Ganpule Shailesh, Daphalapurkar Nitin P, Ramesh Kaliat T, Knutsen Andrew K, Pham Dzung L, Bayly Philip V, Prince Jerry L
1 Hopkins Extreme Materials Institute, Johns Hopkins University , Baltimore, Maryland.
2 Center for Neuroscience and Regenerative Medicine , The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland.
J Neurotrauma. 2017 Jul 1;34(13):2154-2166. doi: 10.1089/neu.2016.4744. Epub 2017 Apr 10.
Diffuse axonal injury (DAI) is a debilitating consequence of traumatic brain injury (TBI) attributed to abnormal stretching of axons caused by blunt head trauma or acceleration of the head. We developed an anatomically accurate, subject-specific, three-dimensional (3D) computational model of the human brain, and used it to study the dynamic deformations in the substructures of the brain when the head is subjected to rotational accelerations. The computational head models use anatomy and morphology of the white matter fibers obtained using MRI. Subject-specific full-field shearing motions in live human brains obtained through a recently developed tagged MRI imaging technique are then used to validate the models by comparing the measured and predicted heterogeneous dynamic mechanical response of the brain. These results are used to elucidate the dynamics of local shearing deformations in the brain substructures caused by rotational acceleration of the head. Our work demonstrates that the rotational dynamics of the brain has a timescale of ∼100 ms as determined by the shearing wave speeds, and thus the injuries associated with rotational accelerations likely occur over these time scales. After subject-specific validation using the live human subject data, a representative subject-specific head model is used to simulate a real life scenario that resulted in a concussive injury. Results suggest that regions of the brain, in the form of a toroid, encompassing the white matter, the cortical gray matter, and outer parts of the limbic system have a higher susceptibility to injury under axial rotations of the head.
弥漫性轴索损伤(DAI)是创伤性脑损伤(TBI)的一种致残后果,归因于钝性头部外伤或头部加速导致的轴突异常拉伸。我们开发了一个解剖学上精确的、针对个体的人脑三维(3D)计算模型,并使用它来研究头部受到旋转加速度时脑内子结构的动态变形。该计算头部模型使用通过MRI获得的白质纤维的解剖结构和形态。然后,通过最近开发的标记MRI成像技术获得的活人脑中特定个体的全场剪切运动,通过比较测量和预测的脑的非均匀动态力学响应来验证模型。这些结果用于阐明头部旋转加速度引起的脑内子结构局部剪切变形的动力学。我们的工作表明,脑的旋转动力学具有由剪切波速度决定的约100毫秒的时间尺度,因此与旋转加速度相关的损伤可能在这些时间尺度上发生。在使用活人受试者数据进行特定个体验证后,使用一个具有代表性的特定个体头部模型来模拟导致脑震荡损伤的真实场景。结果表明,在头部轴向旋转下,以环形形式包含白质、皮质灰质和边缘系统外部部分的脑区域更容易受到损伤。