Abstract
Posttraumatic pneumothorax still remains to be a serious clinical problem and requires a comprehensive diagnostic and monitoring during treatment. The aim of this paper is to present a computer method of modeling of small closed pneumothorax. Radiological images of 34 patients of both sexes with small closed pneumothorax were taken into consideration. The control group consisted of X-rays of 22 patients treated because of tension pneumothorax. In every single case the model was correlated with the clinical manifestations. The procedure of computational rapid analysis (CRA) for in silico analysis of surgical intervention was introduced. It included implementation of computerize tomography images and their automatic conversion into 3D finite elements model (FEM). In order to segmentize the 3D model, an intelligent procedure of domain recognition was used. In the final step, a computer simulation project of fluid-structure interaction was built, using the ANSYS\Workbench environment of multi-physics analysis. The FEM model and computer simulation project were employed in the analysis in order to optimize surgical intervention. The model worked out well and was compatible with the clinical manifestations of pneumothorax. We conclude that the created FEM model is a promising tool for facilitation of diagnostic procedures and prognosis of treatment in the case of small closed pneumothorax.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alrajab S, Youssef AM, Akkus NI, Caldito G (2013) Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis. Crit Care 17(5):R208
Alrajhi K, Woo MY, Vaillancourt C (2012) Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta-analysis. Chest 141(3):703–708
Ball CG, Kirkpatrick AW, Laupland KB, Fox DI, Nicolaou S, Anderson IB, Hameed SM, Kortbeek JB, Mulloy RR, Litvinchuk S, Boulanger BR (2005) Incidence, risk factors, and outcomes for occult pneumothoraces in victims of major trauma. J Trauma 59(4):917–925
Digges K, Eigen A, Tahan F, Grzebieta R (2014) Factors that influence chest injuries in rollovers. Traffic Inj Prev 15(Suppl 1):42–48
Ding W, Shen Y, Yang J, He X, Zhang M (2011) Diagnosis of pneumothorax by radiography and ultrasonography: a meta-analysis. Chest 140(4):859–866
Hayashi N (2011) Detection of pneumothorax visualized by computer analysis of bilateral respiratory sounds. Yonago Acta Med 54(4):75–82
Henry M, Arnold T, Harvey J (2003) BTS guidelines for the management of spontaneous pneumothorax. Thorax 58(Suppl 2):ii39–ii52
Hwang JCF, Hanowell LH, Grande CM (1996) Peri-operative concerns in thoracic trauma. Baillières Clin Anaesthesiol 10(1):123–153
Ianniello S, Di Giacomo V, Sessa B, Miele V (2014) First-line sonographic diagnosis of pneumothorax in major trauma: accuracy of e-FAST and comparison with multidetector computed tomography. Radiol Med 119(9):674–680
Kreuter M, Mathis G (2014) Emergency ultrasound of the chest. Respiration 87(2):89–97
Li M, Castillo E, Zheng XL, Luo HY, Castillo R, Wu Y, Guerrero T (2013) Modeling lung deformation: a combined deformable image registration method with spatially varying Young’s modulus estimates. Med Phys 40(8):081902. doi:10.1118/1.4812419
Lorkowski J, Mrzygłód M, Hładki W (2012) Phenomenon of remodeling and adjustment the topology of the calcaneus with a solitary cyst- case report. Przegl Lek 69:201–204
Lorkowski J, Teul I, Hładki W, Kotela I (2013) The evaluation of the treatment results in patients with small closed pneumothorax. Ann Acad Med Stetin 59:43–47
Lorkowski J, Mrzygłód M, Kotela A, Kotela I (2014a) Application of rapid computer modeling in the analysis of the stabilization method in intraoperative femoral bone shaft fracture during revision hip arthroplasty – a case report. Pol Orthop Traumatol 79:138–144
Lorkowski J, Teul I, Hładki W, Kotela I (2014b) The evaluation of procedure and treatment outcome in patients with tension pneumothorax. Ann Acad Med Stetin 60(1):18–23
Mansy HA, Royston TJ, Balk RA, Sandler RH (2002a) Pneumothorax detection using pulmonary acoustic transmission measurements. Med Biol Eng Comput 40(5):520–525
Mansy HA, Royston TJ, Balk RA, Sandler RH (2002b) Pneumothorax detection using computerised analysis of breath sounds. Med Biol Eng Comput 40(5):526–532
Moore FO, Goslar PW, Coimbra R, Velmahos G, Brown CV, Coopwood TB Jr, Lottenberg L, Phelan HA, Bruns BR, Sherck JP, Norwood SH, Barnes SL, Matthews MR, Hoff WS, de Moya MA, Bansal V, Hu CK, Karmy-Jones RC, Vinces F, Pembaur K, Notrica DM, Haan JM (2011) Blunt traumatic occult pneumothorax: is observation safe? – results of a prospective, AAST multicenter study. J Trauma 70(5):1019–1025
Myers JW, Neighbors M, Tannehill-Jones R (2002) Principles of pathophysiology and emergency medical care. Delmar Thomson Learning, Albany, p 121. ISBN 0-7668-2548-5
Oveland NP, Lossius HM, Wemmelund K, Stokkeland PJ, Knudsen L, Sloth E (2013) Using thoracic ultrasonography to accurately assess pneumothorax progression during positive pressure ventilation: a comparison with CT scanning. Chest 143(2):415–422
Plourde M, Emond M, Lavoie A, Guimont C, Le Sage N, Chauny JM, Bergeron E, Vanier L, Moore L, Allain-Boulé N, Fratu RF, Dufresne M (2014) Cohort study on the prevalence and risk factors for delayed pulmonary complications in adults following minor blunt thoracic trauma. Can J Emerg Med Care 16(2):136–143
Roberts DJ, Leigh-Smith S, Faris PD, Ball CG, Robertson HL, Blackmore C, Dixon E, Kirkpatrick AW, Kortbeek JB, Stelfox HT (2014) Clinical manifestations of tension pneumothorax: protocol for a systematic review and meta-analysis. Syst Rev 3:3. doi:10.1186/2046-4053-3-3
Valero C, Javierre E, García-Aznar JM, Gómez-Benito MJ (2014) Nonlinear finite element simulations of injuries with free boundaries: application to surgical wounds. Int J Numer Methods Biomed Eng 30(6):616–633
Velec M, Moseley JL, Eccles CL, Craig T, Sharpe MB, Dawson LA, Brock KK (2011) Effect of breathing motion on radiotherapy dose accumulation in the abdomen using deformable registration. Int J Radiat Oncol Biol Phys 80:265–272
Conflicts of Interest
The authors declare no conflicts of interest in relation to this article.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Lorkowski, J., Mrzygłód, M., Grzegorowska, O. (2015). Finite Elements Modeling in Diagnostics of Small Closed Pneumothorax. In: Pokorski, M. (eds) Noncommunicable Diseases. Advances in Experimental Medicine and Biology(), vol 866. Springer, Cham. https://doi.org/10.1007/5584_2015_150
Download citation
DOI: https://doi.org/10.1007/5584_2015_150
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-19973-3
Online ISBN: 978-3-319-19974-0
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)