Centre for Centre for Centre for
Centre for Health Health Health Health Engineering Engineering Engineering Engineering
CNRS UMR 5146 – INSERM IFR 143
Identification of the material parameters of soft tissues in the compressed leg
Laura Dubuis, Stéphane Avril, Johan
Debayle, Pierre Badel
LaMCoS - 2010/11/17 - Stéphane AVRIL
Introduction
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
Veinous Veinous Veinous Veinous Veinous Veinous Veinous Veinous diseases diseases diseases diseases diseases diseases diseases diseases
Context
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
Calf: a peripheral heart
[P. Ducrozet. Booster study. PhD thesis, Université Jean Monnet, Saint Etienne, 2004]
[S. Couzan, P. Mismetti, S. Laporte, J.F. Pouget, E. Gauthier, D. Brisot, I. Quere, A. Leizorovicz. CE-Prog study.
Saint-Étienne, 2009]
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
Different types of treatments by compression
High pressure
Low pressure Low
pressure
High pressure Conventional Conventional Conventional
Conventional compression compression compression compression (compression stockings) (1956)
Progressive compression Progressive compression Progressive compression Progressive compression (BVSport patent)
(1997)
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
Towards patient-specific compression
Device Device Device Device for for for for veinous veinous veinous veinous pressure pressure pressure pressure measurements measurements measurements measurements Compressionmeter Compressionmeter Compressionmeter Compressionmeter for custom compression for custom compression for custom compression for custom compression
Raises Raises Raises Raises mechanical mechanical mechanical mechanical issues: issues: issues: issues:
Pressure transmission from stockings to soft tissues?
Mechanical properties of these tissues?
Pressure field in tissues?
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
FE model
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
Geometry and meshing
Exterior surface
Muscle surface
Bone surface
FE Mesh FE model:
FE model:
FE model:
FE model:
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
Model specifications
Boundary Boundary Boundary Boundary conditions conditions conditions conditions
Bones clamped
Pressure applied by the stocking Laplace law: P=T/R c
FE model:
FE model:
FE model:
FE model:
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
Constitutive equations
[S. Avril, L. Bouten, L. Dubuis, S. Drapier, J-F. Pouget. Mixed Experimental and Numerical Approach for
Characterizing the Biomechanical Response of the Human Leg Under Elastic Compression. J. Biomechanical Eng. 132, 2009.]
FE model:
FE model:
FE model:
FE model:
Neo Neo- Neo Neo - -Hookean - Hookean Hookean Hookean model model model model
MRI slice Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
Identification FE model:
FE model:
FE model:
FE model:
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
Identification FE model:
FE model:
FE model:
FE model:
Inverse problem: definition of the cost function
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
Identified Identified Identified Identified constitutive constitutive constitutive constitutive parameters parameters parameters parameters
1160 1160 1160 1160 1060
1060 1060 1060 K (
K ( K (
K (kPa kPa kPa kPa))))
11.5 11.5 11.5 11.5 5
5 5 5 C
C C
C 10 10 10 10 ((((kPa kPa kPa kPa))))
Muscle Muscle Muscle Muscle Fat
Fat Fat Fat
Hyperelastic
Neo Hookean model FE model:
FE model:
FE model:
FE model:
Identification results
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
FE model:
FE model:
FE model:
FE model:
Identification results
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
Results
Hydrostatic Hydrostatic Hydrostatic Hydrostatic pressure pressure pressure pressure
FE model:
FE model:
FE model:
FE model:
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
Results
Great saphenous
Small saphenous Anterior
tibial
Posterior tibial
Fibular FE model:
FE model:
FE model:
FE model:
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
y d ro s ta ti c p re s s u re ( k P a )
Results
Hydrostatic Hydrostatic Hydrostatic Hydrostatic pressure pressure pressure pressure at at at at different different different locations different locations locations locations
A p p li e d p re s s u re
F ib u la r
F ib u la r
s te ri o r ti b ia l
te ri o r ti b ia l
ri o r ti b ia l
ri o r ti b ia l
G re a t s a p h e n o u s
re a t s a p h e n o u s
S m a ll s a p h e n o u s
lm a ll s a p h e n o u s
1 % 3 %
6 %
3 %
0 %
FE model:
FE model:
FE model:
FE model:
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
results FE model:
FE model:
FE model:
FE model:
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
Hydrostatic Hydrostatic Hydrostatic Hydrostatic pressure pressure pressure pressure at at at at different different different heights different heights heights heights
LaMCoS - 2010/11/17 - Stéphane AVRIL
Conclusion
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
LaMCoS - 2010/11/17 - Stéphane AVRIL
Prospects
Compartments Compartments Compartments Compartments and
and and
and aponeuroses aponeuroses aponeuroses aponeuroses
Interactions and sliding
Coupling Coupling with Coupling Coupling with with with veinous veinous veinous veinous blood blood blood flow blood flow flow flow Quantification of
Quantification of Quantification of
Quantification of draining draining draining draining effect effect effect effect
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results
Conclusion
Prospects
Acknowledgements
LaMCoS - 2010/11/17 - Stéphane AVRIL
Students Students Students
Students: Laura Bouten & Laura Dubuis Colleagues
Colleagues Colleagues
Colleagues: Pierre Badel, Johan Debayle Physicians
Physicians Physicians
Physicians: Serge Couzan, Jean-François Pouget Support
Support Support
Support: ANR, Région Rhône-Alpes, industry
Acknowledgements
Introduction
Context
Calf: a peripheral heart Different types of
treatments by compression Towards patient-specific compression
FE model
Geometry and meshing Model specifications Constitutive equations Identification
Identification results Results
Results results