Article(id=1244321227104432540, tenantId=1146029695717560320, journalId=1244284848500682798, issueId=1244321215637209904, articleNumber=null, orderNo=null, doi=10.16156/j.1004-7220.2025.05.032, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1736352000000, receivedDateStr=2025-01-09, revisedDate=1740067200000, revisedDateStr=2025-02-21, acceptedDate=null, acceptedDateStr=null, onlineDate=1774598898911, onlineDateStr=2026-03-27, pubDate=1759248000000, pubDateStr=2025-10-01, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1774598898911, onlineIssueDateStr=2026-03-27, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1774598898911, creator=13701087609, updateTime=1774598898911, updator=13701087609, issue=Issue{id=1244321215637209904, tenantId=1146029695717560320, journalId=1244284848500682798, year='2025', volume='40', issue='5', pageStart='1079', pageEnd='1366', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1774598896178, creator=13701087609, updateTime=1774599509568, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1244323788452639476, tenantId=1146029695717560320, journalId=1244284848500682798, issueId=1244321215637209904, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1244323788452639477, tenantId=1146029695717560320, journalId=1244284848500682798, issueId=1244321215637209904, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=1325, endPage=1332, ext={EN=ArticleExt(id=1244321227507085757, articleId=1244321227104432540, tenantId=1146029695717560320, journalId=1244284848500682798, language=EN, title=Flow Behavior of Peritoneal Fluid in Cavity Between the Liver and Diaphragm Peritoneum, columnId=1244321216404767539, journalTitle=Journal of Medical Biomechanics, columnName=Original Articles, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the flow field characteristics of peritoneal fluid flowing in the cavity between the liver and the inner wall of the diaphragm peritoneum in patients with ovarian cancer and the effects on deformation of the liver and diaphragm peritoneum.
Methods A bidirectional fluid-structure interaction (FSI) analysis was conducted using COMSOL to investigate the interaction between the peritoneal fluid and the liver and diaphragm peritoneum under varying inlet velocities and viscosity functions.
Results The accuracy of the simulation was validated by comparing the simulation results with the contour lines of the CT scans, and the displacement error between the two was smaller than 5%. When the inlet velocity of the abdominal fluid increased from 0.1 m/s to 0.15 m/s, convex deformation of the diaphragm peritoneum increased by 193.3 μm, and concave deformation decreased by 304.1 μm. Meanwhile, the increase of the inlet velocity made the viscosity near the wall of deformed area increased, which improved the probability of the metastatic implantation of the cancer cells. The higher the viscosity in the main body region of the viscosity function, the larger convex deformation of the diaphragm peritoneum; the larger the linear fitting value in the tail, the smaller the concave deformation. The viscosity of the concave deformation area near the outlet of the right lobe was much larger than that of other areas, and cancer cells were more likely to metastasise in this area.
Conclusions This study elucidates the relationship between peritoneal fluid flow and solid deformation, predicting the regions prone to cancer cell metastasis and implantation under various conditions. The findings provide a theoretical foundation for studying the motion of cancer cells within the flow field.
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目的 探究卵巢癌患者体内腹腔积液在肝脏和膈肌腹膜内壁之间空腔内流动的流场特性以及对肝脏和膈肌腹膜变形的影响。
方法 使用COMSOL中的双向流固耦合分析不同入口速度和黏度函数下腹腔积液与肝脏和膈肌腹膜之间的相互作用。
结果 通过对比模拟结果与CT扫描图的轮廓线,二者位移误差小于5%,证明了模拟的准确性。腹腔积液入口速度从0.1 m/s增至0.15 m/s,膈肌腹膜凸出变形量增加193.3 μm,凹陷变形量减小304.1 μm,同时入口速度增大使得变形区壁面附近黏度增大,提高了癌细胞转移种植的概率。黏度函数主体区域黏度越高,膈肌腹膜凸出变形越大;尾部线性拟合值越大,凹陷变形越小。右叶出口附近凹陷变形区的黏度远大于其他区域,癌细胞更容易在该区域转移。
结论 本研究揭示腹腔积液流动与固体变形之间的关系,预测不同条件下癌细胞易转移种植的部位,为研究流场内癌细胞的运动提供理论基础。
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作者贡献声明:
