Imperial College London

Professor Kim Parker

Faculty of EngineeringDepartment of Bioengineering

Senior Research Investigator
 
 
 
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Contact

 

+44 (0)20 7594 5171k.parker Website

 
 
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Location

 

4.29Royal School of MinesSouth Kensington Campus

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Summary

 

Publications

Publication Type
Year
to

477 results found

Malaweera ASN, Davies JE, Hadjiloizou N, Manisty C, Aguado-Sierra J, Zambanini A, Mayet J, Francis DP, Parker KH, Hughes ADet al., 2008, Peripheral pulsatile arterial pressure is determined by the central reservoir, which is similar across different arterial sites, Annual Scientific Conference of the British-Cardiovascular-Society/British-Society-for-Cardiovascular-Research, Publisher: B M J PUBLISHING GROUP, Pages: A114-A115, ISSN: 1355-6037

Conference paper

Davies JE, Whinnett ZI, Hadjiloizou N, Manisty CH, Hughes AD, Parker KH, Francis DP, Mayet Jet al., 2008, Microcirculatory-originating pressure predominantly determines coronary blood flow in humans: Evaluation using wave intensity analysis, Annual Scientific Conference of the British-Cardiovascular-Society/British-Society-for-Cardiovascular-Research, Publisher: B M J PUBLISHING GROUP, Pages: A121-+, ISSN: 1355-6037

Conference paper

Hughes AD, Davies JE, Francis D, Mayet J, Parker KHet al., 2008, Peripheral augmentation index and wave reflection in the radial artery, HYPERTENSION, Vol: 51, Pages: E45-E46, ISSN: 0194-911X

Journal article

Evans J, Gratzer W, Mohandas N, Parker K, Sleep Jet al., 2008, Fluctuations of the red blood cell membrane: Relation to mechanical properties and lack of ATP dependence, BIOPHYSICAL JOURNAL, Vol: 94, Pages: 4134-4144, ISSN: 0006-3495

Journal article

Aguado-Sierra J, Alastruey J, Wang J-J, Hadjiloizou N, Davies J, Parker KHet al., 2008, Separation of the reservoir and wave pressure and velocity from measurements at an arbitrary location in arteries, PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE, Vol: 222, Pages: 403-416, ISSN: 0954-4119

Journal article

Downie SP, Raynor SM, Firmin DN, Wood NB, Thom SA, Hughes AD, Parker KH, Wolfe JHN, Xu XYet al., 2008, Effects of elastic compression stockings on wall shear stress in deep and superficial veins of the calf, AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, Vol: 294, Pages: H2112-H2120, ISSN: 0363-6135

Journal article

Davies JE, Hadjiloizou N, Manisty CH, Whinnett ZI, Francis DP, Parker KH, Mayet J, Hughes ADet al., 2008, Evidence to support the role of the aortic reservoir via a direct mechanism in determination of the pressure waveform with ageing, 57th Annual Scientific Session of the American-College-of-Cardiology, Publisher: ELSEVIER SCIENCE INC, Pages: A339-A339, ISSN: 0735-1097

Conference paper

Wang J-J, Shrive NG, Parker KH, Tyberg JVet al., 2008, Effects of vasoconstriction and vasodilatation on LV and segmental circulatory energetics, AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, Vol: 294, Pages: H1216-H1225, ISSN: 0363-6135

Journal article

Aguado-Sierra J, Davies JE, Hadjiloizou N, Francis D, Mayet J, Hughes AD, Parker KHet al., 2008, Reservoir-wave separation and wave intensity analysis applied to carotid arteries: A hybrid 1D model to understand haemodynamics, Pages: 1381-1384

