Diversity in blood flow control to the brain: moving from individualized modelling towards personalized treatment of the injured brain

Lead Research Organisation: University of Oxford
Department Name: Engineering Science

Abstract

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Publications

10 25 50
 
Description - It well-known that the dynamics of autoregulation response mechanism is complex and highly nonlinear. Despite that, we discovered that the mean cerebral blood flow velocity acts like a (simple) linear viscoelastic model in response to changes in the mean blood pressure during sit-to-stand manoeuvre (Annals of Biomedical Engineering 2015).

- Reproducibility is one of the key features of any medical procedure in order to move it to the bedside practice. In this context, we empirically compared the performance of a wide range of computational methods to assess cerebral autoregulation using two protocols: passive (sitting) and active (sit-to-stand). We showed that measurements taken immediately after standing up consistently and greatly improve the reproducibility of the autoregulation measures with correlation methods showing the largest difference between passive and active protocol. (Medical Engineering and Physics, in review).

- Subsequently, we studied the possible lack of reproducibility due to the existence of noise and artefacts the physiological signals. We carefully examined the influence of effects most common non-physiological artefacts in on the estimates of cerebral autoregualtion. We discovered even relatively small-size artefacts in the signal can significantly bias the estimates of cerebral autoregulation. For each of the four main artefacts we identified the so-called critical size that leads to the 10% deviation in the original value (Medical Engineering and Physics, submitted).

- We are in a process of developing a general framework to compare and test different autoregulation approaches. As the first step towards this we proposed a realistic synthetic model of arterial blood pressure (Physiol. Meas. 2017), which is the driving force for the cerebral autoregulation mechanism. The model allows us to create blood pressure waveforms with prescribed and desirable characteristics (e.g. heart rate, mean systolic and diastolic pressure). This permits us to test the response of different methods to varying input and create as well as use it as a filter to improve the quality of the blood pressure signal.
Exploitation Route - to improve autoregulation assessment procedures
- to understand the interaction between different blood pressure regulation mechanisms (barorelex and cerebral autoregulation)
- to Improve the quality of physiological signals (e.g. by filtering)
- to build a synthetic database of physiological signals for testing biomedical computational procedures
Sectors Healthcare,Manufacturing, including Industrial Biotechology,Pharmaceuticals and Medical Biotechnology

URL http://users.ox.ac.uk/~engs1301/ca.html
 
Description EPSRC data sharing 
Organisation University of Leicester
Department Department of Cardiovascular Sciences
Country United Kingdom 
Sector Academic/University 
PI Contribution We are providing analysis tools to be applied to data sets provided by the two other partners.
Collaborator Contribution They are providing historical data sets that we are able to analyse.
Impact Publications to follow.
Start Year 2014
 
Description EPSRC data sharing 
Organisation University of Southampton
Country United Kingdom 
Sector Academic/University 
PI Contribution We are providing analysis tools to be applied to data sets provided by the two other partners.
Collaborator Contribution They are providing historical data sets that we are able to analyse.
Impact Publications to follow.
Start Year 2014
 
Description Biomedical Conference 1 (Paris, France) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gave a conference talk "Sensitivity analysis in multiscale modeling".
Year(s) Of Engagement Activity 2015
URL http://www.compbiomed.net/2015/
 
Description Biomedical Conference 2 (Paris, France) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Schools
Results and Impact Gave a talk on "Modeling interaction between baroreflex and cerebral autoregulation". The presentation lead to a discussion and establishing a collaboration with researchers form UCL.
Year(s) Of Engagement Activity 2015
URL http://www.compbiomed.net/2015/
 
Description Conference on Cerebral Autoregulation (Southampton) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gave a talk on "Contribution of identifyability techniques to cerebral autoregulation".
Year(s) Of Engagement Activity 2015
URL http://www.car-net.org/media/317_CARNet_programme_7-7-2015.pdf
 
Description Invited seminar talk (Eng, Oxford University) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Schools
Results and Impact A group of approximately 40 researchers attended the talk entitled "How can identifiability and sensitivity analysis improve my model"; intended to introduce methods of model selection with application to biology and engineering.
Year(s) Of Engagement Activity 2015
 
Description Invited seminar talk (Math, Oxford University) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Schools
Results and Impact A group of approximately 20 researchers attended. The talk "Mathematics of the blood pressure and flow regulation"; intended to introduce current mathematical techniques used in modeling blood pressure regulation.
Year(s) Of Engagement Activity 2015
 
Description Invited seminar talk (Roskilde University) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Schools
Results and Impact A group of approximately 40 undergraduates, graduates, and well-known experts in the area of cardiovascular modeling attended the talk. The talk aimed to introduced nonstandard mathematical approaches to mathematical modeling.
Year(s) Of Engagement Activity 2015
 
Description Invited speaker at conference (SAMSI, NC, USA) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Schools
Results and Impact Gave an invited talk "Computational approach to cerebral autoregulation". The some of the presented material (about identifiability of electrical models) sparked a long discussion after the end of the session and request for more information.
Year(s) Of Engagement Activity 2015
URL http://www.samsi.info/workshop/summer-2015-uncertainties-computational-hemodynamics-june-1-3-2015
 
Description Invited speaker at the Tutorial Workshop on Uncertainty Quantification of Biological Models (Raleigh, NC, USA) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Around 40 pupils attended the tutorial workshop in person and others joined the conference online. Practical information related to the subject have been prepared and is available online for anyone interested to use.

Requests for more activities related with uncertainty quantification in physiological and biological models.
Year(s) Of Engagement Activity 2014,2015
URL http://rtg.math.ncsu.edu/Workshop/
 
Description Organizer of the Minisymposium on Physiological/Biological Modelling (Charlotte, NC, USA) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? Yes
Type Of Presentation workshop facilitator
Geographic Reach International
Primary Audience Schools
Results and Impact 30 researchers attended the minisymposium, which raised numerous questions and sparked discussion afterwards.

This activity raised awareness a of the importance of the structural and practical identifiabilty methods in the part of biomathematical and biomedical engineering communities. Around 8 in the attendents joint the follow-up meeting "Tutorial workshop on identifiability, parameter estimation, and uncertainty quantification of biological models" organized at NC State, USA.
Year(s) Of Engagement Activity 2014
URL http://meetings.siam.org/sess/dsp_programsess.cfm?SESSIONCODE=19293
 
Description Quantitative biology conference - QBIOX - Oxford, UK. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Undergraduate students
Results and Impact Presented two posters at the QBIOX special conference.
Poster 1: "Modelling baroreflex regulation of heart rate"
Poster 2: "Structural identfiability of mechanical models"
Year(s) Of Engagement Activity 2016
URL http://www.qbiox.co.uk/
 
Description Stability in polynomial ODEs: complexity and computations 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact A talk given at the special meeting organised by the complexity cluster at Keble College, Univerity of Oxford
Year(s) Of Engagement Activity 2016
URL http://www.keble.ox.ac.uk/about/events/complexity-cluster-research-workshop
 
Description Workshop: Mathematics in Physiology and Medicine 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Undergraduate students
Results and Impact Organizer of the international workshop on the application of mathematics in medicine. One of the main topics discussed was Autoregulation.
Year(s) Of Engagement Activity 2016
URL http://www.ams.org/programs/research-communities/mrc-16