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Course: Biomechanics Semester 1 / Autumn 10 Credits Each Course is composed of Modules & Activities. Modules: Biomechanics basics Ultrasound advanced Cardiovascular IMSc IMSc IMSc Each Module is composed of Lectures, Reading Lists, MCQ self-assessments, & Discussion Boards. The summary table above shows whether the modules are available in the Neuroimaging for Research (NI4R) programme or the Imaging (IMSc) programme or indeed both.

Course: Biomechanics Modules include: Biomechanics basics: Biomechanics introduction Biofluid dynamics Ultrasound advanced: Doppler Measurements 3D Ultrasound Cardiovascular: Pressure and flow 1 Pressure and flow 2 Arterial stiffness Flow states and blood velocity Wall shear stress Biomechanics of cells, tissues and organs mechanisms of ageing and disease Blood constituents and viscous behaviour Blood as a suspension of particles Endothelial mechanics and mechanotransduction Motivation Imaging-only methods Processing chain and simulation Patient specific modelling part 1 We can also provide a more detailed syllabus showing what lectures will be given for each module, and the learning outcomes for each module.

Biomechanics basics (IMSc only) Lecture 1 Title: Biomechanics introduction Description: Cell, tissue & organ biomechanics Define biomechanics Describe molecular biomechanics Describe cellular biomechanics Give an overview of constitutive equations Describe patient specific modelling Describe multi-scale modelling Lecture 2 Title: Biofluid dynamics Description: Definition, example and flow Author(s): Definition, example and flow Define a fluid Describe static fluid: hydrostatic pressure Discuss moving fluid and shear force Define viscosity Explain tube flow Define the Reynolds number Explain different flow states

Ultrasound advanced (IMSc only) Lecture 1 Title: Doppler Measurements Description: Measurement of blood velocity and waveform shape; waveforms in disease Explain blood velocity measurement Explain the waveform shape Describe waveforms in disease Local disease (atherosclerosis) Downstream disease (placental disease) Lecture 2 Title: 3D Ultrasound Description: Acquisition of 3D data, STIC, visualisation of the data List methods for 3D data acquisition Describe spatio-temporal image correlation (STIC) Discuss methods for visualisation of the data

Cardiovascular (IMSc only) Lecture 1 Title: Pressure and flow 1 Description: Pressure and flow wave propagation; simple model of pressure, flow & resistance Explain the Windkessel model Describe pressure and flow wave propagation Illustrate pulse wave velocity (PWV) Explain the Moens Korteweg equation Lecture 2 Title: Pressure and flow 2 Description: Pressure and flow rate interpretation Describe pressure and flow rate including: o Reflected waves o Effect of increase in stiffness on pressure waveform o Simple model of pressure, flow and resistance Lecture 3 Title: Arterial stiffness Description: Mechanics of the normal circulation Explain arterial elasticity Examine arterial construction Describe stress-strain behaviour Describe the role & mechanical behaviour of elastin & collagen Define stiffness indices, material stiffness & structural stiffness Explain in vivo measurements of stiffness & pulse wave velocity Lecture 4 Title: Flow states and blood velocity Description: Flow states, blood velocity, velocity profiles, spiral flow Explain flow states and blood velocity Describe laminar flow, turbulence, disturbed flow Analyse velocity profiles Interpret fully developed flow, inlet length Describe spiral flow

Lecture 5 Title: Wall shear stress Description: Mechanics of the normal circulation Give an overview of wall shear stress Describe the control of wall shear stress Explain Murray s law Interpret in-vivo measurement of wall shear stress from wall shear rate Perform flow based methods Evaluate velocity based methods using ultrasound and MRI Lecture 6 Title: Biomechanics of cells, tissues and organs mechanisms of ageing and disease Description: Stiffening of the arteries, athero-sclerosis and aneurisms Describe the stiffening of the arteries o Ageing o Remodelling of arteries Explain atherosclerosis o Flow / velocity +/- stenosis and simple modelling o Initiation and progression o Plaque rupture o Role of wall shear stress (WSS) and of tissue stress Interpret aneurysmal disease o Observations on biology and mechanics Lecture 7 Title: Blood constituents and viscous behaviour Description: Blood constituents, red cell aggregation and deformation, viscous behaviour Define blood constituents Explain viscosity as a function of shear rate Relate red cell characteristics and environment to aggregation and deformation Explain viscous behaviour in-vivo in major arteries Describe non-newtonian flow

Lecture 8 Title: Blood as a suspension of particles Description: Blood as an inhomogeneous suspension of particles... Define blood as an inhomogeneous suspension of particles Explain the Segre-Silberberg Fahraes Lindquist effect: i.e. red cell inhomogeneity in-vivo Explain particle-wall interactions List particles relevant to atherosclerosis Predict monocyte impaction using CFD Discuss current practice in modelling studies Lecture 9 Title: Endothelial mechanics and mechanotransduction Description: Vascular mechanotransduction Define endothelial mechanotransduction Examine forces on endothelium Provide evidence for mechanotransduction Define a decentralised model of mechanotransduction Explore the physical deformation of the surface Explain intracellular transmission of forces Describe conversion of mechanical force to chemical force Show downstream biochemical signalling and feedback Demonstrate Smooth muscle cell mechanotransduction Examine arterioles - myogenic effect Explain arteries - hypertension Lecture 10 Title: Motivation Description: Motivation and imaging-only methods Define motivation: the selection of patients for surgery Explain the role of biomechanical forces in normal physiology and disease progression Describe imaging-only measurement of mechanical quantities in arteries Discuss simple methods and applications in health and disease Lecture 11 Title: Imaging-only methods Description: Structural and molecular imaging techniques Describe imaging-only methods used in simulation and image guided modelling

Lecture 12 Title: Processing chain and simulation Description: Processing chain, simulation, examples Describe the processing chain Explain simulation Provide examples of use Lecture 13 Title: Patient specific modelling - part 1 Description: Patient specific modelling; steps in the processing chain; imaging techniques Define patient specific modelling Explain the steps in the processing chain Give an overview of imaging techniques