Pressure waveforms measured at different locations in the cardiovascular system present a very similar diastolic decay. Previous work has shown the cardiovascular system can be modelled as a Windkessel and wave system. This concept has been extended to any arbitrary location in the cardiovascular system. We suggest that it is possible to calculate a time-varying reservoir pressure P̄(t) and a distance- and time-varying wave pressure p(x, t) by fitting an exponential function to the diastolic decay of the measured pressure P; defining that the measured pressure P(x, i) = P̄(t)+p(x, t). Velocity waveforms U can also be separated into its reservoir, Ū, and wave, u, components as U(x, t) = Ū(x, t) +u(x, t). In this study we explore the implications of applying a reservoir-wave separation and wave intensity analysis techniques to understand the haemodynamics of in-vivo, noninvasive measurements of P and U in the carotid arteries of normal human subjects. Wave intensity analysis reveals a particular wave pattern where reflections can be estimated easily, but foremost, it shows that reflections are a lot smaller than previously thought. We suggest through the use of this model that the heart is the main wave generator of the cardiovascular system. The arterial system instead of impeding the flow, it stores it and distributes it throughout the arteries towards the tissue during diastole. There are some wave reflections, mainly during systole, that contribute to the changes in the pressure and velocity waveforms, however, they are small and are more evident as the measurements get further away from the ascending aorta. The application of wave intensity analysis to non-invasively measured data can provide a good insight on the physiology and the local and global properties of the cardiovascular system in health and disease in the clinical setting. This study shows preliminary results and the potential of the technique for analysing non-invasive measures, and could be particul

Conference paper

Alastruey J, Parker KH, Peiro J, Sherwin SJet al., 2008, Lumped parameter outflow models for 1-D blood flow simulations: Effect on pulse waves and parameter estimation, Commun. Comput. Phys., Vol: 4, Pages: 317-336

Several lumped parameter, or zero-dimensional (0-D), models of the micro-circulation are coupled in the time domain to the nonlinear, one-dimensional (1-D) equations of blood flow in large arteries. A linear analysis of the coupled system, together with in-vivo observations, shows that: (i) an inflow resistance that matches the characteristic impedance of the terminal arteries is required to avoid non-physiological wave reflections; (ii) periodic mean pressures and flow distributions in large arteries depend on arterial and peripheral resistances, but not on the compliances and inertias of the system, which only affect instantaneous pressure and flow waveforms; (iii) peripheral inertias have a minor effect on pulse waveforms under normal conditions; and (iv) the time constant of the diastolic pressure decay is the same in any 1-D model artery, if viscous dissipation can be neglected in these arteries, and it depends on all the peripheral compliances and resistances of the system. Following this analysis, we propose an algorithm to accurately estimate peripheral resistances and compliances from in-vivo data. This algorithm is verified against numerical data simulated using a 1-D model network of the 55 largest human arteries, in which the parameters of the peripheral windkessel outflow models are known a-priori. Pressure and flow waveforms in the aorta and the first generation of bifurcations are reproduced with relative root-mean-square errors smaller than 3%.

Journal article

Byrd-Raynor S, Alastruey J, Hughes A, Thom S, Parker KHet al., 2008, The relationship between velocity and cerebral resistance during vasomotor reactivity testing: Should we report a different measurement?, J. Vascular Ultrasound, Vol: 32, Pages: 67-74

Journal article

Eftekhar A, Vohra F, Toumazou C, Drakakis EM, Parker Ket al., 2008, Hilbert-Huang Transform: Preliminary studies in Epilepsy and Cardiac Arrhythmias, IEEE Biomedical Circuits and Systems Conference (BioCAS), Publisher: IEEE, Pages: 373-376

Conference paper

Alastruey J, Moore SM, Parker KH, David T, Peiro J, Sherwin SJet al., 2008, Reduced modelling of blood flow in the cerebral circulation: Coupling 1-D, 0-D and cerebral auto-regulation models, Int. J. Numer. Meth. Fluids, Vol: 56, Pages: 1061-1067

Journal article

Harvey SLR, Coxon P, Bates D, Parker KH, O'Hare Det al., 2008, Metallic ring-disc microelectrode fabrication using inverted hollow cylindrical sputter coater., Sensors and Actuators B: Chemical, Vol: 129, Pages: 659-665

Journal article

Hughes AD, Parker K, Davies J, 2008, Waves in arteries: A review of wave intensity analysis in the systemic and coronary circulations, Artery Research, Vol: 2, Pages: 51-59

The intermittent ejection of blood by the ventricle results in pulsatile pressure and flow waveforms in the circulation. Understanding and characterizing this pulsatile behaviour is attracting increasing clinical interest, as it may have important implications for risk prediction and the mechanisms of action of therapeutic agents. This review focuses on the theory and use of wave intensity analysis to analyse pulsatile waveforms in the arterial circulation with particular reference to the coronary circulation.

