Goodwin Brian D, Pintar Frank A, Yoganandan Narayan
Medical College of Wisconsin, Neuroscience Research Labs - Research 151, Zablocki VA Medical Center, 5000 W, National Avenue, Milwaukee, WI, 53295, USA.
Ann Biomed Eng. 2017 Jun;45(6):1520-1533. doi: 10.1007/s10439-017-1818-4. Epub 2017 Mar 14.
Clinical classification of an injury has traditionally involved medical imaging, patient history, and physical examination. The pathogenesis or process of injury has been viewed as a crucial component to estimating fracture stability and direct treatment. However, injury classification systems generally exclude pathogenesis and injury mechanisms because these components are often difficult to elucidate. Furthermore, the development of bone damage relative to the mechanical response is difficult to quantify, which limits the ability to define injury and develop injury criteria. Past advents of new knowledge about the mechanisms and progression of fracture have refined safety standards and engineering design for limiting injury. Post-hoc methodologies for identifying and classifying injuries for post-mortem human surrogate (PMHS) research are well established. Though bone fractures can be classified post hoc, questions remain. Surface acoustic sensing (SAS) is an effective approach to augment PMHS experimentation. The objective was to develop and validate an acoustic-emission-based method to characterize bone fractures during injurious loading conditions using acoustic emissions (AEs) in two bone types: vertebral body (VB) and long bone (LB). The newly developed method incorporated the Stockwell transform to estimate the relative energy release rate (RERR) from bone fracture using acoustic signal processing. Fractures were characterized through AE burst durations and frequency content. Results indicated that VB fractures from compression are prolonged processes compared to LB fracture, which was staccato in nature. Significant (p < 0.01) differences between burst duration and frequency content were identified between the two bone types.
传统上,损伤的临床分类涉及医学成像、患者病史和体格检查。损伤的发病机制或过程被视为评估骨折稳定性和指导治疗的关键组成部分。然而,损伤分类系统通常排除发病机制和损伤机制,因为这些组成部分往往难以阐明。此外,相对于力学响应的骨损伤发展难以量化,这限制了定义损伤和制定损伤标准的能力。过去关于骨折机制和进展的新知识的出现完善了限制损伤的安全标准和工程设计。用于死后人体替代物(PMHS)研究的损伤识别和分类的事后方法已经很成熟。虽然骨折可以事后分类,但问题仍然存在。表面声传感(SAS)是增强PMHS实验的有效方法。目的是开发并验证一种基于声发射的方法,利用两种骨类型(椎体(VB)和长骨(LB))的声发射(AE)来表征损伤加载条件下的骨折。新开发的方法结合了Stockwell变换,通过声信号处理估计骨折的相对能量释放率(RERR)。通过AE突发持续时间和频率内容对骨折进行表征。结果表明,与LB骨折相比,压缩导致的VB骨折是一个较长的过程,LB骨折本质上是断断续续的。两种骨类型之间的突发持续时间和频率内容存在显著(p < 0.01)差异。