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Abstract
A microscopic theoretical study is performed to predict the rheological properties of human blood in the
low concentration limit. The shear thinning behavior of blood in the low shear limit is studied by con-
sidering the aggregate formation of red blood cells, which is called the rouleaux formation. Then the con-
stitutive equations of blood in the high shear limit are derived for various flow situations by considering the
unique features of deformation of blood cells. Specifically, the effects of the surface-area-preserving con-
straint and the tank-treading motion of blood cells on the rheological properties are studied.
1. Introduction
ior of deformation and motion. where V0 denotes the volume of each particle and
Schmidt-Schönbein et al. (1969) found the following
1-
∑ ij(p ) = -- { σ x n – µ ( ui nj + u jni) }dA
V ∑ A∫ ik j k
from in vitro experiments on the blood at low concentration
of RBC (5-10%). Normal cells were observed to be sep- 0
of flow, with no tumbling. Goldsmith (1971) reported sim- Batchelor applied the formula (3.2) to the case of dilute
ilar observation from the Poiseuille flow experiment. In suspension (φ 0) to get some analytical results. He
summary, the experimental evidence suggests that at low assumed further that the particle Reynolds number is very
shear rates the cells rotate but as the flow speeds up rota- small and the last two terms in (3.3) may be safely
tion is no longer observed, i.e. the profile of the cell neglected. In the case of dilute suspension, the interaction
becomes stationary relative to axes fixed in space. This between particles is neglected and consideration of a single
kind of motion is called the tank-treading motion (see the particle in a general linear flow provides sufficient infor-
schematic figure given later in subsection 5.2). Theoretical mation. Thus, the average velocity gradient equals the
studies for this tank-treading motion were made by Rich- velocity gradient given far from the particle.
ardson (1974) and Keller and Skalak (1982).
∂U i ⁄ ∂ xj = eij – εijkΩk (3.4)
Another important feature we must consider is the so-
called constraint of area preservation during the deforma- Batchelor showed that the particle stress in the dilute limit
tion of blood cells. This constraint and the flexibility of cell can be represented by
membrane constitute a unique feature of blood cell defor-
(p ) 4 πµ
mation. Due to the constraint of area preservation and neg- ∑ ij = ---------- ∑ Dij
V
(3.5)
ligible resistance to bending, the equilibrium shape of red
blood cells does not depend on the strain rate if its value is where Dij is the coefficient in the expansion for the dis-
larger than a certain critical value. Instead, the membrane turbance pressure and the disturbance vorticity
tension increases as the strain rate increases, and eventually
p' ∂r –1
∂ r 2 –1
the cell is broken apart (i.e. hemolysis occurs) if the strain ---- = – Dj --------- – Djk -------------- + ... , (3.6)
µ ∂ xj ∂ x j∂ xk
rate is larger than a critical value. Pozrikidis (1990) showed
that a spheroidal shape, which is determined by the sphe- ∂r –1
∂ r 2 –1
ω'i = –εijk D j--------- – εijk Djl-------------- + ... . (3.7)
ricity index rather than the strain rate, is an equilibrium ∂ xk ∂ xk∂ x l
shape of a blood cell subjected to a uniaxial straining flow.
The effective stress of a dilute suspension of ellipsoidal
In the present study, the above characteristics of blood
particles has in general non-Newtonian form and shows
cells are considered to predict the effective viscosity of
complicated behavior. However, in some special situations,
blood as a function of shear rate. For our theoretical devel-
the constitutive equation can be derived without much dif-
opment, Batchelor's theory on the suspension of ellipsoidal
ficulty. The first example is the suspension of couple-free
particles is used.