Journal article

Aguado-Sierra J, Davies JE, Hadjiloizou N, Francis D, Mayet J, Hughes AD, Parker KHet al., 2008, Reservoir-wave separation and wave intensity analysis applied to carotid arteries: a hybrid 1D model to understand haemodynamics., Annu Int Conf IEEE Eng Med Biol Soc, Vol: 2008, Pages: 1381-1384, ISSN: 2375-7477

Pressure waveforms measured at different locations in the cardiovascular system present a very similar diastolic decay. Previous work has shown the cardiovascular system can be modelled as a Windkessel and wave system. This concept has been extended to any arbitrary location in the cardiovascular system. We suggest that it is possible to calculate a time-varying reservoir pressure P(t) and a distance- and time-varying wave pressure p(x, t) by fitting an exponential function to the diastolic decay of the measured pressure P; defining that the measured pressure P(x, t) = P(t)+p(x, t). Velocity waveforms U can also be separated into its reservoir, U , and wave, u,components as U(x, t) = U (x, t) + u(x, t).In this study we explore the implications of applying are servoir-wave separation and wave intensity analysis techniques to understand the haemodynamics of in-vivo, noninvasive measurements of P and U in the carotid arteries of normal human subjects. Wave intensity analysis reveals a particular wave pattern where reflections can be estimated easily, but foremost, it shows that reflections are a lot smaller than previously thought.We suggest through the use of this model that the heart is the main wave generator of the cardiovascular system. The arterial system instead of impeding the flow, it stores it and distributes it throughout the arteries towards the tissue during diastole. There are some wave reflections, mainly during systole,that contribute to the changes in the pressure and velocity waveforms, however, they are small and are more evident as the measurements get further away from the ascending aorta.The application of wave intensity analysis to non-invasively measured data can provide a good insight on the physiology and the local and global properties of the cardiovascular system in health and disease in the clinical setting. This study shows preliminary results and the potential of the technique for analysing non-invasive measures, and could be particularly

Journal article

Aguado-Sierra J, Davies JE, Hadjiloizou N, Francis D, Mayet J, Hughes AD, Parker KHet al., 2008, Reservoir-wave separation and wave intensity analysis applied to carotid arteries: A hybrid 1D model to understand haemodynamics, 30th Annual International Conference of the IEEE-Engineering-in-Medicine-and-Biology-Society, Publisher: IEEE, Pages: 1381-+, ISSN: 1557-170X

Conference paper

Khir AW, Swalen MJP, Feng J, Parker KHet al., 2007, Simultaneous determination of wave speed and arrival time of reflected waves using the pressure-velocity loop, MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING, Vol: 45, Pages: 1201-1210, ISSN: 0140-0118

Journal article

Malaweera ASN, Davies JE, Hadjiloizou N, Manisty C, Zambanini A, Aguado-Sierra J, Thom SA, Parker KH, Francis DP, Mayet J, Hughes ADet al., 2007, Pulsatile arterial pressure is predominantly determined by the aortic reservoir, which can be determined non-invasively from peripheral measurement sites, JOURNAL OF HUMAN HYPERTENSION, Vol: 21, Pages: 849-850, ISSN: 0950-9240

Journal article

Davies JE, Francis DP, Hadjiloizou N, Manisty CH, Aguado-Sierra J, Foale RA, Parker KH, Mayet J, Hughes ADet al., 2007, Changes in arterial reservoir function, not wave reflection, account for the effect of ageing on pressure augmentation in the proximal aorta, JOURNAL OF HUMAN HYPERTENSION, Vol: 21, Pages: 848-848, ISSN: 0950-9240

