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    Blast pressure wave-inducedMild Traumatic Brain Injury

    Neveen AwadBME 3rdSymposium-20!

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    2

    e"#" Since 2002$ 3% &anadian soldiers 'ave (een )illed servin#in t'e A*#'anistan mission $ mostly due to road side (om(s

    Military

    It is a condition t'at can (e seen in

    e"#" Bi# e+plosion occurred at

    Sunrise ,ropane Toronto

    Industrial

    e"#" )la'oma city (om(in#

    .omestic

    Blast Injury

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    Blast Injuries/ ,reparin# or T'e Inevita(le-EBMedicine"net 1 April 200 3

    Injury Mec'anism in Blast Scenario

    ,rimary InjuryInjury *rom over-pressuriation 4(last wave5

    impactin# t'e (ody sur*aceSecondary Injury

    Tertiary Injury

    t'er o(jects t'at are accelerated (y t'e e+plosive wave

    6ictim7s (ody acceleration (y (last wind resultin# in

    (ody propelled into surroundin# o(jects or #round8uaternary Injury9ypo+ia$ in'alation o* to+ic materials $ c'emical or

    t'ermal (urn

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    !

    ,rimary Blast injury

    Blast wave directly in*iltrates t'e tissues wit'

    a(sence o* e+ternal injuries

    ,ulmonary (arotrauma

    Tympanic mem(rane rupture

    r#an per*oration$ 'emorr'a#e

    Traumatic Brain Injury 4TBI5

    &enters *or disease control and prevention

    Blast Injury Mec'anism

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    :

    actors .eterminin# severity o* Tissue .ama#e.istance (etween victim

    and e+plosion

    6ictim7s orientation to t'e(last

    e"#" open versus closed space$

    underwater$ or ur(an

    Environment o* t'e (last

    E+istence o* protective

    (arriers

    ;ul*

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    (jective

    @nderstandin# t'e Brain7s

    Biomec'anical esponses to

    Blast wave

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    =

    esearc' outlines

    Blast-Induced MildTBI

    S'oc) Tu(eBrain

    Model

    ,'ysical

    9ead Model

    .esi#n

    &ali(ration

    E-Model

    ;el Brain Model

    Blast E+p"

    E-Model

    S)ull-BrainModel-Nec)

    Blast E+p"

    E-Model

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    %

    esearc' outlines

    Blast-Induced MildTBI

    S'oc) Tu(eBrain

    Model

    ,'ysical

    9ead Model

    .esi#n

    &ali(ration

    E-Model

    Brain ;el Model

    Blast E+p"

    E-Model

    S)ull-BrainModel-Nec)

    Blast E+p"

    E-Model

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    S'oc) Tu(e .esi#n and &ali(ration

    &ompression c'am(er2:0 mm lon#

    E+pansion c'am(er2$000 mm lon#

    illed wit' 'i#'ly compressed air

    &ylindrical steel tu(e

    200 mm outer diameter Two &'am(ers/

    S'oc) Tu(e

    Steel and Brass mem(ranes

    40"2=$ 0"0=$ 0"02:mm t'ic)ness5

    1

    2

    3 4

    ,ressure Transducers% ,ressure Transducers 4,T5

    .ata Ac?uisition

    2 systems eac' 'as ! c'annels

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    S'oc) Tu(e-E+perimental esultsS'oc)

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    S'oc) Tu(e-E+perimental esultsS'oc)

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    S'oc) Tu(e-E+perimental esultsBlast S'oc)

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    S'oc) Tu(e-E Analysis

    So*tware

    >S-.DNA

    4a5

    4(5

    3

    4e5

    4*5

    4a5

    4(5

    4c5

    4d5

    4e5

    4*5

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    !