particles which are similar in shape and orientation. For
this case, Batchelor showed that
3. Theories on the suspension rheology
4
--- π abc
( p) Cijkl ∑ 3
3.1. Batchelor's theory ∑ ij = 3 µ ekl --------
- -------------------
- (3.8)
abc V
Batchelor (1970) used the volume average to derive the
formula for the bulk stress from a microscopic flow infor- for the suspension of ellipsoidal particles with semi-diam-
mation. eters a, b, and c. Another example is the case of couple-free
particles subject to such strong Brownian motion that their
1-
∑ ij = -- ( σ – ρ u'i u'j )dV
V ∫ ij
(3.1) orientations are randomly distributed with uniform proba-
bility, i.e. statistically isotropic case. In this case,
With the aid of vector calculus, he showed that
4π 4 ( J 1 + J 2 + J 3) 2 1 1 1
∑
( p)
= 2 µ eij ------ ∑ abc ------------------------------------------------ + --- ---- + ---- + ---- .
∂U ∂U ij
( )
pdV+ µ --------i + --------j + ∑ ij(p)
3V 15 J J + J J + J J 5 I1 I2 I3
∑ ij = –δij
1 2 2 3 3 1
∫ ∂ xj ∂ xi
(3.2)
V – ∑ V0
(3.9)
where Ii and Ji (i = 1 , 2, 3) are the functions of a, b, and c. 4.1. Randomly oriented spheroidal rouleaux
The above two expressions are used to predict the effective Let us begin with the case of the perfect random dis-
viscosity of the blood. tribution of orientation. When the suspension is dilute,
Batchelor's formula (3.9) is appropriate for the particle
3.2. Hinch and Leal's theory stress term. The formula can be further simplified when the
Hinch and Leal (1971) applied Batchelor's general for- shape of the particle is spheroidal (i.e., b = c)
mulation to the suspension rheology of dilute spheroidal 4 ( J1 + 2J2) 2 1 2
particles. Their principal result is ∑
( p)
= 2 µ eijφ -------------------------------- + --- ---- + ---- , (4.1)
ij
15 ( 2J 1 + J )J
2 2 5 I1 I2
( p)
∑ = 2 µφ{ 2AHE: 〈 pppp〉 where φ is the volume fraction of solid particles. Since
ab2=1 for spheroids, the formula (4.1) can be represented
+ 2B H E ⋅ 〈 pp〉 + 〈 pp〉 ⋅ E – ---IE: 〈 pp〉
2
as (see Kang (1993) for the details)
3
( p)
∑ ij = 2 µ eijφ f(a ) , (4.2)
1
+ CH E + F HD r + 〈 pp〉 – --- I (3.10) where a is the dimensionless semi-diameter of the rouleau
3
along the rotation axis. Therefore, the effective viscosity of
where E is the rate-of-strain tensor (E = eij ei ej), p is the blood is given by
unit vector in the direction of rotation axis, and Dr is the
µ* = µ(1 + f(a)φ). (4.3)
rotary diffusivity. By using Batchelor's general result for
the ellipsoidal particles, they derived the asymptotic for- where µ is the viscosity of plasma.
mulas for the coefficients when the particles are sphe-
roidal. When the rouleaux are quite long, we may express the
dimensionless semi-diameter a in terms of degree of aggre-
4. Effect of aggregation on the effective prop- gation. Let n be the number of cells in one rouleau. Since
erties of blood in the low shear rate limit the maximum thickness of a cell is about 2.8 µm and the
diameter is 7.6 µm, a n-cell rouleau has the aspect ratio
The human blood cells are known to form aggregates about
that are called rouleaux. When the shear rate is small, the
a --3- 2.8
aggregates become prevalent. In this section, we explore r = --- = a 2 = ------- n
b 7.6
the effect of aggregation on the effective properties of
human blood. As a first attempt, we assume that the and thus
degree of aggregation is the same for all rouleaux and 2---
n3
each roubleau can be approximated by a spheroid as a ≅ ----- . (4.4)
2
shown in Fig. 2. We shall consider two extreme cases of 3---
orientation distribution: one is the random distribution, In Fig. 3, the factor (f(a) = f( n ⁄ 2) = f̃ (n ) ) is shown as a 2
which may be appropriate for low shear rate limit; and the function of the degree of aggregation. In order to see the
other is the completely aligned situation in the uniaxial effect of aggregation more explicitly, we may consider
straining flow.
