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RESEARCH
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Pulsatile arterial
hemodynamics As the
heart beats, pressure pulses travel away from the heart to the
periphery, where some fraction is reflected back toward the
heart. We have developed model-independent methods to
determine the effect of pulse wave propagation and reflection
on aortic input impedance, pressure and flow. We also have
been cultivating the concept of "apparent arterial
compliance"--the relationship of pulsatile pressure and volume
stored--as an alternative description of pulsatile
dynamics. | |
- Quick, C. M., D. S. Berger, and A.
Noordergraaf. Constructive and destructive addition of forward and
reflected arterial pulse waves. Am. J. Physiol. Heart Circ.
Physiol. 280: H1519-H1527, 2001.
- Quick, C. M., D. S. Berger, and A.
Noordergraaf. Arterial pulse wave reflection as feedback. IEEE Trans. Biomed. Eng. 49: 440-445, 2002
- Quick, C. M., D. S. Berger, and A.
Noordergraaf. Apparent arterial compliance. Am. J. Physiol.
274 (Heart Circ. Physiol. 43): H1393-H1404, 1998.
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The hemodynamic
inverse problem The "forward problem"
(determining aortic pressure and flow from a model with known
lengths, radii and compliances) is accomplished through
large-scale simulation. However, the "inverse problem"
(determining mechanical properties from measured arterial
pressure and flow) presents particular difficulties. We have
illustrated that very few arterial system mechanical
properties can be determined from pressure and flow
alone. | |
- Quick, C. M., D. S. Berger, D. A.
Hettrick, and A. Noordergraaf. True arterial system compliance
derived from apparent arterial compliance. Ann. Biomed. Eng.
28: 291-301, 2000.
- Quick, C. M., W. L. Young, and A.
Noordergraaf. Infinite number of solutions to the hemodynamic
inverse problem. Am. J. Physiol. Heart Circ. Physiol. 280:
H1472-H1479, 2001.
- Quick, C. M., D. S. Berger, and A.
Noordergraaf. Resolving the hemodynamic inverse problem with a
Windkessel and an infinitely long tube. (in preparation)
(abstract)
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Coordination of
vascular remodeling in arterial
beds Vascular remodeling occurs in
response to changes in local hemodynamic forces. Changes in
radii, in turn, cause changes in pressure and shear stress
throughout the arterial bed. We have addressed this complex
interaction by applying growth rules to models of vascular
networks. Independent adaptation to local conditions yields a
coordinated set of structural changes that ultimately adapts
supply to demand. Arteriovenous malformations may result if
one of the adaptive mechanisms becomes
deranged. | |
- Quick, C. M., W. L. Young, E. F. Leonard,
S. Joshi, E. Gao, and T. Hashimoto. Model of structural and
functional adaptation of small conductance vessels to arterial
hypotension. Am. J. Physiol. Heart Circ. Physiol. 279:
H1645-H1653, 2000.
- Quick, C. M., E. F. Leonard, and W. L.
Young. Adaptation of the cerebral circulation to brain
arteriovenous malformations increases feeding artery pressure and
decreases regional hypotension. Neurosurgery 50:
167-175, 2002.
- Quick, C. M., T. Hashimoto, and W. L.
Young. Lack of flow regulation may explain the development of
arteriovenous malformations. Neurol. Res. 23: 641-644,
2001.
- Quick, C. M., D. J. James, K. Ning, S.
Joshi, A. X. Halim, T. Hashimoto, and W. L. Young. Relationship of
nidal vessel radius and wall thickness to brain arteriovenous
malformation hemorrhage. Neurol. Res. 24: 495-500, 2002.
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Vascular
mechanics Nonlinear
properties of muscular arteries can make a vessel's
pressure-radius relationship unstable at high levels of
activation. In some conditions, this can lead to a
sausage-string effect. It can also lead to a catastrophic loss
of control when pressure rises above a critical level, or an
uncontrollable decrease in radius when pressure falls below a
critical level. | |
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PUBLICATIONS
- Quick, C. M., D. S. Berger, and A. Noordergraaf.
Constructive and destructive addition of forward and reflected arterial
pulse waves. Am. J. Physiol. Heart Circ. Physiol. 280:
H1519-H1527, 2001.
- Quick, C. M., T. Hashimoto, and W. L. Young. Lack of flow
regulation may explain the development of arteriovenous malformations.
Neurol. Res. 23: 641-644, 2001.
- Quick, C. M., W. L. Young, and A. Noordergraaf. Infinite
number of solutions to the hemodynamic inverse problem. Am. J.
Physiol. Heart Circ. Physiol. 280: H1472-H1479, 2001.
- Quick, C. M., W. L. Young, E. F. Leonard, S. Joshi, E. Gao,
and T. Hashimoto. Model of structural and functional adaptation of small
conductance vessels to arterial hypotension. Am. J. Physiol. Heart
Circ. Physiol. 279: H1645-H1653, 2000.
- Quick, C. M., D. S. Berger, D. A. Hettrick, and A.
Noordergraaf. True arterial system compliance derived from apparent
arterial compliance. Ann. Biomed. Eng. 28: 291-301, 2000.
- Hashimoto, T., C. W. Emala, S. Joshi, R. Mesa-Tejada, C. M.
Quick, L. Feng. A. Libow, D. A. Marchuk, and W. L. Young. Abnormal
pattern of tie-2 and vascular endothelial growth factor receptor
expression in human cerebral arteriovenous malformations.