    S'oc) Tu(e-E Analysis

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    :

    S'oc) Tu(e-E Analysis

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    esearc' outlines

    Blast-Induced MildTBI

    S'oc) Tu(eBrain

    Model

    ,'ysical

    9ead Model

    .esi#n

    &ali(ration

    E-Model

    Brain ;el Model

    Blast E+p"

    E-Model

    S)ull-BrainModel-Nec)

    Blast E+p"

    E-Model

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    =

    Brain model-E+perimentalStudy

    Sample ,reparation

    inc' Silicone u((er S'eet

    : speeds were tested40$ 20$ :0$ 00$ :0 mmCmin5

    Instron S> 33

    Silicone #el-&ompression test

    Syl#ardF :2= A G B

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    So#(esan$ E"/ .esi#n and Analysis o* Blast Induced Traumatic Brain Injury Mec'anism @sin# a Surro#ate 9ead*orm/

    Instrumentation and utcomes" @niversity o* Ne(ras)a->incoln 4205

    %

    Brain Model-E+perimentalStudy

    Stress-strain curve

    Silicone #el-&ompression test

    0 0"0: 0" 0": 0"20

    0

    0

    0

    0

    0

    00 mmCmin

    20 mmCmin

    :0 mmCmin

    00 mmCmin

    Strain 4mm5

    Stress 4M,a5

    0 20 :0 00 :00

    0

    0

    0

    0

    0"0

    0"0Doun#Hs Modulus Avera#e 4Mpa5

    &ross'ead Speed 4mmCm5

    9uman Brain 4E) 0"0023 MpaJ

    Brain Silicone ;elModel

    Syl#ardF :2= A G B

    Brain model

    Avera#e 'uman (rain 300 #

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    Silicone ;el Brain ModelMec'anical responses o* t'e (rain only! scaled distances and t'ree di**erent (rain orientations

    Steel mem(rane wit' 0"2=mm t'ic)ness were used

    ! pressure transducers were inserted in t'e (rain

    ront

    (ac)

    >e*t side

    i#'t side

    Brain model-E+perimental Study

    Bac)

    ront

    i#'t side>e*tside

    ,ressure transducersAccelerometer

    S'oc) tu(e

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    20

    Brain model-E+perimental Study

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    2

    Brain Model-i#'t side rientation

    Brain model-E+perimental esults

    i#'tsideorientation-:0mm

    ,ressure transducers location

    Avera#e,ositive,ea) ,ressure4),a5 i#'t side >e*t side ront Bac) 0

    2!

    %

    0

    2

    !

    %

    20 i#'t side orientation at :00 mm

    ,ressure Transducers >ocation

    Avera#e ,osi tive ,ea) ,ressure 4),a5

    i#'t side >e*t side ront Bac) 0

    2

    3

    !

    :

    =

    %

    i#'t side orientation at 000 mm

    ,ressure transducers location

    Avera#e ,ositive ,ea) ,ressure 4),a5

    0

    2

    3!

    :

    =i#'t side orientation at :00 mm

    ,ressure transducers location

    Avera#e ,ositive ,ea) ,ress ure 4),a5

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    22

    Brain model-E+perimental esults

    -2

    -0

    -%

    -

    -!

    -2

    0

    2

    !

    0

    :

    0

    :

    20

    2:

    30

    2

    3

    !

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    23

    Brain model-E Model

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    2!

    Brain model-E Model

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    2:

    esearc' outlines

    Blast-Induced MildTBI

    S'oc) Tu(eBrain

    Model

    ,'ysical

    9ead Model

    .esi#n

    &ali(ration

    E-Model

    Brain ;el Model

    Blast E+p"

    E-Model

    S)ull-BrainModel-Nec)

    Blast E+p"

    E-Model

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    2

    Synt'etic S)ull

    Brain model

    &omposite S)ull

    Adult 'uman 4,olyuret'ane resin5

    ,'ysical 9ead Model,repare Silicone ;el Brain Model

    our ,ressure Transducersront

    (ac)