µ∗ (n )- 1--------------------
------------- + f̃ (n )φ
(4.5)
=
µ∗ (1 ) 1 + f̃ (1 )φ
where µ*(n) denotes the effective viscosity when the
degree of aggregation is n. Even though the above result
was derived for the low concentration limit, let us apply it
to the case of normal hematocrit φ=0.45. Then, with
f̃ ( 1 ) = 2.8, f̃ ( 20 ) = 4.3, f̃ ( 40 ) = 8.7, f̃ (80 ) = 22.5 , we have
1.3, for n = 20
µ∗ (n )-
------------- = 2.2, for n = 40 . (4.6)
µ∗ ( 1 )
4.9, for n = 80
As we can see above, the effect of aggregation is con-
siderable even when the low concentration model is used.
In fact, if the concentration is as high as φ=0.45, we need
Fig. 2. The spheroidal approximation for the rouleaux formed by to consider the interaction effects between the rouleaux.
aggregation at low shear rates. Although extremely complicated physics of interaction
1970)
= 2 µ eijφ -------
( p) 2
∑ ij
3J2
(4.9)
µ∗ = µ [ 1 + f( a )φ ] = µ 1 + ------- φ
2
(4.10)
3J 2
The factor for the uniaxial straining flow case (2/3 J2) is
Fig. 3. The factor function f̃ ( n ) for the effective viscosity as shown in Fig. 5 for comparison with the factor for the case
given in (4.5). of complete random distribution.
2 5
obtained by Jeffery's solution (1922). As discussed in ------- = --- .
3J2 2
Pozrikidis (1990), the surface stress acting on the external
surface of an ellipsoidal particle, which is immersed in a Therefore, we have
general linear flow, is given by
p0 + f̃ att = 5 µ E max . (4.18)
f1 = ( –P 0 I + A) ⋅ n̂ ,
Finally from (4.17) and (4.18), we find a very important
where n̂ is the outward unit normal from the surface of the relationship
particle. The constant matrix A is diagonal if a uniaxial
E - 15
straining flow is assumed and the x-directional component --------- = ------ J ( a) , (4.19)
E max 4 2
of the surface stress is given in dimensionless form as
which is one of the most important results in the present
fx = (A 11 – P 0 )n̂ ⋅ ex (4.11)
work. The definition of J2(a) for the axisymmetric case is
Since the stress is scaled by µE/2 for the rate-of-strain ten- given in (4.16).
sor Now the relation (4.19) can be used to get a formula for
the effective viscosity that exhibits shear thinning behavior.
1 1
E = E e xex– --- eyey – --- ez ez (4.12) As discussed in subsection 4.1, the effective viscosity may
2 2
be found if we have the degree of aggregation $n$ by the
the straining force on the right half of the rouleau is easily formula (4.3) via (4.4). Thus, we have
obtained by integrating the surface stress
µ∗ ( n ) - -------------------------
------------------ 1 + f̃ (n )φ -
(4.20)
=
µE µE µ∗ (sph ) 1 + f̃ ( sph )φ
F˜ x = ∫ f̃xdS = A 11 ------- – p0 ∫ ( n̂ ⋅ ex)dS = A 11 ------- – p 0 (π b )
2
2 2
where µ*(sph) denotes the effective viscosity of the sus-
(4.13) pension of spherical particles. On the other hand, from
(4.19), we may estimate the the dimensionless semi-diam-
Now let the dimensional maximum attracting force per eter, a, of a rouleau for the given dimensionless strain rate
unit area of cell-cell interface be f̃ att . Then E/Emax. In turn, the degree of aggregation n can be found by
the relation (4.4) for the given value of a. In that way, the
F˜ att = f̃ att (π b )
2
(4.14)
degree of aggregation n can be estimated as a function of
In order for a rouleau to be broken up by straining flow the dimensionless strain rate E/Emax.