Neurosurgery 47: 910-919, 2000.
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Apparent
arterial compliance. Am. J. Physiol. 274 (Heart Circ. Physiol.
43): H1393-H1404, 1998.
- Berger, D. S., K. Vlasica, C. M. Quick, K. A. Robinson, and
S. G. Shroff. Ejection has both positive and negative effects on left
ventricular isovolumic relaxation. Am. J. Physiol. 273(Heart
Circ. Physiol. 42): H2696-H2707, 1997.
- Quick, C. M., H. L. Baldick, N. Safabakhsh, T. J. Lenihan, J.
K-J. Li, H. W. Weizsäcker, and A. Noordergraaf. Unstable radii of
muscular blood vessels. Am. J. Physiol. 271 (Heart Circ.
Physiol. 40): H2669-H2676, 1996.
- Hashimoto, T., R. Mesa-Tejada, C. M. Quick, A. W. Bollen, S.
Joshi, J. Pile-Spellman, M. T. Lawton, and W. L. Young. Evidence of
increased endothelial cell turnover in brain arteriovenous
malformations. Neurosurgery 49: 124-132, 2001.
- Quick, C. M., D. J. James, K. Ning, S. Joshi, A. X. Halim, T.
Hashimoto, and W. L. Young. Relationship of nidal vessel radius and wall
thickness to brain arteriovenous malformation hemorrhage. Neurol.
Res. 24: 495-500, 2002.
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Arterial pulse wave reflection as feedback.
IEEE Trans. Biomed.
Eng. 49: 440-445, 2002.
- Hashimoto T., Young W. L., Prohovnik I., Gupta D. K., Ostapkovich N.
D., Ornstein E., Halim A. X., Quick C. M.: Clinical report;
increased cerebral blood flow after brain arteriovenous malformation
resection is substantially independent of changes in cardiac output. J.
Neurosurg. Anesthesiol. 14: 204-208, 2002.
- Quick, C. M., E. F. Leonard, and W. L. Young. Adaptation of
the cerebral circulation to brain arteriovenous malformations increases
feeding artery pressure and decreases regional hypotension
Neurosurgery 50: 167-175, 2002.
Conference Articles and Abstracts
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Pulse wave
reflection described as feedback in the arterial system (platform
presentation). Ann. Biomed. Eng.,
2001. Biomedical Engineering Society Meeting, Durham, NC,
2001.
- Quick, C. M., L. D. Jou, and W. L. Young. Adaptation of the
cerebral circulation to arteriovenous shunts and vascular occlusion.
Ann. Biomed. Eng., 2001. Biomedical Engineering Society
Meeting, Durham, NC, 2001.
- Quick, C. M., D. S. Berger, and A. Noordergraaf. The arterial
system pressure-volume loop. Heart and Vessels 13: 38, 2000. XIV
Congress, Cardiovascular System Dynamics Society, Baltimore, MD, 2000.
(abstract)
- Quick, C. M., T. Hashimoto, and W. L. Young. Instability in
vascular adaptation can explain the development of cerebral
arteriovenous malformations. Heart and Vessels 13: 37, 2000. XIV
Congress, Cardiovascular System Dynamics Society, Baltimore, MD, 2000.
(abstract)
- Berger, D. S., and C. M. Quick. Reduction of a complex
arterial tree into a simple Windkessel. Heart and Vessels 13:
45,2000. XIV Congress, Cardiovascular System Dynamics Society,
Baltimore, MD,2000. (abstract)
- Berger, D. S. and C. M. Quick. When the ventricle perceives
the arterial system as a Windkessel. Ann. Biomed. Eng. 28: S-63,
2000. Biomedical Engineering Society Annual Meeting, Seattle, WA, 2000.
(abstract)
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Input
impedance at high and low frequencies reveals effects of propagation and
reflection. Ann. Biomed. Eng. 28: S-64, 2000. Biomedical
Engineering Society Annual Meeting, Seattle, WA, 2000. (abstract)
- Hashimoto, T., R. Mesa-Tejada, C. M. Quick, A. W. Bollen, and
W. L. Young. Increased endothelial cell turnover in human cerebral
arteriovenous malformations. J Neurosurg. Anesthesiol. 12:
386,2000.
- Hashimoto, T., C. W. Emala, S. Joshi, C. M. Quick, and W. L.
Young. Abnormal pattern of Tie-2 and VEGF receptor expression in human
cerebral arteriovenous malformations. J Neurosurg. Anesthesiol.
12: 414, 2000.
- Hashimoto, T., R. Mesa-Tejada, C. M. Quick, A. W. Bollen, and
W. L. Young. Increased endothelial cell turnover in human cerebral
arteriovenous malformations. Anesthesiology 93: A359, 2000.
American Society of Anesthesiologists Annual Meeting, 2000.
- Hashimoto, T., C. W. Emala, N. J. Boudreau, C. M. Quick , and
W. L. Young. Abnormal expression of angiopoietin-2 and tie-2 in human
cerebral arteriovenous malformations. Anesthesiology 93:
A360,2000. American Society of Anesthesiologists Annual Meeting, 2000.
- Benni, P. B., C. M. Quick, B. Chen, H. Bada, C. W. Leffler,
and M. L. Daley. NIRS: dose dependency of local changes of cerebral HbO2
and Hb with pCO2 in parietal cortex. Acta Neurochir. Suppl.