王嘉琦负责研究实施、数据分析、论文撰写;王胜男负责研究方案设计、研究实施、数据分析;武锦涛负责研究方案设计、数据分析、论文指导与撰写;王宁负责研究方案设计。
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2.大连医科大学附属第二医院 妇科二科,辽宁 大连 116023)])], figs=[ArticleFig(id=1244321238068342910, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 1, caption=
Three-dimensional (3D) model of the liver, diaphragm peritoneum and falciform ligament (a) Liver 3D scanning model, (b) Liver, diaphragmatic peritoneum and sickle ligament model, (c) 3D model including the liver, figureFileSmall=n7QTX8k0+1XM38h8x8D0rA==, figureFileBig=EjhaDJpC+bxvj23Fb0ljdw==, tableContent=null), ArticleFig(id=1244321238160617608, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图1, caption=
肝脏、膈肌腹膜及镰状韧带三维模型注:图1(b)模型的白色结构为镰状韧带,透明结构为膈肌腹膜,黑色直线为模型切割线,黑线以上部分保留;图1(c)模型的蓝色结构代表肝脏,红色区域为入口,绿色区域为出口,黑色结构为镰状韧带壁面。
, figureFileSmall=n7QTX8k0+1XM38h8x8D0rA==, figureFileBig=EjhaDJpC+bxvj23Fb0ljdw==, tableContent=null), ArticleFig(id=1244321238416470171, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 2, caption=
Viscosity function of the peritoneal fluid and hyperelastic parameter maps of the liver and diaphragm peritoneum (a) Relationship between the viscosity of the peritoneal fluid and the shear rate (five viscosities), (b) Images of experimental data, fitted curves and validation curves, figureFileSmall=VsqnE+42A+zRAyEjUnPdPg==, figureFileBig=kS+6CWtFLiawIDTmbLNmzQ==, tableContent=null), ArticleFig(id=1244321238529716388, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图2, caption=
腹腔积液黏度函数及肝脏和膈肌腹膜超弹性参数图, figureFileSmall=VsqnE+42A+zRAyEjUnPdPg==, figureFileBig=kS+6CWtFLiawIDTmbLNmzQ==, tableContent=null), ArticleFig(id=1244321238651351211, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 3, caption=
Model mesh and irrelevance validation (a) Mesh delineation of the liver, diaphragm peritoneum and fluid domains, (b) Location distribution of five outlet pressure monitoring points, (c) Pressure at five monitoring points for different mesh numbers, figureFileSmall=85sQhFup2capEejDEkUuFw==, figureFileBig=iCBLnLQdspHI9vIjpQLv0w==, tableContent=null), ArticleFig(id=1244321238756208819, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图3, caption=
模型网格及无关性验证注:图3(c)中网格数指流体域和固体域网格数总和。
, figureFileSmall=85sQhFup2capEejDEkUuFw==, figureFileBig=iCBLnLQdspHI9vIjpQLv0w==, tableContent=null), ArticleFig(id=1244321238873649337, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 4, caption=
Abdominal CT images with simulated displacement views at different planes (a) 25 mm from the lowest point of the liver, (b) 30 mm from the lowest point of the liver, figureFileSmall=AFSxI4b7MfPhbA/gxf1OXQ==, figureFileBig=eH0dgkN1lidWTSKyoB/kWA==, tableContent=null), ArticleFig(id=1244321239033032908, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图4, caption=
不同位置腹部CT图像与模拟位移切面图, figureFileSmall=AFSxI4b7MfPhbA/gxf1OXQ==, figureFileBig=eH0dgkN1lidWTSKyoB/kWA==, tableContent=null), ArticleFig(id=1244321239188222166, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 5, caption=
Deformation contours under different entrance velocities at 3 s (a) At Diaphragmatic peritoneum, (b) At liver surface, figureFileSmall=NN1GiKuIHCYN7BInW9QTKw==, figureFileBig=cnoNlnOiP8hWoCfWMb/kVA==, tableContent=null), ArticleFig(id=1244321239330828515, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图5, caption=
3 s时不同入口速度下变形云图注:红色圆圈代表凸出变形区,灰色圆圈代表凹陷变形区。
, figureFileSmall=NN1GiKuIHCYN7BInW9QTKw==, figureFileBig=cnoNlnOiP8hWoCfWMb/kVA==, tableContent=null), ArticleFig(id=1244321239460851952, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 6, caption=
Viscosity profiles at different entrance velocities (a) Left lobe of the liver, (b) Right lobe of the liver, figureFileSmall=E5k6JUT6W6jp7zSX9Duq9Q==, figureFileBig=vFm4TqL1MGM4ZrRaSQqAtw==, tableContent=null), ArticleFig(id=1244321239561515260, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图6, caption=
3 s时不同入口速度下黏度切面图注:图6(a)中入口在右侧,出口在左侧;图6(b)中入口在左侧,出口在右侧(下同)。
