Power Laws in Compartmental AnalysisII. Numerical Evaluation of Semi-Markov
Models*
ALLAN H. MARCUS AND
ARTHUR BECKER University of Maryland-Baltimore
County, Catonsville, Mayland
Received 30 September 1976
ABSTRACT A semi-Markov model for tracer kinetics is formulated for certain two- and three-compartment systems for which the residence time in compartment 2 may have a stable or exponentially modified stable distribution. The method requires numerical inversion of complex Fourier transforms. The model is used to predict the proportion of a single dose of lead retained by blood, bone, and soft tissue, where the lead residence time in bone has a distribution of power-law type. The power-law models reproduced the sometimes observed increase of blood lead level due to slow release of lead from bone, whereas the usual linear compartment model with matched parameters did not show this effect.
INTRODUCTION In Part I [4] we considered a unified random mechanism, based on the expected number density of residence times of tracer molecules attached to a random number of sites within a compartment, that produces mixed power-law exponential distributions of residence time, including not only Gamma distributions other than exponential, but also exponentially modified stable laws. We will now develop some techniques that can be used to model organisms consisting of several such interconnected compartments. The functions to be computed include the amount of tracer excreted in urine, feces, etc. at any time t, as well as the proportion of initially injected or ingested material residing in any other specified compartment at time t. *This work was supported by the National Institute of Environmental Health Sciences and the Environmental Protection Agency under Grant l-ROl-ES01236-I. The University of Maryland Computer Science Center provided additional computer time. MA THEMA TICAL BIOSCIENCES
0 Elsevier North-Holland, Inc., 1977
35,27-45
(1977)
27
28
ALLAN
H. MARCUS
AND ARTHUR
BECKER
The complement of the total quantity excreted is of course the remaining whole body burden (retention), and the proportion in any specified compartment is the body burden of that compartment. Formally, we will regard the specific activity in excreted material as an empirical estimate of the first passage time from the initial compartment to the external environment. The relative body burden in any compartment will be regarded as an estimate of the probability that a molecule is found there at time t after insertion. The relative activity in the excreted material will be described by a first-passage-time (FPT) probability density Jo(t). The relative body burden at time t in compartment j, per molecule of tracer inserted into compartment i at time t = 0, will be described by the transition probability b,(t). These quantities are easily calculated using transform methods in the case that the tracer molecules move independently of each other according to a semi-Markov or Markov renewal process whose theory we shall now develop in detail. SEMI-MARKOV
MODEL
Consider a single molecule of tracer. Molecules of tracer may be bound to other molecules-e.g., carbon monoxide may be bound to hemoglobin in the blood, but also to other hemeproteins in the liver or kidney. Then, the transition to other compartments may be governed by the size and other physical-chemical properties of the carrier-i.e., both the residence time and the subsequent transition depend to some extent on the carrier. Define Pii = Probability that a molecule travel to compartmentj
i will next
in compartment o< Pg< 1, (
c
Pq=l),
j-0
G, (t) = Prob{ molecule resides in i for time d t, given that molecule starts in i and travels next to j}, F, (t) = Prob{ molecule
delay
J,(t)=
that starts in i reachesj
for the first time after
(2)
fF,W>
A0 (t) = excretion
(3)
or clearance
b,(t) = Prob{ molecule
delay = t}.
(1)
function
at time t,
(4)
that starts in i is found in j after a (5)
POWER LAWS
29
Note that
(6)
biO(r)=/o'LO(U)du~
Note that&(t) is a first-passage-time (FPT) probability density function. If transitions are independent of each other, governed by a stationary Markov chain with transition probability matrix [ = (P,), and if the residence time in compartment i (knowing that when we exit from i we next go to j) has distribution G,(t) and is independent of the duration or direction of all previous transitions, then the process is a semi-Markov process. It is not hard to show [3] that, if we define the core matrix
~(t)=(Z=,G&))=~CW(t)
(7)
and the FPT matrix
(8) then the Laplace-Stietjes C*(s)=
transforms
are
( (p”dq(t) = c*(s)]-‘{ [z-
(9)
Pg~me-“dGti(r))
0
F*(s)=
0
c*(s)[ I-
C”(s)
]pJZ}
-I.
