How Irregular Geometry and Flow Waveform Affect Pulsating Arterial Mass Transfer.

Alzheimer's disease is a progressive degenerative condition that has various levels of effect on one's memory. It is thought to be caused by a buildup of protein in small fluid-filled spaces in the brain called perivascular spaces (PVS). The PVS often takes on the form of an annular region around arteries and is used as a protein-clearing system for the brain. To analyze the modes of mass transfer in the PVS, a digitized scan of a mouse brain PVS segment was meshed and used for computational fluid dynamics (CFD) studies. Tandem analyses were then carried out and compared between the mouse PVS section and a cylinder with commensurate dimensionless parameters and hydraulic resistance. The geometry pair was used to first validate the CFD model and then assess mass transfer in various advection states: no-flow, constant flow, sinusoidal flow, sinusoidal flow with zero net solvent flux, and an anatomically correct asymmetrical periodic flow. Two mass transfer situations were considered, one being a protein build-up and the other being a protein blend-down using a multitude of metrics. Bulk arterial solute transport was found to be advection-controlled. The consideration of temporal evolution and trajectories of contiguous protein bolus volumes revealed that flow pulsation was beneficial at bolus break-up and that additional local wall curvature-based geometry irregularities also were. Using certain measures, local solute peak concentration blend-down appeared to be diffusion-dominated even for high Peclet numbers; however, bolus size evolution analyses showed definite advection support.