Validating Whole-Airway CFD Predictions of DPI Aerosol Deposition at Multiple Flow Rates

The objective of this study was to compare aerosol deposition predictions of a new whole-airway CFD model with available in vivo data for a dry powder inhaler (DPI) considered across multiple inhalation waveforms, which affect both the particle size distribution (PSD) and particle deposition. The No...

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Veröffentlicht in:Journal of aerosol medicine 2016-12, Vol.29 (6), p.461-481
Hauptverfasser: Longest, P Worth, Tian, Geng, Khajeh-Hosseini-Dalasm, Navvab, Hindle, Michael
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container_end_page 481
container_issue 6
container_start_page 461
container_title Journal of aerosol medicine
container_volume 29
creator Longest, P Worth
Tian, Geng
Khajeh-Hosseini-Dalasm, Navvab
Hindle, Michael
description The objective of this study was to compare aerosol deposition predictions of a new whole-airway CFD model with available in vivo data for a dry powder inhaler (DPI) considered across multiple inhalation waveforms, which affect both the particle size distribution (PSD) and particle deposition. The Novolizer DPI with a budesonide formulation was selected based on the availability of 2D gamma scintigraphy data in humans for three different well-defined inhalation waveforms. Initial in vitro cascade impaction experiments were conducted at multiple constant (square-wave) particle sizing flow rates to characterize PSDs. The whole-airway CFD modeling approach implemented the experimentally determined PSDs at the point of aerosol formation in the inhaler. Complete characteristic airway geometries for an adult were evaluated through the lobar bronchi, followed by stochastic individual pathway (SIP) approximations through the tracheobronchial region and new acinar moving wall models of the alveolar region. It was determined that the PSD used for each inhalation waveform should be based on a constant particle sizing flow rate equal to the average of the inhalation waveform's peak inspiratory flow rate (PIFR) and mean flow rate [i.e., AVG(PIFR, Mean)]. Using this technique, agreement with the in vivo data was acceptable with
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The Novolizer DPI with a budesonide formulation was selected based on the availability of 2D gamma scintigraphy data in humans for three different well-defined inhalation waveforms. Initial in vitro cascade impaction experiments were conducted at multiple constant (square-wave) particle sizing flow rates to characterize PSDs. The whole-airway CFD modeling approach implemented the experimentally determined PSDs at the point of aerosol formation in the inhaler. Complete characteristic airway geometries for an adult were evaluated through the lobar bronchi, followed by stochastic individual pathway (SIP) approximations through the tracheobronchial region and new acinar moving wall models of the alveolar region. It was determined that the PSD used for each inhalation waveform should be based on a constant particle sizing flow rate equal to the average of the inhalation waveform's peak inspiratory flow rate (PIFR) and mean flow rate [i.e., AVG(PIFR, Mean)]. Using this technique, agreement with the in vivo data was acceptable with &lt;15% relative differences averaged across the three regions considered for all inhalation waveforms. Defining a peripheral to central deposition ratio (P/C) based on alveolar and tracheobronchial compartments, respectively, large flow-rate-dependent differences were observed, which were not evident in the original 2D in vivo data. The agreement between the CFD predictions and in vivo data was dependent on accurate initial estimates of the PSD, emphasizing the need for a combination in vitro-in silico approach. 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subjects Administration, Inhalation
Adult
Aerosols
Bronchodilator Agents - administration & dosage
Bronchodilator Agents - chemistry
Bronchodilator Agents - metabolism
Budesonide - administration & dosage
Budesonide - chemistry
Budesonide - metabolism
Computer Simulation
Drug Compounding
Dry Powder Inhalers
Glucocorticoids - administration & dosage
Glucocorticoids - chemistry
Glucocorticoids - metabolism
Humans
Models, Anatomic
Original Research
Particle Size
Reproducibility of Results
Respiration
Respiratory System - anatomy & histology
Respiratory System - metabolism
Stochastic Processes
Tissue Distribution
title Validating Whole-Airway CFD Predictions of DPI Aerosol Deposition at Multiple Flow Rates
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