(Wien) 71:258-259, 1998. Tenth International ICP Symposium,
Williamsburg, VA, 1997. (abstract)
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Direct
effects of pulse wave reflection may increase or decrease systolic blood
pressure and stroke work. Proceedings, pp. 21-24, 19th Annual
International Meeting of IEEE/EMB Society, Chicago, IL, 1997. (abstract)
- Quick, C. M., J. K-J. Li, and A. Noordergraaf. Total arterial
compliance from input pressure and flow. Int. J. Cardiovasc. Sci.
Med. 1: 2, 1997. 1st Cardiovascular Medicine, Science, and
Mechanics Conference, Washington, DC, 1997. (abstract)
- Quick, C. M., G. M. Drzewiecki, and J. K-J. Li. Defining
resistance in an autoregulating vascular bed. Int. J. Cardiovasc.
Sci. Med. 1: 40, 1997. 1st Cardiovascular Medicine, Science, and
Mechanics Conference, Washington, DC, 1997. (abstract)
- Weizsäcker, H. W., G. W. Desch, C. M. Quick, and A.
Noordergraaf. Passive mechanical properties of muscular arteries.
Int. J. Cardiovasc. Sci. Med. 1: 51, 1997. 1st Cardiovascular
Medicine, Science, and Mechanics Conference, Washington, DC, 1997.
- Quick, C. M., J. K-J. Li, D. A. O’Hara, and A. Noordergraaf.
Apparent compliance. J. Cardiovasc. Diag. Proc. 13: 297, 1996.
XII Congress, Cardiovascular System Dynamics Society, Baltimore, MD,
1996. (abstract)
- Palladino, J. L., J. P. Mulier, C. M. Quick, and A.
Noordergraaf. Otto Frank: stern leader and scrupulous instrument
analyst. J. Cardiovasc. Diag. Proc. 13: 302, 1996. XII Congress,
Cardiovascular System Dynamics Society, Baltimore, MD, 1996.
- Lei, C. Q., J. K-J. Li, and C. M. Quick. Comparison of time
domain and frequency domain assessments of arterial wave reflections.
Proceedings, pp. 7-8. 22nd Annual Northeast Bioengineering
Conference, New Brunswick, NJ, 1996.
- Quick, C. M., J. K-J. Li, D. A. O’Hara, and A. Noordergraaf.
Interpretation of Windkessel compliance. Ann. Biomed. Eng. 23:
S32, 1995. 39th Annual Meeting of the Biomedical Engineering Society,
Boston, MA, 1995. (abstract)
- Quick, C. M., D. A. O’Hara, and A. Noordergraaf. Pulse wave
reflection and arterial inefficiency. Proceedings, 17th Annual
International Conference of IEEE/EMB Society, Montreal, 1995. (abstract)
- Quick, C. M., J. K-J. Li, H. W. Weizsäcker, and A.
Noordergraaf. Laplace's Law adapted to a blood vessel with two-phase
wall structure. Proceedings, pp. 1-3. 21st Annual Northeast
Biomedical Engineering Conference, Bar Harbor, ME, 1995. (abstract)
- Quick, C. M., J. K-J. Li, D. A. O’Hara, and A. Noordergraaf.
Reconciliation of Windkessel and distributed descriptions of linear
arterial systems. ASME BED-29, pp. 469-470, 1995. Summer
Bioengineering Conference, Beaver Creek, CO, 1995. (abstract)
- Quick, C. M., J. K-J. Li, and D. A. O’Hara. Polar analysis of
wave reflection in the arterial system. FASEB J. 9: A13, 1995.
Experimental Biology, 1995.
- Quick, C. M., and J. K.-J. Li. The effect of oncotic pressure
on the equilibrium radius of blood vessels. Proceedings, 3rd
Annual Biomedical Engineering Symposium, Piscataway, NJ, 1994. (abstract)
- Quick, C. M., J. K-J. Li, and G. M. Drzewiecki. Analytical
solution for steady flow in a nonlinearly elastic vessel: prediction of
negative resistance for positive transmural pressures. Proceedings,
pp. 103-104, 16th Annual International Conference IEEE/EMB Society,
Baltimore, MD, 1994. (abstract)
- Quick, C. M., J. K-J. Li, and A. Noordergraaf. The
three-element model predicted from myocyte properties. Proceedings,
pp. 816-819. 13th Annual Southern Biomedical Engineering Conference,
Washington, DC, 1994. (abstract)
- Quick, C. M., J. K-J. Li, H. L. Baldick, H. W. Weizsäcker,
and A. Noordergraaf. Unstable radii in muscular blood vessels.
Proceedings, pp. 21-24. 13th Annual Southern Biomedical
Engineering Conference, Washington, DC, 1994. (abstract)
- Mozley, P. D., A. Alavi, X. Zhu, M. H. Selikson, S. Galloway, J.
Hickey, C. M. Quick, and H. F. Fung. Dosimetry of I-123 Labeled
TISCH. J. Nuclear Med. 33: 954, 1992.
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WORK IN PROGRESS
An invitation:
The following abstracts describe manuscripts in various stages of
development. If the material is of interest to you, please feel free to
contact me. We may be able to collaborate.