F˜ x ≥ F˜ att . Therefore at critical aggregation, we have Since now the degree of aggregation is known for the
given dimensionless strain rate, the effective viscosity can
µE
A11 ------- = p 0 + f̃ att (4.15) be computed by using the relation (4.20). In Fig. 6, the
2
effective viscosity is given as a function of dimensionless
8-
As given in Pozrikidis (1990), A11 = ------- . The function strain rate for the case of hematocrit φ=0.45. The shear
3g''
thinning effect is clearly seen and the result shows qual-
g''2 (r ) can be shown to be identical to the function J2 (a) itatively good agreement with the experimental findings of
of Batchelor's notation by using the relation r=a/b=a3/2 Chien (1970). Of course, our analysis is based on the the-
ory for the dilute suspension. Furthermore, we did not
∞ ∞ λdλ
∫0 ------------------------------------------
- = ∫ -------------------------------------
udu
g''2 ( r )= 3 3---
- = J2 ( a ) include any complicated aggregation behavior such as the
--- 0 2
(a + λ ) --- + λ
4 2 2
--- 2 –--- 2 1 branched rouleau formation and the deformation of a rou-
E 3 + u E 3 + u 2
5.1. Completely aligned cells in axisymmetric Fig. 7. The prolate and oblate blood cells in the uniaxial and
straining flows biaxial straining flows.
We first consider the simplest case, in which individual
cells are completely aligned due to the axisymmetric
straining flows. As discussed in section 2, the red blood of the the aspect ratio r=a/b. For the sphericity index of the
cells are easily deformed in straining flows and take sphe- human red blood cell, it is well established that the area of a
roidal equilibrium shapes in axisymmetric straining flows red cell is approximately 44% larger than the minimum area
if the membrane tension is assumed to be isotropic. Since required for the spherical shape (Skalak et al., 1989). Then by
the cell deformation should satisfy the simultaneous the definition of the index we have S=1.2 and we have
requirements of volume conservation and the area pre-
r = 0.25 for an oblate spheroid (5.1a)
serving, the nature of cell deformation is different from that
of elastic particles or droplets. Differently from the case of
r=6 for an prolate spheroid (5.1b)
elastic particles, the equilibrium shape is independent of
the strain rate if the bending resistance of the cell is Now let us first discuss the case of uniaxial straining
neglected. On the other hand, the tension of the membrane flow, in which the red blood cell takes a prolate equilibrium
increases as the strain rate increases. In this section, the shape. As in section 4, the effective viscosity can be
effect of area-preserving property on the suspension rhe- obtained by using the theory of Batchelor or equivalently
ology is discussed for the two axisymmetric straining by using the theory of Hinch and Leal. Here let us use the
flows. In a uniaxial straining flow each blood cell is theory of Hinch and Leal (1971) that is given in subsection
deformed into prolate shape and in a biaxial straining flow 3.2. When the aspect ratio r=6, the coefficients in (3.10)
into oblate shape as shown in Fig. 7. can be estimated as (see Hinch and Leal, 1971)
The most important parameter for the deformation of
AH=9.1379, BH=0.05430, CH=2.
