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1 Department of Biomedical
Engineering,
A hemodynamic
model for pulsatile fluid flow in a pressurized thin-walled elastic
tube was applied for the computation of volumetric blood flow and
velocity profiles for a given set of system parameters at any selected
location along the umbilical artery. The velocity profiles over one
heart cycle provide the fetal blood flow velocity waveforms (FVW) from
which the usual Doppler indexes (DI) can be derived. The model was used
for a comprehensive investigation of the correlation between DI and system parameters that reflect the anatomy and physiology of umbilical blood flow. The simulations showed that the radial location of the
Doppler measurement is insignificant for the calculated DI, whereas the
axial site is important. The analysis showed that decreasing the
diameter or increasing the length of the umbilical artery reduces fetal
mean blood flow rate and increases the DI. Increasing blood viscosity
tends to induce similar patterns, whereas decreasing arterial
compliance or increasing blood density decreases the DI with little
effect on blood flow rate. Fetal heart rate has a minor effect on both
DI and fetal blood flow rate. This study provides insight into the
dependence of DI on the anatomic and physiological characteristics of
umbilical blood flow.
flow velocity waveform; fetal blood flow; pulsatility index; resistance index
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