Journal article

Hadjiloizou N, Davies JE, Manisty CH, Whinnett ZI, Francis DP, Willson K, Malik IS, Hughes AD, Parker KH, Mayet Jet al., 2007, Physiological mechansims underlying the differences in flow velocity in the left and right coronary arteries, EUROPEAN HEART JOURNAL, Vol: 28, Pages: 753-753, ISSN: 0195-668X

Journal article

Curtis SL, Zambanini A, Mayet J, Thom SAM, Foale R, Parker KH, Hughes ADet al., 2007, Reduced systolic wave generation and increased peripheral wave reflection in chronic heart failure, AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, Vol: 293, Pages: H557-H562, ISSN: 0363-6135

Journal article

Bowles CT, Van Loon R, Dreger SA, Biglino G, Chan C, Parker KH, Chester AH, Taylor PM, Yacoub MHet al., 2007, Hydrodynamic evaluation of a bioreactor for tissueengineering heart valves, Conference of the Tissue-Engineering-and-Regenerative-Medicine-International-Society (TERMIS-EU), Publisher: MARY ANN LIEBERT INC, Pages: 1708-1708, ISSN: 1076-3279

Conference paper

Wang J-J, Parker KH, Shrive NG, Tyberg JVet al., 2007, Predicting a reflection site from impedance analysis: Implications of the time-domain windkessel, Experimental Biology 2007 Annual Meeting, Publisher: FEDERATION AMER SOC EXP BIOL, Pages: A826-A827, ISSN: 0892-6638

Conference paper

Davies JE, Francis DP, Manisty CH, Hadjiloizou N, Aguado-Sierra J, Malik IS, Foale RA, Hughes AD, Parker KH, Mayet Jet al., 2007, A unifying explanation of the aortic pulse waveform in humans, 56th Annual Scientific Session of the American-College-of-Cardiology, Publisher: ELSEVIER SCIENCE INC, Pages: 397A-398A, ISSN: 0735-1097

Conference paper

August E, Parker KH, Barahona M, 2007, A dynamical model of lipoprotein metabolism, BULLETIN OF MATHEMATICAL BIOLOGY, Vol: 69, Pages: {1233-1254}-{1233-1254}, ISSN: 0092-8240

We present a dynamical model of lipoprotein metabolism derived by combining a cascading process in the blood stream and cellular level regulatory dynamics. We analyse the existence and stability of equilibria and show that this low-dimensional, nonlinear model exhibits bistability between a low and a high cholesterol state. A sensitivity analysis indicates that the intracellular concentration of cholesterol is robust to parametric variations while the plasma cholesterol can vary widely. We show how the dynamical response to time-dependent inputs can be used to diagnose the state of the system. We also establish the connection between parameters in the system and medical and genetic conditions.

Journal article

Martinez-Perez ME, Hughes AD, Thom SA, Bharath AA, Parker KHet al., 2007, Segmentation of blood vessels from red-free and fluorescein retinal images, MEDICAL IMAGE ANALYSIS, Vol: 11, Pages: 47-61, ISSN: 1361-8415

Journal article

Martinez-Perez ME, Hughes AD, Thom SA, Parker KHet al., 2007, Improvement of a retinal blood vessel segmentation method using the Insight Segmentation and Registration Toolkit (ITK)., 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society., Pages: 892-895

Conference paper

Lee KE, Parker KH, Sherwin SJ, Car CGet al., 2007, The effects of geometrical configurations on steady flow in non-planar double bends, World Congress on Medical Physics and Biomedical Engineering, Publisher: SPRINGER-VERLAG BERLIN, Pages: 3461-+, ISSN: 1680-0737

Conference paper

Harvey SLR, Parker KH, O'Hare D, 2007, Developing a tissue perfusion sensor, 2007 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY, VOLS 1-16, Pages: 2689-2692, ISSN: 1094-687X

Journal article

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