    >e*t side

    i#'t side

    ne accelerometer

    Blast tests/

    ront Bac) Side

    Nec) assem(ly wit' t'e (rain-s)ull system

    T'ree Scaled .istances

    4:0$ :00$ 000 mm5

    (li?ue !:o

    our rientations

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    2=

    Brain model-E+perimental esults

    ne >oad &ell 4:0 l("5

    Nec) model sti**ness test

    ne Strin# ,ot

    Ampli*ier

    4"= # Accel Tool K 22=35

    Simulated s)in

    ,reparation

    Silicone ru((er s'eet

    4" mm t'ic)5

    0 : 0 : 20 2: 30 3: !00

    :

    0

    :

    20

    2:

    Nec) Sti**ness- Sprin#

    Nec) sti**ness-2 Sprin#sNec) Sti**ness-3 Sprin#s

    Bendin# momentCTor?ue 4Nm5

    An#le 4.e#ree5

    0

    0":

    ":

    2

    2":

    3

    3":

    !

    Avera#e Nec) s ti**ness 4NmC.e#ree5

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    2%

    : = 3 : =

    -2

    -0

    -%

    -

    -!

    -2

    0

    2

    !

    %

    Brain i#'t Side

    Time 4ms5

    ,ressure 4),a5

    ,'ysical 9ead Model-E+perimental

    esults

    >e*t Side rientation at :00 mm

    : = 3 : =

    -%"00

    -"00

    -!"00

    -2"00

    0"00

    2"00

    !"00

    "00

    Brain >e*t Side

    Time 4ms5

    ,ressure 4),a5

    : = 3 : =

    -":

    -

    -0":

    0

    0":

    Brain ront

    Time 4ms5

    ,ressure 4),a5

    : = 3 : =

    -0

    -%

    -

    -!

    -2

    0

    2!

    %

    0

    Brain Bac)

    Time 4ms5

    ,ressure 4),a5

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    2

    ,'ysical 9ead Model-E+perimental

    esults

    >e*t Side rientation at :00 mm

    0

    0

    0

    0"0

    0"0

    0"0

    0"0

    ront

    Bac)

    i#'t side

    Avera#e o* ,ositive Impulse 4),a"s5

    ": = =": % %": ": 0

    -0

    -=0

    -:0

    -30

    -0

    0

    30

    :0

    =0

    0S)ul l accele ration->t side-:00 mm

    Time 4ms5

    >inear Acceleration 4#5

    "3 ": "= " =" ="3 =":

    -0

    -:

    0

    :

    0

    :

    20

    2:

    30

    3:

    !0 Brain acceleration->t side-:00 mm

    Time 4ms5

    >inear acceleration 4#5

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    30

    Blast Test

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    3

    &onclusions

    S'oc) tu(e can produce reproduci(leCrelia(le s'oc) wave pro*iles

    S'oc) wave typically represents t'e riedlander wave*orm

    S'oc) wave pro*iles can (e controlled (y c'an#in# mem(rane7s material

    and t'ic)nesses

    ;enerated s'oc) waves 'ave positive pea) pressure values in t'e ran#e t'at

    can induce m-TBI42"3 ),a to "),a5"

    .ependin# on t'e location o* t'e transducer and orientation o* Brain Model

    to S'oc) tu(e$ pea) positive pressures ran#ed *rom 4%:"2 ),a to %"3 ),a5

    ,ea) ,ositive ,ressure in ,'ysical 9ead Model e+periments ran#ed *rom

    4%": ),a to 2"3 ),a5

    Simulated Nec) plays important role in pressure and acceleration results

    &reated pressure wave s'owed variation dependin# on pressure transducers

    locations and orientation inside Brain Model

    Ne#ative pressure mi#'t play a crucial role in t'e mec'anism o* m-TBI

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    T9ANL D@

    Supervisors

    .r" Amar ;ilani

    .r" >aurie .oerin#

    A.> Lent