Resolving the hemodynamic inverse problem with a
Windkessel and an infinitely long tube
The "hemodynamic inverse problem" is defined as the
determination of arterial system properties from pressures and flows
measured at the entrance of an arterial system. Conventionally,
investigators fit reduced arterial system models to data, and the
resulting model parameters represent putative arterial properties. It was
recently shown, however, that no unique solution to the inverse problem
exists; rather, there are an infinite number of arterial system topologies
that result in the same input impedance, and therefore the same pressure
and flow. There are, nevertheless, exceptions to this theoretical
limitation; total arterial resistance (Rtot ),
total arterial compliance (Ctot),and
characteristic impedance (Zo) can be uniquely
determined from input pressure and flow. These parameters can be
determined by means of two historical models: the classical Windkessel and
the Infinitely Long Tube (ILT). The Windkessel applies to low
frequencies, and the ILT applies to high frequencies. Intermediate
frequencies are sensitive to arterial system topology. The current work
uses the Windkessel and the ILT to provide a novel means of
quantifying the frequencies for which Ctot,
Zo, and arterial topology determine a particular
measured pressure-flow relationship. Furthermore, this approach allows the
effect of spatial topology and site of reflection on pressure and flow to
be determined without assuming a particular arterial system
model.
Constructing realistic models of complex
vascular systems with little or no data
A vascular system consists of thousands of vessels, each
with different radii, lengths, and elastances. To build a representative
mathematical model, numerous parameter values are required, many of which
are critical, and few of which are easy to obtain. The present work
suggests a practical approach to solve this conundrum. First, basic rules
governing the structure of vascular networks are established. For
instance, the large arteries must have an elastance that yields
appropriate pulse wave velocity and reflection; the small conductance
vessels must have a radius that yields appropriate shear stress. Second,
the microcirculation is described by lumped models with both functional
properties (such as autoregulation) and gross mechanical properties (such
as total arterial and venous compliances). Parameter values are then
determined by an iterative process that adapts the parameter values to
fulfill the established rules. This approach is tested by applying it to
two vascular systems with different architectures: the systemic arterial
system and the cerebral vasculature. It is shown that this approach yields
reasonable estimates of known parameters.
Resolving the discrepancy in instantaneous and
steady-state resistances in autoregulating vascular networks
The properties of an autoregulating vascular bed are
commonly investigated with two experiments. In one, average inflow,
Q in, is set, and the resulting steady-state
pressure, Ps(Qin), is
measured. In another, flow is stepped up or down, and the resulting
instantaneous pressure,
Pi(Qin ), is recorded
before the system has time to autoregulate (but after flow due to
compliance has ceased). From these experiments, investigators have derived
peripheral resistance,
Rp(Qin
)=Ps/Qin), and
instantaneous resistance,
Ri(Qin)=
dPi/dQin. In a single
vessel, these values are approximately equal [i.e.,
Ri(
Qtot)=Rp(Qtot
)]. However, in entire vascular beds, these values are significantly
different. In the present work, a possible interpretation of this anomaly
is explored. It is assumed that
Qtot=Qin +
Qc, where Qtot is the
total flow through the autoregulating vessels,
Qin is the observed inflow, and
Qc is an unobserved collateral flow. It is then
assumed that 1) Ps (
Qtot) is nonlinear and 2)
Ri
(Qtot)=Rp(Q
tot). In agreement with reported data, a nonzero
Q c is predicted to cause three phenomena
commonly observed in vascular beds: 1) residual pressure at
Qin=0, 2) R
p(Qin) > Ri
(Qin), and 3) decrease in
Rp (Qin) with increasing
Qin . These phenomena have previously been
ascribed to vascular waterfall. The proposed model does not eliminate this
possibility. However, the presence of collateral flow can cause the same
phenomena conventionally associated with collapsible vessels.
Explanation for vasodilatory reserve in acute
cerebral hypoperfusion
When the internal carotid artery is occluded during
neurosurgical procedures, there may be significant reduction in cerebral
perfusion. In accordance with current theories of cerebral autoregulation,
a severe decrease in cerebral perfusion pressure causes near maximal
arteriolar dilation before there is a reduction in CBF. However, it has
been shown that during acute cerebral hypotension, in addition to
physiological autoregulation, further vasodilation is possible by
pharmacological means. This vasodilatory reserve presents a particular
challenge to explain. The present work attempts to explain the apparent
contradiction with a model that includes the small conductance vessels. It
illustrates that in response to acute hypotension, blood flow in the
conductance vessels decrease, consequently lowering endothelial shear
stress. In response to acute decreases in shear stress, the small
conductance vessels constrict. Although the arterioles may be maximally
dilated, the conductance vessels are constricted. The small conductance
vessels, offering a small but significant resistance to blood flow, thus
can be vasodilated by pharmacological means, and are the source of the
observed vasodilatory reserve.
Reflection against a nonlinear
load
Analysis of steady-state pressure and flow pulses into
antegrade and reflected waves is well established for linear systems.
Reflection is often described by the reflection coefficient ( G) the ratio of antegrade
(Pa ) to reflected waves
(Pr) expressed in the frequency domain. However,
although particular arterial segments may have a linear pressure-flow
relationship locally, arterial loads are often nonlinear. As a result, a
forward-traveling wave at a particular harmonic may generate reflected
waves at different harmonics. The analysis of reflection against a
nonlinear load presents a particular challenge requiring a new approach.
In the present work, a new quantity, the incremental reflection
coefficient (G
inc) is defined, which is a square matrix relating reflected
waves at harmonic i to antegrade waves at harmonic j (i.e.,
Gincij=
Pri/Paj). In the special
case of linear load, G ij degenerates into a diagonal matrix, analogous
to the conventional description G. The use of this new description is
illustrated with example models of nonlinear
loads.