blood cells is the sphericity index S defined by
1--- When the effect of Brownian motion is neglected, from
(A ⁄ 4 π )
2
(3.10), we have
S = ---------------------1-
---
( 3V ⁄ 4 π )
3 (p )
∑ = 2 µφ { 18.2758E: 〈 pppp〉
where A is the total surface area and V is the volume of the
+ 0.1086 E ⋅ 〈 pp〉 + 〈 pp〉 ⋅ E – --- IE: 〈 pp〉 + 2E}
2
cell. For the case of spheroidal particles, the index is a function (5.2)
3
Or we have
µ* = µ(1 + 14.33φ) (5.4)
In the case of biaxial straining flow, the aspect ratio of
the equilibrium cell shape is r = 0.25 and the coefficients
are estimated as
Fig. 8. The factors of the effective viscosity (µ* − µ)/φ as func-
AH = 2.2929, BH = −1.91815, CH = 4.8363. tions of strain rate (closed circles: RBC in a uniaxial
straining flow; open circles: RBC in a biaxial straining
By substituting the above coefficients, p = ex and flow; closed triangles: elastic particle in a uniaxial strain-
1 1 ing flow; open triangles: elastic particle in a biaxial
E = E – exe x + --- eye y + --- ez ez , straining flow).
2 2
and subtracting the isotropic contribution, we find
5.2. The effect of tank-treading motion in shear
( p)
∑ = 2 µφ( 2.7784 )E . (5.5) flow
Here we estimate the bulk stress of human blood subject
Therefore, the effective viscosity for the biaxial straining to shear flow by considering the tank-treading motion of
flow is red blood cells as shown in Fig. 9. In order to develop a
theory on the effective viscosity, Batchelor's (1970) theory
µ* = µ(1 + 2.78φ). (5.6)
for the dilute suspension of ellipsoidal solid particles is
The effective viscosity for a dilute suspension of elastic modified appropriately to consider the tank-treading
particles was obtained by Cho (1992) under the assumption motion of red blood cells. Then the modified theory is
that the deformation from spherical shape is not large. The incorporated with the theory of Keller and Skalak (1982)
result is that on the tank-treading motion of red cells to estimate the
rheological properties of blood.
( p) 5 µE
= 2 µφ --- ±2.6786 δ + 15.386 δ E; δ = ------- ,
2
∑ 2 G
(5.7) 5.2.1. Disturbance field near a tank-treading red
blood
where ± refers to the uniaxial and biaxial straining flows As we have seen in 3.1, we need to obtain the second
respectively, and E and G are the principal strain rate and order tensor Dij for estimation of ∑ ij(p) . To do that, we con-
the shear modulus of the elastic particle. The effective vis- sider a tank-treading ellipsoidal red blood cell as shown in
cosity corresponding to (5.7) is Fig. 9. In the figure, xi denote the coordinates in a fixed
Cartesian coordinate system and xi denote coordinates in a
µE second Cartesian system having origin coinciding with the
µ∗ = µ 1 + ---± 2.6786 δ + 15.386 δ 2 φ ; δ = ------- .
5
(5.8)
2 G fixed frame. The x3 axis is assumed to coincide with x3
axis, but x1 and x 2 axes are rotated through an angle θ
The factors for the effective viscosity (µ*−µ)/φ are shown with respect to the x1 and x2 axes. The ellipsoidal surface is
in Fig. 8. The closed and open circles are for the effective defined by the semi-axes a, b, and c on x 1, x2 , and x 3 ,
viscosity of human blood in the cases of uniaxial and biax- respectively. The membrane surface velocity vim relative to
ial straining flows respectively. The open and closed tri- and referred to the body frame is assumed to be
angles are for the effective viscosity of the suspension of
v1m = v ( –a ⁄ b )x2, v2m = v (b ⁄ a )x 1, v3m = 0 (5.9)
elastic particles in the cases of uniaxial and biaxial strain-
ing flows. For the cases of elastic particles, µ/G=0.01s is where ν is a parameter having the dimension of frequency.
used in the plot. For an ellipsoidal particle with the surface velocity in the
and we have
1
4 J1 pip j – ---δij – J 2 q iqj – --- δij
1
3 3
---------( Ekl – Eklm ) = κ
--- -----------------------------------------------------------------------------
Cijkl
abc 2 3 ( J 1J 2 + J 2J 3 + J 3J 1 )
Fig. 9. An ellipsoidal red blood cell undergoing tank-treading
motion due to a shear flow. 2 2
+ ------- κ cos 2 θ + -------------- v (p iq j + pjq i) (5.19)
2 a –b
3I3 ab
form
5.2.2. The flipping velocity and the tank-treading fre-
m
vim = ( E ij + Ωij )xj
m
(5.10) quency
Keller and Skalak (1982) analyzed the motion of a tank-
in the flow field which has treading ellipsoidal cell in a shear flow such as one in Fig.
