4.6 Article

Hierarchical Modeling of the Liver Vascular System

Journal

FRONTIERS IN PHYSIOLOGY
Volume 12, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fphys.2021.733165

Keywords

liver circulatory system; constructal design; small-for-size syndrome; hepatectomy; liver hemodynamic parameters

Categories

Funding

  1. CONACyT [CVU:369630]
  2. Villanova Universitys Falvey Memorial Library Scholarship Open Access Reserve (SOAR) Fund

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The liver plays a crucial role in metabolic homeostasis and has a complex vascular anatomy that can be modeled using the constructal law to predict and simulate processes in liver diseases, healing, and regeneration. The vascular network in the liver is critical for mechanics-related processes and blood flow redistribution in hepatic resilience.
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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