, figureFileSmall=E5k6JUT6W6jp7zSX9Duq9Q==, figureFileBig=vFm4TqL1MGM4ZrRaSQqAtw==, tableContent=null), ArticleFig(id=1244321239687344390, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 7, caption=
Viscosity profiles under different viscosity functions at 3 s (a) Left lobe of the liver, (b) Right lobe of the liver, figureFileSmall=OMUtYB5MEvCSE9LVc/RYAg==, figureFileBig=yDlwCHW4Bx5/rGWXnOgc3Q==, tableContent=null), ArticleFig(id=1244321239779619088, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图7, caption=
3 s时不同黏度函数下黏度切面图, figureFileSmall=OMUtYB5MEvCSE9LVc/RYAg==, figureFileBig=yDlwCHW4Bx5/rGWXnOgc3Q==, tableContent=null), ArticleFig(id=1244321239867699480, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Fig. 8, caption=
Maximum deformation of solids with different inlet velocities and viscosity functions (a) Maximum concave deformation of the diaphragm peritoneum, (b) Maximum convex deformation of the diaphragm peritoneum, (c) Maximum deformation of the surface of the liver, figureFileSmall=Rshn2pkM4LUm+z9xZa7LLQ==, figureFileBig=yj/dhqSZbsFU2ugVOGnbog==, tableContent=null), ArticleFig(id=1244321240001917220, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=图8, caption=
不同入口速度和黏度函数下固体最大变形量, figureFileSmall=Rshn2pkM4LUm+z9xZa7LLQ==, figureFileBig=yj/dhqSZbsFU2ugVOGnbog==, tableContent=null), ArticleFig(id=1244321240140329263, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Tab. 1, caption=
Total number of meshes for different mesh sizes
, figureFileSmall=null, figureFileBig=null, tableContent=
| 四边形网格尺寸/mm | 膈肌腹膜四面体网格尺寸/mm | 肝脏四面体网格尺寸/mm | 总网格数 |
|---|
| 最大 | 最小 | 最大 | 最小 | 最大 | 最小 |
|---|
| 6.41 | 1.210 0 | 10.0 | 4.950 | 10.00 | 4.95 | 30 696 |
| 2.78 | 0.181 0 | 17.7 | 3.180 | 17.70 | 3.18 | 94 919 |
| 2.50 | 0.181 0 | 5.0 | 3.180 | 5.00 | 3.18 | 143 848 |
| 2.05 | 0.181 0 | 4.2 | 3.180 | 4.20 | 3.18 | 199 296 |
| 1.80 | 0.181 0 | 5.0 | 1.770 | 5.00 | 1.77 | 275 047 |
| 1.57 | 0.024 2 | 4.0 | 0.707 | 4.65 | 1.77 | 335 596 |
| 1.56 | 0.024 2 | 3.0 | 0.265 | 4.00 | 1.77 | 380 442 |
| 1.55 | 0.024 2 | 2.3 | 0.265 | 3.30 | 1.77 | 469 477 |
| 1.54 | 0.024 2 | 1.6 | 0.265 | 2.90 | 1.77 | 517 417 |
| 1.53 | 0.024 2 | 1.4 | 0.265 | 2.70 | 1.77 | 575 705 |
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不同网格尺寸的网格总数
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| 四边形网格尺寸/mm | 膈肌腹膜四面体网格尺寸/mm | 肝脏四面体网格尺寸/mm | 总网格数 |
|---|
| 最大 | 最小 | 最大 | 最小 | 最大 | 最小 |
|---|
| 6.41 | 1.210 0 | 10.0 | 4.950 | 10.00 | 4.95 | 30 696 |
| 2.78 | 0.181 0 | 17.7 | 3.180 | 17.70 | 3.18 | 94 919 |
| 2.50 | 0.181 0 | 5.0 | 3.180 | 5.00 | 3.18 | 143 848 |
| 2.05 | 0.181 0 | 4.2 | 3.180 | 4.20 | 3.18 | 199 296 |
| 1.80 | 0.181 0 | 5.0 | 1.770 | 5.00 | 1.77 | 275 047 |
| 1.57 | 0.024 2 | 4.0 | 0.707 | 4.65 | 1.77 | 335 596 |
| 1.56 | 0.024 2 | 3.0 | 0.265 | 4.00 | 1.77 | 380 442 |
| 1.55 | 0.024 2 | 2.3 | 0.265 | 3.30 | 1.77 | 469 477 |
| 1.54 | 0.024 2 | 1.6 | 0.265 | 2.90 | 1.77 | 517 417 |
| 1.53 | 0.024 2 | 1.4 | 0.265 | 2.70 | 1.77 | 575 705 |
), ArticleFig(id=1244321240379404614, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=EN, label=Tab. 2, caption=
Diaphragmatic peritoneal deformation at different viscosity curves
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| 黏度函数 | 肝脏右叶变形量/mm | 肝脏左叶变形量/μm |
|---|
| 最大凹陷 | 最大凸出 | 最大凹陷 | 最大凸出 |
|---|
| 1 | 2.928 | 1.297 | 13.47 | 34.47 |
| 2 | 2.822 | 1.297 | 13.46 | 34.63 |
| 3 | 2.962 | 1.282 | 13.49 | 34.10 |
| 4 | 2.953 | 1.295 | 13.48 | 34.35 |
| 5 | 2.892 | 1.289 | 13.48 | 34.36 |
), ArticleFig(id=1244321240484262223, tenantId=1146029695717560320, journalId=1244284848500682798, articleId=1244321227104432540, language=CN, label=表2, caption=
不同黏度函数下的膈肌腹膜变形量
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| 黏度函数 | 肝脏右叶变形量/mm | 肝脏左叶变形量/μm |
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| 最大凹陷 | 最大凸出 | 最大凹陷 | 最大凸出 |
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| 1 | 2.928 | 1.297 | 13.47 | 34.47 |
| 2 | 2.822 | 1.297 | 13.46 | 34.63 |
| 3 | 2.962 | 1.282 | 13.49 | 34.10 |
| 4 | 2.953 | 1.295 | 13.48 | 34.35 |
| 5 | 2.892 | 1.289 | 13.48 | 34.36 |
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