments and constitutive modelling. Med Biol Eng Comput 45:99–106
Egger J (2008) An inflation device for testing human fetal membranes. Master’s Thesis, ETH, Zurich
Gao Z, Lister K, Desai JP (2010) Constitutive modeling of liver tissue: experiment and theory. Ann Biomed Eng 38:505–516
Hollenstein M (2011) PhD Thesis, No. 19587, ETH, Zurich
Hollenstein M, Jabareen M, Breitenstein S, Riener M-O, Clavien P-A, Bajka M, Mazza E (2009) Intraoperative mechanical characterization of human liver. Proc Appl Math Mech 9:83–86
Hollenstein M, Bugnard G, Joos R, Kropf S, Villiger P, Mazza E (2011) Towards laparoscopic tissue aspiration. Med Image Anal (submitted)
Huwart L, Peeters F, Sinkus R, Annet L, Salameh N, ter Beek LC, Horsmans Y, Van Beers BE (2006) Liver fibrosis: non-invasive assessment with MR elastography. NMR Biomed 19:173–179
Kerdok A, Ottensmeyer M, Howe R (2006) Effects of perfusion on the viscoelastic characteristics of liver. J Biomech 39:2221–2231
Mazza E, Nava A, Hahnloser D, Jochum W, Bajka M (2007) The mechanical response of human liver and its relation to histology: an in vivo study. Med Image Anal 11:663–672
Mazza E, Grau P, Hollenstein M, Bajka M (2008) Constitutive modeling of human liver based on in vivo measurements. Med Image Comput Comput Assist Interv 11:726–733
Nava A (2007) In vivo characterization of the mechanical response of soft human tissue. ETH Zurich Diss., 17060
Nava A, Mazza E, Furrer M, Villiger P, Reinhart WH (2008) In vivo mechanical characterization of human liver. Med Image Anal 12:203–216
Ottensmeyer MP (2002) TeMPeST I-D: an instrument for measuring solid organ soft tissue properties. Exp Tech 26:48–50
Rouvière O, Yin M, Dresner MA, Rossman PJ, Burgart LJ, Fidler JL, Ehman RL (2006) MR elastography of the liver: preliminary results. Radiology 240:440–448
Rubin MB, Bodner SR (2002) A three-dimensional nonlinear model for dissipative response of soft tissue. Int J Solids Struct 39:5081–5099
Samur E, Sedef M, Basdogan C, Avtan L, Duzgun O (2007) A robotic indenter for minimally invasive measurement and characterization of soft tissue response. Med Image Anal 11:361–373
Sandrin L, Fourquet B, Hasquenoph J, Yon S, Fournier C, Mal F, Christidis C, Ziol M, Poulet B, Kazemi F, Beaugrand M, Palau R (2003) Transient elastography: a new noninvasive method for assessment of hepatic fibrosis. Ultrasound Med Biol 29:1705–1713
Schwartz J, Denninger M, Rancourt D, Moisan C, Laurendeau D (2005) Modelling liver tissue using a visco-elastic model for surgery simulation. Med Image Anal 9:103–112
Tay BK, Kim J, Srinivasan MA (2006) In vivo mechanical behavior of intra-abdominal organs. IEEE Trans Biomed Eng 53:2129–2138
von Siebenthal M, Székely G, Lomax AJ, Cattin PC (2007) Systematic errors in respiratory gating due to intrafraction deformations of the liver. Med Phys 34:3620–3629
Zheng YP, Leung SF, Mak AFT (2000) Assessment of neck tissue fibrosis using an ultrasound palpation system: a feasibility study. Med Biol Eng Comput 38:497–502
Acknowledgements
We thank Dr. S. Breitenstein, University Hospital Zurich, for performing the intraoperative measurements with the aspiration device. This work was partly supported by the CO-ME/NCCR research network of the Swiss National Science Foundation.
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Hollenstein, M., Mazza, E. (2013). Mechanical Characterization of the Human Liver. In: Holzapfel, G., Kuhl, E. (eds) Computer Models in Biomechanics. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5464-5_26
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DOI: https://doi.org/10.1007/978-94-007-5464-5_26
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