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ONLINE TEXTBOOK
The following is a draft of a text I
have been developing for the last few years. Although there are a number
of wonderful books that detail the physics of pulsatile dynamics in the
arterial system, this work attempts to integrate the wide variety of
seemingly unrelated phenomena that effect arterial pressure and flow. I
hope you find it useful.
Integrated
Arterial System Dynamics
> Download PDF (1.1 MB)
Topics covered
- The Windkessel
- Pulse propagation in infinitely long tubes
- Pulse transmission theory
- Apparent arterial compliance
- Pulse wave propagation
- Pulse wave reflection
- Pulse reflection sites
Overview
Application of physics has
made it possible to predict the blood pressure-flow relationship when the
mechanical properties of an arterial bed are known. However, the reverse,
inferring arterial properties from a measured pressure-flow relationship,
has faced multiple obstacles. 1) The numerous methods to estimate arterial
mechanical properties from measured pressure and flow yield inconsistent
values. 2) The same data can be described by numerous reduced models; each
of which relates the pressure-flow relationship to different properties.3)
Different investigators ascribe changes in the arterial pressure-flow
relationship, such as those observed in hypertensive and elderly subjects,
to fundamentally different arterial properties. Given a particular
pressure-flow pair, different investigators interpret the same data
differently.
There are currently two incompatible views of the
arterial system-Windkessel and Transmission. In the Windkessel Paradigm,
the arterial system is viewed as a compliant container that stores blood.
In the Transmission Paradigm, the arterial system is viewed as a branching
tree that transmits pressure pulses from the heart to the periphery.
Consequently, a measured pressure-flow relationship is ascribed either to
total arterial compliance and peripheral resistance, or to global
reflection, phase velocity, and distribution of reflecting sites. The
choice of a particular view predetermines how a measured pressure-flow
relationship is interpreted.
The present work integrates Windkessel
Theory with Transmission Theory. Generalizing the Windkessel removes an
assumption that made these theories incompatible. The resulting Windkessel
Paradigm is thus made consonant with, and put on the same footing as, the
venerable Transmission Paradigm. Transmission Theory relates the input
pressure-flow relationship to characteristic impedance and the global
reflection coefficient. It describes the transmission of the pulse.
Windkessel Theory, now generalized, relates the input pressure-flow
relationship to apparent compliance and apparent resistance. It describes
the storage of blood in the arterial system. Reconciling Windkessel and
Transmission descriptions of the arterial system provides the means to
interpret changes in arterial system pressure and flow that occur with
aging or hypertension.
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CURRICULUM
VITAE
Christopher M. Quick, Ph.D.
TEXAS A&M
Office: (979) 845-2645 Fax: (979)
845-6544 cquick@cvm.tamu.edu
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Education
Visiting Postdoctoral Fellow, University of California, San
Francisco, CA (2000-2002) Postdoctoral Research Fellow,
Columbia University, New York, NY (1999-2000) Ph.D., Biomedical
Engineering, Rutgers University, New Brunswick, NJ
(1993-1999) M.S.E., Bioengineering, University of
Pennsylvania, Philadelphia, PA (1993) B.S.E., Bioengineering,
University of Pennsylvania, Philadelphia, PA
(1989-1993)
Research Experience
- Postdoctoral Fellow, Dept. of Anesthesia, Columbia U. and
UCSF (1999-present)
- Co-investigator, NIH 2R01 NS27713-10A1 (WL Young,
PI)
"Hemodynamics of cerebral arteriovenous malformations"
- Co-investigator, NIH 1R01 NS37921-01A1 (WL Young,
PI)
"Theoretical modeling of AVM rupture risk "
- Predoctoral Research Fellow, Dept. Biomedical Engineering,
Rutgers University (1993-1999)
- Reconciled conventional theories relating measured aortic pressure
and flow to specific mechanical properties of the arterial system.
- Determined how compliance, branching, pulse wave velocity and
reflection, affect blood pressure in healthy and diseased arterial
systems.
- Research Assistant, Dept. Anesthesia, University of Medicine
and Dentistry, NJ (1994-1995)
- Designed algorithms and software for computer-controlled automated
drug delivery.
- Intern, Division of Cardiac Assist Devices, DataScope, Inc.
(1994)
- Constructed and tested an anatomically accurate fluid-mechanical
model of a human systemic arterial system to test intra-aortic balloon
pumps.
- Research Assistant, Dept. Radiology, University of
Pennsylvania (1991-1993)
- Devised and implemented nonlinear parameter estimation procedures
to estimate dopamine receptor density from PET data.
Teaching Experience
- Teaching Assistant, Dept. Biomedical Engineering, Rutgers University
(1993-1996)
- Circulatory System Dynamics
- Biomedical Instrumentation Laboratory
- Teaching Assistant, Dept. Bioengineering, University of Pennsylvania
(1993)
- Differential Equations for Bioengineers
Awards & Fellowships
National Institutes of Health Postdoctoral Training Grant,
1999. Becton Dickinson Educational Grant, 1997. American Heart
Association Predoctoral Fellowship, 1995. Honorable mention, Student
Paper Competition, IEEE NE Bioengineering Conf., 1995. Rutgers
University Travel Award, 1994, 1995. 1st Place, Student Paper
Competition, 13th Southern Biomed. Eng. Conf., 1994. Whitaker Travel
Award, 1994.
