research talk bme symposium 2014_final2
TRANSCRIPT
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Blast pressure wave-inducedMild Traumatic Brain Injury
Neveen AwadBME 3rdSymposium-20!
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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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Brain model-E+perimental Study
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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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Brain model-E+perimental esults
-2
-0
-%
-
-!
-2
0
2
!
0
:
0
:
20
2:
30
2
3
!
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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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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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,'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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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