(‘0)
Here Z is the identity and @ is the Schur product of two square matrices of equal size, i.e., for any such A, B, A 8 B = (a&).
Moments
are easy to calculate.
If the following
mii=
J0mrdGg(~),
so=
s
“t2dG&),
0
‘k,=
I mt2dFu (t), 0
are finite:
ALLAN H. MARCUS AND ARTHUR BECKER
30 then N by=
*,=
z k=O
Pikmak
$
Piksik+
k=O
+
2 k=O k#j
5
Pikpkjf
(11)
Pik[9kj+2mik(1,,].
(12)
k-0 k#j
The body burden in compartment j at time t for a unit impulsive insertion of tracer into compartment i at time 0 is denoted bti(t). It is clear that b,,(t) can be calculated from a renewal-type integral equation likefii(t), so we find [3] the Laplace transform of the matrix
is given by B*(s)=/~Pb,(t)dt=
[I- c*(s)] -%v*(s),
(13)
0
where W*(S) is a diagonal
matrix with
(14) See [1,2] for an extended discussion of semi-Markov models. These functions can be calculated using inverse Fourier transforms. example, for a real variable z we can write
For
f:O( - iz) = Ref( z) + i Imf( z),
(15)
b$(-iz)=Reb(z)+iImb(z),
(16)
where i = (- 1)‘/2, and Ref, Im f, Re b, Imb are real functions. Note that Re,f and Re b are even, and Imf and Im b are odd functions of z, so that we need only evaluate the real integrals
for sufficiently
fi,,(t)=
$iAIRe_f(z)coszr+Imf(z)sinzt]dz,
(17)
b,(t)=
~~BIReb(z)coszt+Imb(z)sinzr]~z,
(18)
large A, B. The remainder
of this paper
will consist
of
31
POWER LAWS
exhibits of the functions Ref, Imf, Reb, Imb and the appropriate values of A,B. For reasons of computational simplicity we choose the following cases in which to exhibit explicit integrands. EXPONENTIAL
DISTRIBUTION
g,(t) = kuemkut,
t >O,
=o,
t GO,
g;(s) =
&.
(19)
rJ
POWER-LA go(t)
W DISTRIBUTION
OF STABLE
is not usually available, g$(-iz)=exp{
TYPE
but g;(s)=
e-y@,
so
-yi/jzI”[cos(ncu/2)-isgn(z)sin(~a/2)]}
or g$( - iz)=exp[
- y,ijzI”cos(acr/2)]
{ cos[ yJzlasin(sa/2)]
(20)
+isgn(z)sin[y,i(zl”sin(~cu/2)]}, where k,>O, THE
SPECIAL
yo>O, O
MODEL
As a result of straightforward but tedious calculations case depicted in Fig. 1 (compartment 0 leads)
we obtain
for the
so that in particular
and l-c*c*12 s[ 1 - c;~c&]B*(s) = i
21
0
0
47
I-cf,-c$
cz:c:o
c&(1 - Go-
42)
cr2(l -4) l-c,:
, I
(23)
32
ALLAN
H. MARCUS
SPECIAL TWO-COMPARTMENT
FIG. 1.
Special
AND
ARTHUR
BECKER
MODEL
two-compartment
model.
so that in particular 1 - CQ - it) - c&( - iz) bT,(-
iz)= i
’
z[l-cfi(-iz)c;,(-iz)]
b&( - iz) = ic$( - iz) This special two-compartment strictly internal and excretion
1 - cF2( - iz) z[1-cc:2(-iz)c:*(-iz)]
(24) (25)
model is one in which compartment 2 is can occur only from compartment 1. Thus,
p2l.l= 0,
pfl= 1,
P,*= 1 - P,,. The special cases are easily developed. First case: Al2 residence times are exponential. Define
A, (z> =
z4+ z’( k:z+ kt, + P&,&2,) +P&&I,
A2 =P&&,
(k12+ k21).