Professional Service
Session Chair, BMES 2001: Biomedical Engineering Society
Annual Meeting, 2001.
Session Chair, BMES 2000: Biomedical Engineering Society
Annual Meeting, 2000. Session Chair, 21st Annual Northeast
Biomedical Engineering Conference, 1995. Ad hoc reviewer, Am J Physiol, Ann
Biomed Eng, Ped Res, Anesthesiol, Stroke, IEEE Trans Biomed
Eng
Professional Memberships
American Physiological Society Biomedical Engineering
Society IEEE/Engineering in Medicine and Biology Society Society
for Experimental Biology and Medicine American Society of Mechanical
Engineers
Oral Presentations
Invited
- Matching Supply to Demand: Structural and Functional Adaptation
in Complex Vascular Beds
Dept. Veterinary Physiology and Pharmacology, Texas A&M, College Station, TX, 2002.
- Matching Supply to Demand: Structural and Functional Adaptation
in Complex Vascular Networks
Pritzker Institute of Medical
Engineering, Illinois Institute of Technology, Chicago, IL, 2001.
- Blood Flow in Complex Vascular Networks: Stress, Adaptation, and
Degeneration
Dept. Biomedical Engineering, University of
Tennessee, Memphis, TN, 2001.
- Matching Supply to Demand: Structural Adaptation in Complex
Vascular Networks
Biomedical Engineering Center, Ohio State
University, Columbus, OH, 2001.
- Computational Modeling of the Cerebral
Circulation
Anesthesia Research Conference, UCSF, San Francisco,
CA, 2000.
- Arteriovenous Malformation Growth and
Development
Hemodynamics and Vascular Disease, VA Medical Center,
San Francisco, CA, 2000.
- Arterial System Modeling: the Past, the Present, and the Past
Again
Graduate Seminar Series, Columbia University, New York, NY,
1999.
- Is Pulse Wave Reflection Beneficial or Detrimental? Evaluation of
Arterial Compliance
Seminar in honor of Abraham Noordergraaf,
University of Pennsylvania, 1998.
- Unstable Radii in Muscular Blood Vessels
Physiology
Seminar, Physiologie Institut der Karl-Franzens-Universität, 1995.
- Poiseuille’s Law Revisited
Biomedical Engineering Seminar
Series, Rutgers University, Piscataway, NJ, 1994.
Conference
- Pulse wave reflection described as feedback in the arterial
system
Biomedical Engineering Society Annual Meeting, Durham, NC,
2001.
- Adaptation of the cerebral circulation to arteriovenous shunts
and vascular occlusion
Biomedical Engineering Society Annual
Meeting, Durham, NC, 2001.
- When the ventricle perceives the arterial system as a
Windkessel
Biomedical Engineering Society Annual Meeting,
Seattle, WA, 2000.
- Input impedance at high and low frequencies reveals effects of
propagation and reflection
Biomedical Engineering Society Annual
Meeting, Seattle, WA, 2000.
- Direct effects of pulse wave reflection may increase or decrease
systolic blood pressure and stroke work
Annual International
Meeting of IEEE/EMB Society, Chicago, IL, 1997.
- Total arterial compliance from input pressure and flow
1st
Cardiovascular Medicine, Science, and Mechanics Conference, Washington,
DC, 1997.
- Defining resistance in an autoregulating vascular bed
1st
Cardiovascular Medicine, Science, and Mechanics Conference, Washington,
DC, 1997.
- Interpretation of Windkessel compliance
39th Annual
Meeting of the Biomedical Engineering Society, Boston, MA, 1995.
- Pulse wave reflection and arterial inefficiency
17th
Annual International Conference of IEEE/EMB Society, Montreal, 1995.
- Laplace's Law adapted to a blood vessel with two-phase wall
structure
21st Annual Northeast Biomedical Engineering
Conference, Bar Harbor, ME, 1995.
- Reconciliation of Windkessel and distributed descriptions of
linear arterial systems
Summer Bioengineering Conference, Beaver
Creek, CO, 1995.
- The three-element model predicted from myocyte
properties
13th Annual Southern Biomedical Engineering
Conference, Washington, DC, 1994.
- Unstable radii in muscular blood vessels
13th Annual
Southern Biomedical Engineering Conference, Washington, DC, 1994.
- Quick, C. M., D. S. Berger, and A. Noordergraaf.
Constructive and destructive addition of forward and reflected arterial
pulse waves. Am. J. Physiol. Heart Circ. Physiol. 280:
H1519-H1527, 2001.
- Quick, C. M., T. Hashimoto, and W. L. Young. Lack of flow
regulation may explain the development of arteriovenous malformations.
Neurol. Res. 23: 641-644, 2001.
- Quick, C. M., W. L. Young, and A. Noordergraaf. Infinite
number of solutions to the hemodynamic inverse problem. Am. J.
Physiol. Heart Circ. Physiol. 280: H1472-H1479, 2001.
- Quick, C. M., W. L. Young, E. F. Leonard, S. Joshi, E. Gao,
and T. Hashimoto. Model of structural and functional adaptation of small
conductance vessels to arterial hypotension. Am. J. Physiol. Heart
Circ. Physiol. 279: H1645-H1653, 2000.
- Quick, C. M., D. S. Berger, D. A. Hettrick, and A.
