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Exploring human organs with computers  159



                                 covering a lesion with the available skin graft. The brain is another organ
                                 that is mechanically soft. Certain brain disorders are associated with vari-
                                 ations in pressure in the cerebrospinal fluid that protects the brain from the
                                 hard skull. Imaging techniques can provide information about the result-
                                 ing changes in brain shape, but finite-element models of the fluid-structure
                                 interactions have the potential to provide quantitative information about
                                 the forces exerted on the tissue itself.



                                 9.5 Cell interactions
                                 Of growing interest world-wide is the possible carcinogenic effect of low-
                                 frequency non-ionising electromagnetic radiation, such as that emitted
                                 from power lines. Possible candidates for explaining sensitivity to electro-
                                 magnetic fields are the gap junctions that exist between cells in many types
                                 of tissue. These junctions are similar to the protein-based channels that
                                 enable ions to pass across cell membranes, except that they span the extra-
                                 cellular space between adjacent cells. Gap junctions provide cells with a
                                 direct means of intercellular communication to co-ordinate the physiology
                                 of large populations of cells.
                                    The physical properties of gap junctions also influence the regulation
                                 of cell growth, and the cell’s membrane voltage and frequency response.
                                 There is some experimental evidence to suggest that the properties of gap
                                 junctions change in the presence of electromagnetic fields. Finite-element
                                 models provide a flexible and accurate way of assessing the effects of such
                                 changes on the operation of large systems of cells.



                                 9.6 The heart
                                 Given that heart disease is the single largest cause of death in North
                                 America and Europe, finite-element models of the human heart have great
                                 potential clinical significance. The heart wall consists mostly of muscle,
                                 comprising millions of electrically activated contractile cells that are typ-
                                 ically 0.1mm long and 0.015mm wide. Note that the cell in Figure 9.2 is
                                 from the heart. Heart contraction is activated by an electrical impulse that
                                 is generated by cells in the heart’s pacemaker. This impulse spreads rapidly
                                 through the tissue due to the high degree of electrical coupling between the
                                 heart cells via gap junctions, ensuring that the whole organ contracts in a
                                 synchronised fashion.
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