How the blood pool properties at onset affect the temporal behavior of simulated bruises.

The influence of initial blood pool properties on the temporal behavior of bruises is currently unknown. We addressed this important issue by utilizing three typical classes of bruises in our three-layered finite compartment model. We simulated the effects of their initial shapes, regularity of boun...

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Bibliographic Details
Published in:Medical & Biological Engineering & Computing Vol. 50; no. 2; pp. 165 - 172
Main Authors: Stam B, van Gemert MJ, van Leeuwen TG, Aalders MC, Stam, Barbara, Gemert, Martin J C van, Leeuwen, Ton G van, Aalders, Maurice C G
Format: research Journal Article
Published: Springer Nature Feb2012
Online Access:View this record in EBSCOhost
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Summary:The influence of initial blood pool properties on the temporal behavior of bruises is currently unknown. We addressed this important issue by utilizing three typical classes of bruises in our three-layered finite compartment model. We simulated the effects of their initial shapes, regularity of boundaries and initial blood concentration distributions (gaussian vs. homogeneous) on the hemoglobin and bilirubin areas in the dermal top layer. Age determination of bruises with gaussian hemoglobin concentration was also addressed. We found that the initial blood pool properties strongly affect bruise behavior. We determined the age of a 200-h simulated bruise with gaussian hemoglobin concentration with 3 h uncertainty. In conclusion, bruise behavior depends non-intuitively on the initial blood pool properties; hence, a model that includes shape, area and concentration distribution at onset is indispensable. Future age determination, including inhomogeneous hemoglobin distributions, will likely be based on the presented method for gaussian distributions.