9. By applying the moment balance on the cell, they found
Ui = ( E ij + Ωij)x j (5.11) the flipping velocity and they also found the tank-treading
frequency by equating the energy dissipated inside the cell
far from the particle, Roscoe (1967) showed that the dis- and that supplied by the external fluid. By combining the
turbance is the same as would be produced by a rigid, non- results, they found that the flipping velocity is
rotating ellipsoid in a liquid undergoing the undisturbed
θ· = A + B cos 2 θ (5.20)
flow
where
m
Ui = (E ij – E ij )x j + (Ωij – Ωij )xj ,
0 m
(5.12)
κ 4a b - µ'
2 2 –1 2 2
A = – --- , B = κ ------------- 2 + ---
- – 1 I +
1
--
- --------------
a –b
,
a –b µ 2 a 2 + b 2
4 4 3
2
where the barred quantities are referred to the moving
coordinate system. and I3 is the integral defined as (see Batchelor(1970))
The disturbance flow field is generated by the rate-of-
∞ abc ( a + b )d λ 2 2
strain tensor ( Ekl – Eklm ) , which are the components of the I3 = ∫ --------------------------------------
-
tensor E - Em referred to the fixed frame. Hence we have
0
∆ ( a2 + λ ) ( b 2 + λ )
with ∆2 = (a2 + λ)(b2 + λ) (c2 + λ). As we can see above, the
Dij = Cijkl( E kl – E klm ) (5.13)
particle undergoes tank-treading motion without flipping if
For the shear flow,
0 ≤ -A/B ≤ 1.
0 1 0
κ The equilibrium angle of inclination is
Eij = --- 1 0 0 . (5.14)
2
0 0 0
θ∗ = --- cos – ---
1 –1 A
(5.21)
2 B
From the surface membrane velocity, we have
and the corresponding tank-treading frequency is
2 2 0 10
= -------------- 1 0 0 .
m a –b
(5.15) 2ab - µ' –1
κ A-
2 + ---- – 1 I3
E ij
2ab v∗ = -------------
2
------ ≤0 (5.22)
0 00 2
a –b µ B
where Eijm are referred to the xi coordinates. In order to On the other hand, if B < -A, the cell undergoes the flipping
transform Eijm to Eijm , we use the relation motion. The solution of (5.20) is
E ijm = E kl γikγjl ; γik = e i ⋅ e k
m
(5.16)
A +B ( t – t0 ) π
where ei and ek are the unit vectors parallel to xi and xk- θ( t) = arc tan ---------------------1- tan ----------------
- (5.23)
2 2 --2- T
coordinates. Then for Eij − Eijm , we have (A – B )
where t0 is the time when θ = 0 and T is the period of flip- At steady state,
ping from θ = 0 and θ = -π. The period T is given by
∂- · 1
1 ----- (p θ ) = 0 , i.e., p ∝ --·- (5.29)
–---
2 ∂θ θ
T = π (A – B )
2 2
(5.24)
By using
5.2.3. Particle stress for dilute suspension of red blood
sin 2 θ - π B ⁄A
2 2 2
–π 1 T
cells ∫0 A-------------------------- d θ = --- ---------------------1- 1 – ----------------------------------------------
- ≡ ---Is
+ B cos 2 θ 2 ---
{1 + (1 – B ⁄ A ) }
2 2 1⁄ 2 2 2
When the cells undergo tank-treading without flipping, (A – B )
2 2 2