(26) (27)
Then f$( - iz) = Ref,, + i Imf,,,
(28)
Refi,(z)=Q,(z)[k,,A,(z)-2*A21, Imfio(z)=Ql(z)z[A~(z)+k~~A2],
(29) (30)
33
POWER LAWS
where (31) (32) (33) (34) where I
Q2(Z)= (k$)+z2)[A:(z)+z54;] h(Z)
=
(35)
’
z4(plob3+p12~12) +
z’[
klok,,(p,okl2+pl,k,,)+
+
k,&,,k~l
k,Zl (p,&,o+p12k12)]
(36)
(plokl2+pl2klo)~
~4(z)=~4+~2(k:0p12+k:~p1~+kf2) +
kt,
(p&:2
(37)
+pl2%,
b~2=Reb,2+iImb12,
(38)
Reb12=Q~(z)[Al(z>(k12k21-z2)-A2z2(k~2+k2~)],
(39)
Im~12=zQ3(z)[A1(z)(k12+k21)+A2k12k2~]l
(40)
where (41) Second case: Residence time in 2 has a stable distribution. Define L,(z)=exp(
- ,,2~zl~cos~)coS(~12/zJaSin~),
(42)
L,(z)=exp(
- y,,[z("cos~)sin(y,,(zlysin~),
(43)
H, (z) = k&[ 1 -~ltb
]
+
z2+p12k121zl~2(z)~
(45)
~2(~)=p12k12[~~l(~)+~gn(~)~2(~)k12]~ ff3
(z)
=
k12sdz)~2(z)
ff4
(z)
=
kl,[
(20(z>=
1-
W)]
(44)
+
1 H: (z) + H,2 (z) ’
z[
1-
lzlLz(z)~
Ll
(z)],
(46) (47) (48)
34
ALLAN H. MARCUS AND ARTHUR BECKER
~mk,o(k:,+z*)Q&) Q~(z)= kfo+z2 ’ Q,(Z)~
(49)
e, k$,+z2
(50)
’
Q6 (z) = Q,(z)P,~/z>
(51)
A5(z)=z2(~,0k10+~,2k12)+k,0k,2(~,0k,2f~,2k,0),
(52)
AC.(Z) = z(&:o+W%)+
z3.
(53)
Refio=Q4(z)[k10Hl(z)-zH2(z)],
(54)
ImS,,=
(55)
Then
Q4(z)[zH1
(z)+k~H~(z)],
Re~~~=Qs(z)[H,(~)AS(z)+HZ(z)A6(z)],
(56)
Imbll=
Q5 (z)[ H, (Z)&(Z)+
(57)
Reblz=
Q~(z)[H,(~)W~(~)+H~(Z)H~(Z)],
K (z)~,(z)],
(58)
Imb12= Q&)[Wz)&(z)+~2(~)%(z)].
THE SPECIAL
THREE-COMPARTMENT
(59)
MODEL
The case depicted in Fig. 2 is one in which compartment only, but excretion from either 1 or 3 is possible. Thus p,,+
2 is internal
p,z+ p13= 1,
(60)
Pzl+P23=
1,
(61)
P30= 1,
(62)
Poe= 1.
(63)
p,,+p32+
In view of the complexity of the special two-compartment report only the transforms of greatest interest:
model we will
A = (1 - c;c& - c&c$ - 4~3: - c$c&c;, - c:~cz;c;,),
bT2=
(l-c:,-c~3~(c:,c:i+c:,) 1.
(67)
Z
These results are readily deduced
(64)
by a standard
flowgraph
analysis.
Fig. 2
35
POWER LAWS
SPECIAL THREE-COMPARTMENT
FIG. 2.
STRATEGY
FOR NUMERICAL
MODEL FOR LEAD
Special three-compartment
model.
