Study of mild traumatic brain injuries using experiments and finite element modeling.

Michael Lamy, Daniel Baumgartner, Remy Willinger, Narayan Yoganandan, Brian D Stemper
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Abstract

The objective of the study was to better understand the biomechanics of mild traumatic brain injuries (TBI) using a hybrid approach: experiments and computational modeling. A three-dimensional finite element model of the rat skull and brain was used to understand the anatomical region-dependent stress response under mild TBI conditions. Anesthetized rats were exposed to varying coronal plane angular acceleration pulses without direct head contact. Experimental outcomes included unconscious time and histological evidence of brain pathology using GFAP and MAP2. The finite element model was exercised using the five experimental and four supplemental pulses to simulate nine independent combinations of peak acceleration and pulse duration (290 to 542 krad/s(2) and 1 to 3 ms). Stress response metrics were correlated to histological and behavioral (e.g., loss of consciousness) evidence of injury in rats subjected to pure coronal plane angular acceleration of the head. Injury severity was modulated by independently controlling peak magnitude and duration of the angular acceleration. While peak Von Mises stresses correlated well with changes in injury severity associated with peak angular acceleration, this metric did not demonstrate sensitivity to changes in acceleration duration. However, an integrated stress-time metric was able to predict changes in injury severity associated with increasing angular acceleration magnitude and duration in both the hippocampal and parietal cortex anatomical regions. Results of this unique hybrid analysis indicate that the combined stress-time variable may be more suited to explain variation of mild TBI severity, rather than pure peak metrics.

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轻度颅脑外伤的实验与有限元模拟研究。
本研究的目的是通过实验和计算模型的混合方法来更好地了解轻度创伤性脑损伤(TBI)的生物力学。采用大鼠颅骨和脑三维有限元模型研究轻度创伤性脑损伤时解剖区域依赖性应激反应。麻醉大鼠在不直接接触头部的情况下暴露于不同的冠状面角加速度脉冲。实验结果包括无意识时间和脑病理GFAP和MAP2的组织学证据。利用5个实验脉冲和4个补充脉冲对有限元模型进行了验证,模拟了峰值加速度和脉冲持续时间(290 ~ 542 krad/s(2)和1 ~ 3 ms)的9种独立组合。应激反应指标与组织学和行为学(如意识丧失)损伤证据相关,这些证据表明,大鼠受到纯粹的头部冠状面角加速度。损伤程度通过独立控制角加速度峰值大小和持续时间来调节。虽然峰值Von Mises应力与峰值角加速度相关的损伤严重程度变化相关良好,但该指标对加速度持续时间的变化并不敏感。然而,综合应力-时间指标能够预测海马和顶叶皮质解剖区域中与角加速度大小和持续时间增加相关的损伤严重程度的变化。这种独特的混合分析结果表明,结合应力-时间变量可能更适合解释轻度TBI严重程度的变化,而不是单纯的峰值指标。
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