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      Villous Tree Model with Active Contractions for Estimating Blood Flow Conditions in the Human Placenta

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          Abstract

          Background:

          In the human placenta, maternal and fetal bloods exchange substances through the surface of the villous trees: the fetal blood circulates in the villous trees, around which the maternal blood circulates. The blood flows directly influence fetal growth. Stem villi, the main supports of the villous tree, have contractile cells along the axes, whose contractions are expected to influence the blood circulations in the placenta. The displacement is neither measurable nor predictable while non-invasive measurements such as umbilical Doppler waveforms are helpful to predict the histological changes of the villous trees and vascularization in the placenta.

          Objective:

          The displacement caused by the contraction of the villous tree is necessary to predict the blood flows in the placenta. Hence, a computational villous tree model, which actively contracts, was developed in this study.

          Method:

          The villous tree model was based on the previous reports: shear moduli of the human placenta; branching patterns in the stem villi. The displacement pattern in the placenta was estimated by the computational model when the shear elastic moduli were changed.

          Results:

          The results show that the displacement caused by the contraction was influenced by the shear elastic moduli, but kept useful for the blood flows in the placenta. The characteristics agreed with the robustness of the blood flows in the placenta.

          Conclusion:

          The villous tree model, which actively contracts, was developed in this study. The combination of this computational model and non-invasive measurements will be useful to evaluate the condition of the placenta.

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          Most cited references31

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          Magnetic resonance elastography by direct visualization of propagating acoustic strain waves

          A nuclear magnetic resonance imaging (MRI) method is presented for quantitatively mapping the physical response of a material to harmonic mechanical excitation. The resulting images allow calculation of regional mechanical properties. Measurements of shear modulus obtained with the MRI technique in gel materials correlate with independent measurements of static shear modulus. The results indicate that displacement patterns corresponding to cyclic displacements smaller than 200 nanometers can be measured. The findings suggest the feasibility of a medical imaging technique for delineating elasticity and other mechanical properties of tissue.
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            Pathology of the Human Placenta

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              • Article: not found

              Oxygen and placental villous development: origins of fetal hypoxia.

              The increasing practice of preterm delivery in the fetal interest for conditions such as pre-eclampsia or intrauterine growth restriction (IUGR) has provided an opportunity to study placental structure in pregnancies with prenatal evidence of fetal compromise. These data suggest that the origin of fetal hypoxia in IUGR with absent end-diastolic flow in the umbilical arteries is due to a failure of oxygen transport from intervillous space to umbilical vein. Failure of the fetoplacental circulation to extract oxygen from the intervillous space under such circumstances means intervillous PO2 is closer to maternal arterial values than under physiological conditions. Correspondingly the placental villi are chronically exposed to a higher oxygen tension than under normal circumstances--the term ¿hyperoxia', relative to normal intraplacental oxygenation, is proposed to describe this situation. Both the trophoblast and villous core react to increased oxygen despite fetal hypoxia. These results challenge the generally accepted concept of ¿placental hypoxia' in all circumstances where fetal hypoxia might arise. Therefore three categories are proposed for the origins of fetal hypoxia: (1) preplacental hypoxia; (2) uteroplacental hypoxia; and (3) postplacental hypoxia. Examples for these three disease states are listed in this review and the structural reaction patterns of placental villi to these differences in oxygenation are discussed.
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                Author and article information

                Journal
                Open Biomed Eng J
                Open Biomed Eng J
                TOBEJ
                The Open Biomedical Engineering Journal
                Bentham Open
                1874-1207
                14 April 2017
                2017
                : 11
                : 36-48
                Affiliations
                [1 ]Faculty of Engineering, Tohoku Gakuin University, Tagajo, Miyagi, Japan
                [2 ]Department of Engineering, University of Cambridge, Cambridge, United Kingdom
                [3 ]Centre for Trophoblast Research and Development Physiology, Department of Neuroscience, University of Cambridge, Cambridge, United Kingdom
                Author notes
                [* ]Address correspondence to this author at the Faculty of Engineering, Tohoku Gakuin University Address: 1-13-1, Chuo, Tagajo, Miyagi, 9858537, Japan Tel: +81-22-368-7837; Fax: +81-22-368-7070; E-mail: ykato@ 123456mail.tohoku-gakuin.ac.jp
                Article
                TOBEJ-11-36
                10.2174/1874120701711010036
                5418916
                2796d973-eb37-4e0d-8cf5-7824cb4b8b2c
                © 2017 Kato et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 30 October 2016
                : 12 January 2017
                : 17 February 2017
                Categories
                Article

                Biomedical engineering
                human placenta,villous tree,stem villi,contraction,placental function,blood flow

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