ANALYSIS
The inverse Fourier transforms were calculated by numerical integration of the Fourier transforms using Eqs. (17) and (18). We found that the positive and negative contributions during one period of the harmonic component nearly canceled. Thus zeros of Ref(z)
coszt + Imf(z) 7r
sinzt = Int(z)
(68)
= Int(z)
(69)
and Reb(z)coszf+Imb(z)sinzt ?r
were calculated by binomial search. The periodicity was nearly 27r/ t after the first 20 or 30 zeros. The positive and negative contribution was integrated between each pair of adjacent zeros, then summed over pairs of zeros. The upper limits A,B were increased until the relative increment in the integral was less than some specified value. The programs are divided into three main phases: (1) Integration (2) Integration for zeros. (3) Integration amplitudes
of the first zero. through subsequent
zeros in pairs, with binomial
search
from zero to zero, with an assumed spacing n/t once the are changing only very slowly with increasing z.
The user may control
the length of phase (2) before entering
phase (3).
36
ALLAN H. MARCUS AND ARTHUR BECKER
Phase (1). The lower limit of the integral number z. from 1O-5/~ to 10e3/t, because power-law residence time in the system. z until Int(z) is negative. The first zero of search; call it zi. The first increment (usually is thus calculated by Simpson’s rule as
is taken as some small positive b;(O) may be + 00 if there is a is increased by steps of 0.01 /t Int(z) is located by binomial the largest) in computing b;(t)
LnInt(z) dz, s =“-I accumulated
until In Int(z)dz<(fraction) I G-1
The fraction
is usually
‘“-‘Int(z)dz. I 10
(71)
small, 10e4 to 10d5. If we have in addition lz,-zz,_,--7rP/fl<(fraction)r/t
to (71) (72)
for some other small fraction, we pass to phase (3), Phase (3). We stop searching for zeros and take
z,=z,-,+(7T/f), again stopping
(73)
if for some small fraction (74)
We did not calculate
b,,(t) directly by this method, lim b,,(t) t-cc
Thus 6To(- it) must necessarily origin and cannot be accurately the retention probability
since
= 1.
have a singularity of order inverted for large t. Instead,
R (t) = 1- &,(4
(75) - 1/iz at the we calculated
(76)
since R*(iz)=
/
meiZrR (t)dt
= -ol,iz-b~o(-iz)
r:
.f;cO(-iz)-1 iz
is easily inverted
numerically.
(77) (78)
POWER
31
LAWS
The three-compartment model was calculated numerically using standard complex integration subroutines from the Univac 1108 Math-Pack. These were verified by a numerical integration of the two-compartment model functions as real integrals for the special cases of the preceding section. Compartment 3 was exorcised by setting Pi, = P3j = 0 for all iJ# 3. In fact, this necessary numerical validation motivated the tedious algebra required to calculate Eqs. (26)-(59). We believe that these explicit formulae may be of independent interest and use to readers who do not have access to computers with readily available complex-function subroutines. The accuracy of these numerical results is not extremely great-we cannot really assert that the relative errors of the probabilities are less than about 0.1%. However, the results in Tables l-3 show that the calculated sums blo+ b,i + 6,, + b,, are satisfactorily close to 1.0 in value.
NUMERICAL
ANALYSIS
OF A THREE-COMPARTMENT
MODEL
FOR LEAD
Rabinowitz, Wetherill, and Kopple [6] studied the distribution and transport of a lead in a mature human male using the stable lead isotope Pbzm as a label. We will follow the basic themes of their analysis. The compartments are the external environment (i =O), blood (i= l), bone (i=2), and soft tissues (i=3). For transitions out of blood and soft tissue, we assume the usual linear
Probabilities
t Cm4
b,,(t)
0 1 2 4 6 12 24 36 48 60.1* 72 96 168 360
0 .28694 .45301 .6288? .71924 .83026 .87060 .87873 .88484 .89272 .89605 .90623 .93115 .96983
TABLE for linear (Exponential)
1 Compartment
b,,(t)
b,,(t)
1.OOOOO 0.63366 0.43334 0.24342 0.15859 0.58614(0.12500(0.43533( 0.25152(-2) 0.20446( 0.18994(-2) 0.16380(-2) 0.12965( 0.67895( -
0 .11270(.22864( .42621(.59082( .92403( .11526 .11628 .11206
*There was some difficulty
1) 1) 2)
b,,(r) 1) 1) 1) 1) 1)
2)
.10675
2) 3)
.10151 .91551(1) .67184(- 1) .29408( - 1)
in getting
an accurate
Model (i)
0 .68813(.91688(.85717(.63538( .19421(.16025(-2) .51413(-3) .44076(-3) .41905(-3) .39917(-3) .36077( .26651(-3) .11700(-3)
result
Sum
1) 1) 1) 1) 1)
3)
for t = 60.
