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PURPOSE: Ultrasound imaging is key in the management of patients with an abdominal aortic aneurysm (AAA). It was recently shown that the cyclic diameter variations between diastole and systole, which can be quantified with US imaging, increase significantly with the strength of the applied probe pressure on the patient's abdomen. The goal of this study is to investigate this effect more thoroughly. METHODS: With finite-element modeling, pulsatile blood pressure and probe pressure are simulated in three patient-specific geometries. Two distinct models for the aortic wall were simulated: a nonlinear hyperelastic and a linear elastic model. In addition, varying stiffness was considered for the surrounding tissues. The effect of light, moderate, and firm probe pressure was quantified on the stresses and strains in the aortic wall, and on two in vivo stiffness measures. In addition, the Elasticity Loss Index was proposed to quantify the change in stiffness due to probe pressure. RESULTS: Firm probe pressure decreased the measured aortic stiffness, and material stiffness was affected only when the wall was modeled as nonlinear, suggesting a shift in the stress-strain curve. In addition, stiffer surrounding tissues and a more elongated aneurysm sac decreased the responsiveness to the probe pressure. CONCLUSION: The effect of probe pressure on the AAA wall stiffness was clarified. In particular, the AAA wall nonlinear behavior was found to be of primary importance in determining the probe pressure response. Thus, further work will intend to make use of this novel finding in a clinical context.

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Mechanical properties of muscle tissue are crucial in biomechanical modeling of the human body. Muscle tissue is a combination of Muscle Fibers (MFs) and connective tissue including collagen and elastin fibers. There are a lot of passive muscle models in the literature but most of them do not consider any distinction between Collagen Fibers (CFs) and MFs, or at least do not consider the mechanical effects of the CFs on the Three-Dimensional (3-D) behavior of tissue. As a consequence, unfortunately, they cannot describe the observed stress-stretch behavior in tissue in which the reinforced direction is not parallel to the MF direction. In this research, a new passive muscle model is presented, in which the CFs are separately considered in the formulation: they are distributed along the MFs in a cross-shaped arrangement. Thanks to this new architecture, a mechanical reinforced direction can be proposed, in addition to the muscle main fiber direction. The passive biomechanical properties of the genioglossus muscle of a bovine tongue have been measured under uniaxial tensile tests. To characterize the 3-D response of the tissue, tests have been performed in different directions with respect to the MF direction. Moreover, a Constitutive Law (CL) has been proposed for modeling this behavior. In addition to our measurements on the bovine genioglossus muscle, results published in the literature on experimental data from the longissimus dorsi of pigs and the chicken pectoralis muscle were used to appraise the applicability of the proposed model. It is demonstrated that the proposed passive muscle model provides an accurate description of the fiber-oriented nature of muscle tissue. Also, it has been shown that using Finite Element Analysis (FEA) it might be possible to predict the angle θ between CFs and MF.

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Material properties of the human tongue tissue have a significant role in understanding its function in speech, respiration, suckling, and swallowing. Tongue as a combination of various muscles is surrounded by the mucous membrane and is a complicated architecture to study. As a first step before the quantitative mechanical characterization of human tongue tissues, the passive biomechanical properties in the superior longitudinal muscle (SLM) and the mucous tissues of a bovine tongue have been measured. Since the rate of loading has a sizeable contribution to the resultant stress of soft tissues, the rate dependent behavior of tongue tissues has been investigated via uniaxial tension tests (UTTs). A method to determine the mechanical properties of transversely isotropic tissues using UTTs and inverse finite element (FE) method has been proposed. Assuming the strain energy as a general nonlinear relationship with respect to the stretch and the rate of stretch, two visco-hyperelastic constitutive laws (CLs) have been proposed for isotropic and transversely isotropic soft tissues to model their stress-stretch behavior. Both of them have been implemented in ABAQUS explicit through coding a user-defined material subroutine called VUMAT and the experimental stress-stretch points have been well tracked by the results of FE analyses. It has been demonstrated that the proposed laws make a good description of the viscous nature of tongue tissues. Reliability of the proposed models has been compared with similar nonlinear visco-hyperelastic CLs.

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