Noordergraaf. True arterial system compliance derived from apparent
arterial compliance. Ann. Biomed. Eng. 28: 291-301, 2000.
- Hashimoto, T., C. W. Emala, S. Joshi, R. Mesa-Tejada, C. M.
Quick, L. Feng. A. Libow, D. A. Marchuk, and W. L. Young. Abnormal
of tie-2 and vascular endothelial growth factor receptor
expression in human cerebral arteriovenous malformations.
Neurosurgery 47: 910-919, 2000.
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Apparent
arterial compliance. Am. J. Physiol. 274 (Heart Circ. Physiol.
43): H1393-H1404, 1998.
- Berger, D. S., K. Vlasica, C. M. Quick, K. A. Robinson, and
S. G. Shroff. Ejection has both positive and negative effects on left
ventricular isovolumic relaxation. Am. J. Physiol. 273(Heart
Circ. Physiol. 42): H2696-H2707, 1997.
- Quick, C. M., H. L. Baldick, N. Safabakhsh, T. J. Lenihan, J.
K-J. Li, H. W. Weizsäcker, and A. Noordergraaf. Unstable radii of
muscular blood vessels. Am. J. Physiol. 271 (Heart Circ.
Physiol. 40): H2669-H2676, 1996.
- Hashimoto, T., R. Mesa-Tejada, C. M. Quick, A. W. Bollen, S.
Joshi, J. Pile-Spellman, M. T. Lawton, and W. L. Young. Evidence of
increased endothelial cell turnover in brain arteriovenous
malformations. Neurosurgery 49: 124-132, 2001.
- Quick, C. M., D. J. James, K. Ning, S. Joshi, A. X. Halim, T.
Hashimoto, and W. L. Young. Relationship of nidal vessel radius and wall
thickness to brain arteriovenous malformation hemorrhage. Neurol.
Res. 24: 495-500, 2002.
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Arterial
pulse wave reflection as feedback. IEEE Trans. Biomed.
Eng. 49: 440-445, 2002.
- Hashimoto T., Young W. L., Prohovnik I., Gupta D. K., Ostapkovich N.
D., Ornstein E., Halim A. X., Quick C. M.: Clinical report;
increased cerebral blood flow after brain arteriovenous malformation
resection is substantially independent of changes in cardiac output. J.
Neurosurg. Anesthesiol. 14: 204-208, 2002.
- Quick, C. M., E. F. Leonard, and W. L. Young. Adaptation of
the cerebral circulation to brain arteriovenous malformations increases
feeding artery pressure and decreases regional hypotension
Neurosurgery 50: 167-175, 2002.
Conference Articles and Abstracts
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Pulse wave
reflection described as feedback in the arterial system (platform
presentation). Ann. Biomed. Eng., 2001 (in press) Biomedical
Engineering Society Meeting, Durham, NC, 2001.
- Quick, C. M., L. D. Jou, and W. L. Young. Adaptation of the
cerebral circulation to arteriovenous shunts and vascular occlusion.
Ann. Biomed. Eng., 2001. Biomedical Engineering Society
Meeting, Durham, NC, 2001.
- Quick, C. M., D. S. Berger, and A. Noordergraaf. The arterial
system pressure-volume loop. Heart and Vessels 13: 38, 2000. XIV
Congress, Cardiovascular System Dynamics Society, Baltimore, MD, 2000.
(abstract)
- Quick, C. M., T. Hashimoto, and W. L. Young. Instability in
vascular adaptation can explain the development of cerebral
arteriovenous malformations. Heart and Vessels 13: 37, 2000. XIV
Congress, Cardiovascular System Dynamics Society, Baltimore, MD, 2000.
(abstract)
- Berger, D. S., and C. M. Quick. Reduction of a complex
arterial tree into a simple Windkessel. Heart and Vessels13: 45,
2000. XIV Congress, Cardiovascular System Dynamics Society, Baltimore,
MD, 2000. (abstract)
- Berger, D. S. and C. M. Quick. When the ventricle perceives
the arterial system as a Windkessel. Ann. Biomed. Eng. 28: S-63,
2000. Biomedical Engineering Society Annual Meeting, Seattle, WA,
2000. (abstract)
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Input
impedance at high and low frequencies reveals effects of propagation and
reflection. Ann. Biomed. Eng. 28: S-64, 2000. Biomedical
Engineering Society Annual Meeting, Seattle, WA, 2000. (abstract)
- Hashimoto, T., R. Mesa-Tejada, C. M. Quick, A. W. Bollen, and
W. L. Young. Increased endothelial cell turnover in human cerebral
arteriovenous malformations. J Neurosurg. Anesthesiol.
12:386,2000.
- Hashimoto, T., C. W. Emala, S. Joshi, C. M. Quick , and W. L.
Young. Abnormal pattern of Tie-2 and VEGF receptor expression in human
cerebral arteriovenous malformations. J Neurosurg. Anesthesiol.
12: 414, 2000.
- Hashimoto, T., R. Mesa-Tejada, C. M. Quick, A. W. Bollen, and
W. L. Young. Increased endothelial cell turnover in human cerebral
arteriovenous malformations. Anesthesiology 93: A359, 2000.
American Society of Anesthesiologists Annual Meeting, 2000.
- Hashimoto, T., C. W. Emala, N. J. Boudreau, C. M. Quick , and
W. L. Young. Abnormal expression of angiopoietin-2 and tie-2in human
cerebral arteriovenous malformations. Anesthesiology
93:A360,2000. American Society of Anesthesiologists Annual Meeting,
2000.