1.OOOOO 1.00068 1.00090 1.00063 1.00045 1.00070 0.99996 0.99988 0.99986 1.00193 0.99986 0.99980 0.99990 1.00003
38
ALLAN
Probabilities
TABLE 2 for Exponentially Modified
f bo)
b,,(4
b,,(t)
0 1 2 4 6 12 24 36 48 60. la 72 96 168 360
0 .28696 .45302 .62874 .71886 .82840 .86373 .86602 .86694 .86913 .87284 .88393 .92187 .91489
1 .63286 .43227 .24243 .15756 .57213( .10915(.25486( .10473(-2) .11702(-2) .16737( .23261( .21263(.78190(-3)
‘There
H. MARCUS
was some difficulty
Stable-Law
1) 1) 2)
2) 2) 1)
0 .12182(.23419( .43288( .60173( .95630( .I2430 .13126 .13181 .12948 .12524 .11341 .75730( .24348(
-
1) 1) 1) 1) 1)
- 1) - 1)
an accurate
TABLE 3 for Stable-Law
ARTHUR
1 1.00080 1.00039 1.00012 1.00006 0.99994 1.00015 0.99992 0.99988 0.99997 l.OOW5 1.00012 1.00015 1.00015
result for r = 60.
Model (iii)
bd’)
b,,(O
b,,(r)
b,,(f)
0 .30321 .46508 .63162 .I2624 .83375 .86757 .86907a .86891
1 .63294 .43228 .24244 .I5756 .57255( - 1) .10619(-l) .24732( - 2) .98688( - 3)
0 .63179(-2) .19201(.40270( .57700( .90168( .12042 .12826 .13021
0 .68801( .91682( .85690( .63468( .18715(.12056(-2) .73996( .18612(-4)
60.1b 72 96 168 360
.86894 .86940 .87122 .87999 .90032
.60689( .50090( .70154(-3) .82679( .60030( -
.13043 .12995 .12792 .11907 .99799( - 1)
3) 3)
Sum
0 .68799( - 1) .91681(- 1) .85664( - 1) .63466( - 1) .18695(- 1) .12057(-2) .87260( -4) .84814(-4) .19132(-3) .30544( - 3) .45814(-3) .41989(-3) .13347(-3)
0 1 2 4 6 12 24 36 48
3) 3)
BECKER
Model (ii)
b,,(r)
b,,(t)
in getting
Probabilities
AND
1) 1) 1) 1)
Sum
1) 1) 1) 1) 1) 4)
.36602( - 4) .66517(-4) .10952(-4) .13226(-4) -
‘This suspicious value could not be calculated to greater accuracy able amount of computer time. bThere was some difficulty in getting an accurate result for t = 60.
1 1.01127 1.00824 1It0602 1.00497 0.99995 0.9998 1 0.99988 1.00900 l.OOWl 0.99992 0.99995 1.00002 -
within a reason-
39
POWER LAWS
compartment
model, i.e., a Markovian
model with
Pu= ku/ki, k,= 5
k,,
j-0
k,
g;(s) = kv+s ’ for i= 1,3. The parameters times
suggested
(81)
by [6] include
the mean
residence
may be deduced from the mass-balance
relation-
E{T,}=l/k,=27days, E { T,} = l/k,=30 The probabilities ships
required
from 1 to 0: from 1 to 2: from 1 to 3:
38 pg/day, 7 pg/day, 20 pg/day;
from 3 to 0: from 3 to 1:
12 pg/day, 20 pg/day;
from 2 to 1:
7 pg/day.
