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      The liver, a functionalized vascular structure

      research-article
      1 , , 2 , 3
      Scientific Reports
      Nature Publishing Group UK
      Engineering, Liver

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          Abstract

          The liver is not only the largest organ in the body but also the one playing one of the most important role in the human metabolism as it is in charge of transforming toxic substances in the body. Understanding the way its blood vasculature works is key. In this work we show that the challenge of predicting the hepatic multi-scale vascular network can be met thanks to the constructal law of design evolution. The work unveils the structure of the liver blood flow architecture as a combination of superimposed tree-shaped networks and porous system. We demonstrate that the dendritic nature of the hepatic artery, portal vein and hepatic vein can be predicted, together with their geometrical features (diameter ratio, duct length ratio) as the entire blood flow architectures follow the principle of equipartition of imperfections. At the smallest scale, the shape of the liver elemental systems—the lobules—is discovered, while their permeability is also predicted. The theory is compared with good agreement to anatomical data from the literature.

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          Liver failure after major hepatic resection.

          The consequence of excessive liver resection is the inexorable development of progressive liver failure characterised by the typical stigmata associated with this condition, including worsening coagulopathy, hyperbilirubinaemia and encephalopathy. The focus of this review will be to investigate factors contributing to hepatocyte loss and impaired regeneration.
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            Why the bigger live longer and travel farther: animals, vehicles, rivers and the winds

            Here we show that constructal-law physics unifies the design of animate and inanimate movement by requiring that larger bodies move farther, and their movement on the landscape last longer. The life span of mammals must scale as the body mass (M) raised to the power 1/4, and the distance traveled during the lifetime must increase with body size. The same size effect on life span and distance traveled holds for the other flows that move mass on earth: atmospheric and oceanic jets and plumes, river basins, animals and human operated vehicles. The physics is the same for all flow systems on the landscape: the scaling rules of “design” are expressions of the natural tendency of all flow systems to generate designs that facilitate flow access. This natural tendency is the constructal law of design and evolution in nature. Larger bodies are more efficient movers of mass on the landscape.
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              Analyzing the human liver vascular architecture by combining vascular corrosion casting and micro-CT scanning: a feasibility study.

              Although a full understanding of the hepatic circulation is one of the keys to successfully perform liver surgery and to elucidate liver pathology, relatively little is known about the functional organization of the liver vasculature. Therefore, we materialized and visualized the human hepatic vasculature at different scales, and performed a morphological analysis by combining vascular corrosion casting with novel micro-computer tomography (CT) and image analysis techniques. A human liver vascular corrosion cast was obtained by simultaneous resin injection in the hepatic artery (HA) and portal vein (PV). A high resolution (110 μm) micro-CT scan of the total cast allowed gathering detailed macrovascular data. Subsequently, a mesocirculation sample (starting at generation 5; 88 × 68 × 80 mm³) and a microcirculation sample (terminal vessels including sinusoids; 2.0 × 1.5 × 1.7 mm³) were dissected and imaged at a 71-μm and 2.6-μm resolution, respectively. Segmentations and 3D reconstructions allowed quantifying the macro- and mesoscale branching topology, and geometrical features of HA, PV and hepatic venous trees up to 13 generations (radii ranging from 13.2 mm to 80 μm; lengths from 74.4 mm to 0.74 mm), as well as microvascular characteristics (mean sinusoidal radius of 6.63 μm). Combining corrosion casting and micro-CT imaging allows quantifying the branching topology and geometrical features of hepatic trees using a multiscale approach from the macro- down to the microcirculation. This may lead to novel insights into liver circulation, such as internal blood flow distributions and anatomical consequences of pathologies (e.g. cirrhosis). © 2014 Anatomical Society.
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                Author and article information

                Contributors
                sylvie.lorente@villanova.edu
                Journal
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                1 October 2020
                1 October 2020
                2020
                : 10
                : 16194
                Affiliations
                [1 ]GRID grid.267871.d, ISNI 0000 0001 0381 6134, Department of Mechanical Engineering, , Villanova University, ; Villanova, PA 19085 USA
                [2 ]GRID grid.9486.3, ISNI 0000 0001 2159 0001, Departamento de Física, Facultad de Ciencias, , Universidad Nacional Autónoma de México, ; Circuito Exterior S/N, Ciudad Universitaria, CP04510 Coyoacán, Ciudad de México, Mexico
                [3 ]GRID grid.420239.e, ISNI 0000 0001 2113 9210, Centro Médico 20 de Noviembre, , ISSSTE,, ; Félix Cuevas 540, Del Valle Sur, Benito Juárez, CP03100 Ciudad de México, Mexico
                Article
                73208
                10.1038/s41598-020-73208-8
                7531010
                33004881
                1fee4b8f-a374-47a0-adda-d12ed9263861
                © The Author(s) 2020

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 23 December 2019
                : 10 September 2020
                Categories
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                © The Author(s) 2020

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                engineering,liver
                Uncategorized
                engineering, liver

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