- Benni, P. B., C. M. Quick, B. Chen, H. Bada, C. W. Leffler,
and M. L. Daley. NIRS: dose dependency of local changes of cerebral HbO2
and Hb with pCO2 in parietal cortex. Acta Neurochir. Suppl.
(Wien) 71: 258-259, 1998. Tenth International ICP Symposium,
Williamsburg, VA, 1997. (abstract)
- Quick, C. M., D. S. Berger, and A. Noordergraaf. Direct
effects of pulse wave reflection may increase or decrease systolic blood
pressure and stroke work. Proceedings, pp. 21-24, 19th Annual
International Meeting of IEEE/EMB Society, Chicago, IL, 1997. (abstract)
- Quick, C. M., J. K-J. Li, and A. Noordergraaf. Total arterial
compliance from input pressure and flow. Int. J. Cardiovasc. Sci.
Med. 1: 2, 1997. 1st Cardiovascular Medicine, Science, and Mechanics
Conference, Washington, DC, 1997. (abstract)
- Quick, C. M., G. M. Drzewiecki, and J. K-J. Li. Defining
resistance in an autoregulating vascular bed. Int. J. Cardiovasc.
Sci. Med. 1: 40, 1997. 1st Cardiovascular Medicine, Science, and
Mechanics Conference, Washington, DC, 1997. (abstract)
- Weizsäcker, H. W., G. W. Desch, C. M. Quick , and A.
Noordergraaf. Passive mechanical properties of muscular arteries.
Int. J. Cardiovasc. Sci. Med. 1: 51, 1997. 1st Cardiovascular
Medicine, Science, and Mechanics Conference, Washington, DC, 1997.
- Quick, C. M., J. K-J. Li, D. A. O’Hara, and A. Noordergraaf.
Apparent compliance. J. Cardiovasc. Diag. Proc. 13: 297,
1996. XII Congress, Cardiovascular System Dynamics Society, Baltimore,
MD, 1996. (abstract)
- Palladino, J. L., J. P. Mulier, C. M. Quick, and A.
Noordergraaf. Otto Frank: stern leader and scrupulous instrument
analyst. J. Cardiovasc. Diag. Proc. 13: 302, 1996. XII Congress,
Cardiovascular System Dynamics Society, Baltimore, MD, 1996.
- Lei, C. Q., J. K-J. Li, and C. M. Quick. Comparison of time
domain and frequency domain assessments of arterial wave reflections.
Proceedings, pp. 7-8. 22nd Annual Northeast Bioengineering
Conference, New Brunswick, NJ, 1996.
- Quick, C. M., J. K-J. Li, D. A. O’Hara, and A. Noordergraaf.
Interpretation of Windkessel compliance. Ann. Biomed. Eng. 23:
S32, 1995. 39th Annual Meeting of the Biomedical Engineering Society,
Boston, MA, 1995. (abstract)
- Quick, C. M., D. A. O’Hara, and A. Noordergraaf. Pulse wave
reflection and arterial inefficiency. Proceedings, 17th Annual
International Conference of IEEE/EMB Society, Montreal, 1995. (abstract)
- Quick, C. M., J. K-J. Li, H. W. Weizsäcker, and A.
Noordergraaf. Laplace's Law adapted to a blood vessel with two-phase
wall structure. Proceedings, pp. 1-3. 21st Annual Northeast
Biomedical Engineering Conference, Bar Harbor, ME, 1995. (abstract )
- Quick, C. M., J. K-J. Li, D. A. O’Hara,and A. Noordergraaf.
Reconciliation of Windkessel and distributed descriptions of linear
arterial systems. ASME BED-29, pp. 469-470, 1995. Summer
Bioengineering Conference, Beaver Creek, CO, 1995. (abstract)
- Quick, C. M., J. K-J. Li, and D. A. O’Hara. Polar analysis of
wave reflection in the arterial system. FASEB J. 9: A13, 1995.
Experimental Biology, 1995.
- Quick, C. M., and J. K.-J. Li. The effect of oncotic pressure
on the equilibrium radius of blood vessels. Proceedings, 3rd
Annual Biomedical Engineering Symposium, Piscataway, NJ, 1994. (abstract)
- Quick, C. M., J. K-J. Li, and G. M. Drzewiecki. Analytical
solution for steady flow in a nonlinearly elastic vessel: prediction of
negative resistance for positive transmural pressures. Proceedings,
pp. 103-104, 16th Annual International Conference IEEE/EMB Society,
Baltimore, MD, 1994. (abstract)
- Quick, C. M., J. K-J. Li, and A. Noordergraaf. The
three-element model predicted from myocyte properties. Proceedings,
pp. 816-819. 13th Annual Southern Biomedical Engineering Conference,
Washington, DC, 1994. (abstract)
- Quick, C. M., J. K-J. Li, H. L. Baldick, H. W. Weizsäcker,
and A. Noordergraaf. Unstable radii in muscular blood vessels.
Proceedings, pp. 21-24. 13th Annual Southern Biomedical
Engineering Conference, Washington, DC, 1994. (abstract )
- Mozley, P. D., A. Alavi, X. Zhu, M. H. Selikson, S. Galloway, J.
Hickey, C. M. Quick, and H. F. Fung. Dosimetry of I-123 Labeled
TISCH. J. Nuclear Med. 33: 954, 1992.
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