Thus (putting
days.
rates in units of months-‘) PI,= 38/65 = 0.584, p,2=
7/65=0.108,
k,,= 0.6489 moo’, k,,=O.l200mo-‘,
P ,3=20/65=0.308,
k,,=0.3422
P 3o= 12/32 = 0.375,
k30 = 0.375 mo- i,
P,, =20/32=0.625,
k3, =0.625 mo-‘,
p,,
=
mo-‘,
0,
where 1 mo= 30 days. In order to link the exponential and stable-law models to the bone data, we have had to include an intermediate type of distribution which was also derived in Part I, the exponentially modified stable law (EMSL). There are thus three models for the residence time in bone: (i) Exponential
model.
La(s)=
&
(82)
40
ALLAN H. MARCUS AND ARTHUR BECKER
whose
mean and variance
(ii) Exponentially
are
E { TmI= l/k,,,
(83)
Var{ T, } = l/k&.
(84)
modified stable-law model.
(85)
Y21>
k,,
0,
O
> 0,
Then
E { 7.2,>= w%,$3 21
a(l-a) Var{
r2,
> = ~2&2q ___. k:,
(iii) Stable-law
model (k,, = 0).
w
g2*I(s)=e-Y21So,
E{Tg,}=+co
for
p> a.
(89)
Now, Rabinowitz, Wetherill, and Kopple indicate only a very long residence time in bone. They suggest a mean residence time of about 10,000 days (28 years). They indicate nothing about the appropriateness or otherwise of the linear compartmental model (82) for bone. We will here study the implications of the hypothesis that, like the alkaline-earth metals calcium, strontium, barium, and radium [S], lead is a bone-seeker whose residence time in bone has either an EMSL or a stable distribution. To fit the numerical values, we will consider a somewhat shorter mean lifetime in the exponential case, 200 mo = 6000 days = 16.67 years. Thus for Model (i) we have I/k,,=2OOmo=E{T,,} 1/k& = 40,000 mo’ = Var { T2, } . We cannot simply equate moments to fit model (iii), the stable law, which has an infinite mean and variance. One possibility is the (approximate)
POWER
matching
41
LAWS
of modes: y;;
g21 (t)
=
(90)
g21 (Lde)~
where we easily find t mode =
(91)
~26.
For model (ii) (EMSL), (9 + y24rk:,)0~5- 3 t mode
=
YW,
.
(92)
Here we can set (Y= 0.5. Thus from (86) and (87) E { T,, } = 200 mo = 0.5~,,&‘.~.
We will here use the same exponential l/k,,
time scale
=200 mo,
so that y2, = 28.28 mo”,5, k,, = 0.005 mo- ‘, and from (92) t mode = 100 mo. Applying matching
the similar value fmode= 133 mo to (91), we find that the modevalue for model (iii) is also y2, = 28.28 mo”,5.
INTERPRETATION
OF THE LEAD
MODEL
We will describe elsewhere the detailed significance of these numerical results. In Figs. 3-6 we exhibit respectively the retention probability R (t) = 1 - bra(t), the blood level concentration b,,(t), the bone concentration !~,~(t), and the concentration !~,~(t) in soft tissues, on both semilog and log-log plots, for all three models given in the preceding section.
42
ALLAN
H. MARCUS
AND
ARTHUR
BECKER
WHOLE BODY RETENTION FUNCTION FOR MEAN LIFETIME 200 MONTHS 1
10-21 0
I
I
I
I
,
I
100
I
I
I
,
I
7
200
1
I
,
300
I
I
I
I
,
400
TIME. MONTHS WHOLE BODY RETENTION FUNCTION FUR MEAN LIFETIME 200 MONTHS 1-j
FIG.3. exponential, log-log
Retention function for lead models with residence time in bone given by (E) (EMS) exponentially modified stable, (S) stable distributions; semilog and
plots.
