My research focus on using advances in computational mechanics, medical image segmentation, and nano-mechanical testing capabilities to provide unique insight into the complex interactions between cardiovascular system and devices, with the aim to improve our ability to identify long-term failure modes in devices and vascular system and ultimately assist in future device design and treatment planning. More recently, I am also focusing on providing affordable medical device solutions in low resource setting.
Ongoing Project (2013-current at IIT-Delhi)
Affordable Blood Pressure Monitoring in Low resource setting (under Indo-US challenge Grant, 2014-2017): We are focusing on development of Cuffless Non-invasive measurement using radial artery. The team (project PI: Dr Anamika Prasad) consists of students and faculty from AIIMS-New Delhi and IIT-Delhi.
The focus of development as defined by the challenge call is: "Hypertension diagnosis and management is a critical healthcare need in both the U.S. and India, and is an area that is ripe for technological innovation. New technologies could be utilized in the design of innovative, low-cost blood pressure measurement devices that remove the need for blood-pressure cuffs and trained medical personnel, which is currently the only option to diagnose and manage hypertension for the vast majority of individuals worldwide. The development of new and affordable devices that can be accurately and easily used by patients in their homes, or in localized health care settings, could substantially improve the diagnosis and management of hypertension in both countries."
Biomechanics of Extracorporreal Irradiation Therapy in Malignant Bone Tumor: Extracorporeal irradiation therapy (ECRT) and reimplantation is now an established technique for limb salvage surgery of malignant bone. ECRT is a biological reconstruction method with several advantages including no risk of immunological reaction or diseases transmission, cost-effective,absence of heavy implants, no need for subsequent surgeries in growing-age patients, and others.While several studies have focused on clinical outcome of the procedure, structural and changes in human bone under heavy dose of radiation (50 Gy) are not well established. Here we examine clinical outcome and pre and post ECRTbiomechanical property (structure, composition, and mechanical) of bone for patients with malignant bone tumors and Ewing’s sarcoma). (details)
This work received Technical Edge Appreciation under Gandhian Young Technology Innovation 2015
Finite Element Stress Analysis of Development Dysplasia of Hip (DDH): Hip dislocation when left untreated can lead to progressive degenerative disease later in life. In India and other developing countries, due to reduced awareness and absence f well-baby checkup, the problem and interventions typically happen later in (> 2 years of age). At this age, treatment methods and outcome are strongly dependent on patient's age and is primarily based on qualitative assessment of operative vs untreated risk analysis. In this study, we perform stress analysis of patient cases suffering from DDH to quantify and compare joint reaction force of the normal contact vs the dislocated contact to help in better decision making and care.
Device for Compliance and Early-relapse Detection for clubfoot: With close collaboration with AIIMS clubfoot clinic, we are developing a novel sole for monitoring of compliance and detection of early signs of relapse. Figure shows child undergoing clubfoot procedure (top) and the bracing used and early prototype of the sensor circuit (bottom). The sole embedded pressure sensors location at the forefoot (metatarsal bone) and the heel section are based on the clinical observation of early signs of relapse observed at the heel section. The pressure reading on the two location is stored using an SD card module, and will be available to the physician through mobile application. The electronics will be packaged inside an add-on sole or can be fitted as an attachment to the brace.
Postdoc Research (at Stanford Bioengineering)
Aortic Endograft & Device Migration: Endovascular repair (EVAR) has revolutionized the treatment of AAA and TAA disease, greatly reducing the perioperative mortality and morbidity associated with open surgical repair. However, the long-term stability of EVAR is limited due to device-related failures such as endoleaks and endograft (stent-graft) migration. I have developed a comprehensive computational framework for quantifying endograft stability by considering the complex contact mechanics between the aortic wall and the endograft subjected to realistic hemodynamic loads. (details)
Multi-modular Thoracic Endografts: The unique biomechanical environment of the thoracic aorta (significant aortic wall motion, highly pulsatile flow and pressure conditions) pose challenges to the structural integrity of the device modules and their junctions. Type III endoleaks result from disconnection of the different modules used in thoracic endografts. My research is focused on identifying key determinants for the stability of multi-modular thoracic endografts and investigating clinical correlation to device performance. (details). This work and related paper received First place at Endovascular Research competition at International Congress for Endovascular specialist (ICON) 2011.
Growth & Remodeling under device load: The aortic wall and its biomechanical environment undergoes adaptive growth and remodeling process both, due to natural aging mechanisms and due to external agents such as fixation forces from device deployment. I am interested to investigate relation between device oversizing, radial fixation force, and long-term device stability and associated growth and remodeling mechanisms. (details)
Medical Image Processing & Biomechanics: The geometry obtained from medical imaging data represents deformed state under in-vivo blood pressure load. For patient-specific modelling, it is essential to compute prestress in the aortic wall to obtain its corresponding stress-free geometry. Additionally, effect of aortic wall compliance, variable thickness of aortic wall, and pulsatile nature of blood flow can influence stresses on the aortic wall and stability of vascular devices. My research focuses on addressing these aspects of cardiovascular biomechanics and medical device design.
PhD Research and post PhD work (MIT, USA)
Nano-indentation Test: Computational analysis of cardiovascular mechanics requires the ability to capture the complex in-vivo mechanical response of biological materials. My continued research in cardiovascular mechanics will focus on developing and using nano-indentation techniques for investigating soft-tissue biomechanics.
Materials & Mechanics: PhD Thesis