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      Computational fluid dynamic models as tools to predict aerosol distribution in tracheobronchial airways

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          Abstract

          Aerosol and pollutants, in form of particulates 5–8 μm in main size face every day our respiratory system as natural suspension in air or forced to be inhaled as a coadjutant in a medical therapy for respiratory diseases. This inhalation happens in children to elderly, women and men, healthy or sick and disable people. In this paper we analyzed the inhalation of aerosol in conditions assimilable to the thermal therapy. We use a computational fluid dynamic 3D model to compute and visualize the trajectories of aerosol (3–7–10–25 µm) down to the sixth generation of bronchi, in a steady and dynamic condition (7 µm) set as breath cycle at rest. Results, compared to a set of milestone experimental studies published in literature, allow the comprehension of particles behavior during the inhalation from mouth to bronchi sixth generation, the visualization of jet at larynx constriction and vortices, in an averaged characteristic rigorous geometrical model including tracheal rings. Results on trajectories and deposition show the importance of the including transient physiological breath cycle on aerosol deposition analyses. Numerical and graphical results, may enable the design of medical devices and protocols to make the inhalations more effective in all the users’ population.

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          Most cited references47

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          Models of the human bronchial tree.

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            Transport and deposition of micro-aerosols in realistic and simplified models of the oral airway.

            A number of in vivo, in vitro and numerical studies have considered flow field characteristics and micro-particle deposition in the oral airway extending from the mouth through the larynx. These studies have highlighted the effects of flow rates, turbulence and particle characteristics on deposition values in realistic and simplified geometries. However, the effect of geometry simplifications on regional and local deposition patterns remains largely un-quantified for the oral airway and throughout the respiratory tract. The objective of this study is to assess the effects of geometry simplifications on regionally averaged and local micro-aerosol deposition characteristics in models of the extrathoracic oral airway. To achieve this objective, a realistic model of the oral airway has been constructed based on CT scans of a healthy adult in conjunction with measurements reported in the literature. Three other geometries with descending degrees of physical realism were constructed based on successive geometric simplifications of the realistic model. A validated low Reynolds number (LRN) k-omega turbulence model was employed to simulate laminar, transitional and fully turbulent flow regimes for 1-31 microm particles. Geometric simplifications were found to have a significant effect on aerosol dynamics, hot spot formations and cellular-level deposition values in the extrathoracic airway models considered. For all models, regional deposition efficiency results were found to be approximately within one standard deviation of available experimental data when plotted as a function of Stokes number. The realistic geometry provided the best predictions of regional deposition in comparison to experimental data as a function of particle diameter. Considering localized deposition, maximum deposition enhancement factors, which represent the ratio of local to total deposition, were one to two orders of magnitude higher for the realistic model. Geometric factors that significantly contributed to enhanced particle localization in the realistic model include a triangular-shaped glottis and a dorsal-sloped trachea. Therefore, highly realistic models of the oral airway geometry may be necessary to evaluate localized deposition patterns and hot spot formations, which are critical for accurately predicting cellular-level dose.
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              Experimental measurements and empirical modelling of the regional deposition of inhaled particles in humans.

              Regional deposition of inhaled particles was studied experimentally in a hollow cast of the human larynx-tracheobronchial tree extending through the first six branching levels, and in twenty-six non-smoker human volunteers in vivo. Results of the hollow cast study indicated a linear dependence of particle deposition efficiency on the Stokes number for aerosols with aerodynamic diameters greater than 2 micrometers. Alveolar and total respiratory tract in vitro deposition in healthy non-smokers was minimal for particles of approximately 0.4 micrometers, and alveolar deposition for mouthpieces inhalations peaked for particles of approximately 3 micrometers. A new anatomic parameter, the bronchial deposition size (BDS), is introduced to permit the classification of various individuals and populations according to their tracheobronchial deposition efficiencies. The average BDS's were 1.20 cm for 26 healthy non-smokers, 1.02 cm for 46 cigarette smokers, 0.90 cm for 19 clinical patients being treated for obstructive lung disease and 0.60 cm for six severely disabled patients.
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                Author and article information

                Contributors
                elena1.bianchi@polimi.it
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                13 January 2021
                13 January 2021
                2021
                : 11
                : 1109
                Affiliations
                [1 ]GRID grid.4643.5, ISNI 0000 0004 1937 0327, Laboratory of Biological Structures Mechanics (LaBS), Department of Chemistry, Materials and Chemical Engineering “Giulio Natta”, , Politecnico Di Milano, ; Piazza Leonardo da Vinci 32, 20133 Milan, Italy
                [2 ]GRID grid.4643.5, ISNI 0000 0004 1937 0327, Department of Chemistry, Materials and Chemical Engineering “Giulio Natta”, , Politecnico Di Milano, ; Piazza Leonardo da Vinci 32, 20133 Milan, Italy
                Article
                80241
                10.1038/s41598-020-80241-0
                7806585
                33441807
                dddafb3d-4c58-46cf-999a-854fd2245de6
                © The Author(s) 2021

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 2 September 2020
                : 16 December 2020
                Funding
                Funded by: Fondazione per la Ricerca Scientifica Termale (FORST, Rome, Italy)
                Categories
                Article
                Custom metadata
                © The Author(s) 2021

                Uncategorized
                anatomy,health care,medical research
                Uncategorized
                anatomy, health care, medical research

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