The retention probabilities exhibit no surprises, decreasing most rapidly for model (i) and least rapidly for model (iii). They are very similar to the retention curves calculated by Marshall et al. [5] for the alkaline-earth metals calcium, strontium, barium, and radium. The blood level concentrations b,,(t) shown in Fig. 4 are highly significant. Note that b,,(t) decreases monotonically for all times t, whereas with either stable or EMS laws, b,,(t) reaches a minimum after 30-70 mo, but climbs to much higher values after about 100-150 mo. We have thus reproduced mathematically the well-known inclination of blood lead levels to increase many years after the cessation of the last exposure. Only the power-law models did this; the linear Markov compartment model did not,
POWER LAWS
43 BLOODLEVELOF LEAD FOR MEAN LIFETIMEIN BONEOF 200 MONTHS
60.0 120.0 180.0 240.0 300.0 360.0 420.0
0.0
TIME.MONTHS BLOODLEVELOF LEADUSINGMEAN LIFETIMEIN BONEOF 200 MONTHS
10-Q
,
1
,
,
, , , ,,,,
10
,
,
, , , ,,,i
102
,
, ,
,,,flTIME.MONTHS 103
FIG. 4. Lead concentration in blood with residence times given by (E) exponential, (EMS) exponentially modified stable, (S) stable distributions; semilog and log-log plots.
and we conjecture that the methods used by Hearon [2] to establish the convexity or log-convexity of washout curves may be applicable here to establish this result in general. The bone concentrations b,,(t) in Figure 5 also show the expected behavior, peaking after 30-90 mo and decreasing slowly thereafter. Finally, the concentration 6&t) for the soft tissue compartment is shown in Figure 6. Notice the extremely pronounced increase in soft tissue concentration after 100 to 150 mo using either model (ii) or (iii), and not evident in the usual compartment model (i). There is also a modest short-term peak at 2-3 mo which is due to the release of a large quantity of the initial blood lead into soft tissue.
ALLAN H. MARCUS AND ARTHUR BECKER
44
BONE LEVEL OF LEAD FOR MEAN LIFETIME IN BONE OF 200 MONTHS
10‘3
I 60.0
c.0
1 120.0
I 180.0
I 240.0
I 300.0
I 360.0
, TIME.MONTHS 420.0
BONE LEVEL OF LEAD FOR MEAN LIFETIME IN BONE OF 200 MONTHS
lo-"
I
I
I , ,111,
1
I I 1,111
10
10-Z
I
t I I II~
TIME. I?ONTHS 103
FIG. 5. Lead concentration in bone with residence times given by (E) exponential, (EMS) exponentially modified stable, (S) stable distributions; semilog and log-log plots.
OTHER
SEMI-MARKOV
MODELS
A general semi-Markov formulation with many explicit results is developed by Weiner and Purdue [7]. An alternative formulation, also in the context of compartment models, is given by Wiggins [8]. Wiggins replaces the formulation based on residence time distribution by one in which the transition probabilities are taken as time-dependent; Howard [3] has shown that these formulations are equivalent. REFERENCES 1 E. Cinlar, Markov renewal theory, Ado. Appl. Probab. 1, 123-187 (1969). 2 R. B. Gun, C. S. Patlak, and J. Z. Hearon, The logarithmic convexity of the washout
45
POWER LAWS CONCENTRATION OF LEAD IN SOFT TISSUE FOR MEAN LIFETIME 200 MONTHS
0
300
200
100
400
TIME, MONTHS
10-S
I
,
, I I,
,,,
10
I
1
I I , ,111
102
1
I
I I I
,qT’NE.MoNTHS 103
FIG. 6. Lead concentration in soft tissue with residence times given by (EMS) exponentially modified stable, (S) stable distributions; semilog and log-log plots.
function in tracer kinetics, Math. Biosci. 4, l-6 (1969). R. A. Howard, Dynamic Probabilisfic Sysrems. Vol. II: Semi-Marka, and Decision Processes, Wiley, New York, 1971. A. H. Marcus, Power laws in compartmental analysis, Part I: A unified stochastic theory, Math. Biosci. 23, 337-350 (1975). J. H. Marshall et al., Alkaline earth metabolism in adult man, Health Phys. 24, 125-221 (1972). M. B. Rabinowitz, G. W. Wetherill, and J. D. Kopple, Lead Metabolism in the normal human: stable isotope studies, Science 182, 725-727 (1973). D. Weiner, and P. Purdue, A semi-Markov approach to stochastic compartmental models (1976), unpublished manuscript. A. D. Wiggins, A mathematical model relating the power law to the exponential law in biological turnover studies, Math. Eiosci. 10,191-200 (1971).