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Blast Exposure, White Matter Integrity, and Cognitive Function in Iraq and Afghanistan Combat Veterans.伊拉克和阿富汗战争退伍军人中的爆炸暴露、白质完整性与认知功能
Front Neurol. 2017 Apr 21;8:127. doi: 10.3389/fneur.2017.00127. eCollection 2017.
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A Three-Dimensional Computational Human Head Model That Captures Live Human Brain Dynamics.一种捕捉人类大脑实时动态的三维计算人头模型。
J Neurotrauma. 2017 Jul 1;34(13):2154-2166. doi: 10.1089/neu.2016.4744. Epub 2017 Apr 10.
3
Validation of Laboratory Animal and Surrogate Human Models in Primary Blast Injury Studies.原发性爆炸伤研究中实验动物模型和替代人体模型的验证
Mil Med. 2017 Mar;182(S1):105-113. doi: 10.7205/MILMED-D-16-00144.
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5-Year imaging sequelae of concussive blast injury and relation to early clinical outcome.震荡性爆炸伤的5年影像学后遗症及其与早期临床结局的关系。
Neuroimage Clin. 2017 Feb 9;14:371-378. doi: 10.1016/j.nicl.2017.02.005. eCollection 2017.
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Reduced white matter integrity in amateur boxers.业余拳击手白质完整性降低。
Neuroradiology. 2016 Sep;58(9):911-20. doi: 10.1007/s00234-016-1705-y. Epub 2016 May 26.
6
Evaluation of brain tissue responses because of the underwash overpressure of helmet and faceshield under blast loading.爆炸载荷下头盔和面罩下洗超压引起的脑组织反应评估。
Int J Numer Method Biomed Eng. 2017 Jan;33(1). doi: 10.1002/cnm.2782. Epub 2016 Jun 22.
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Longitudinal assessment of white matter abnormalities following sports-related concussion.运动相关脑震荡后白质异常的纵向评估
Hum Brain Mapp. 2016 Feb;37(2):833-45. doi: 10.1002/hbm.23072. Epub 2015 Dec 10.
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Effects of the Variation in Brain Tissue Mechanical Properties on the Intracranial Response of a 6-Year-Old Child.脑组织力学特性变化对一名6岁儿童颅内反应的影响。
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Evaluation of Axonal Strain as a Predictor for Mild Traumatic Brain Injuries Using Finite Element Modeling.使用有限元模型评估轴突应变作为轻度创伤性脑损伤的预测指标
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Clinical and imaging assessment of acute combat mild traumatic brain injury in Afghanistan.阿富汗急性战斗性轻度创伤性脑损伤的临床与影像学评估
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体积模量对旋转加速度下大脑变形的影响。

Effect of bulk modulus on deformation of the brain under rotational accelerations.

作者信息

Ganpule S, Daphalapurkar N P, Cetingul M Pirtini, Ramesh K T

机构信息

Indian Institute of Technology Roorkee, Roorkee, India, 247667.

Hopkins Extreme Materials Institute, Johns Hopkins University, Baltimore, MD, 21218.

出版信息

Shock Waves. 2018 Jan;28(1):127-139. doi: 10.1007/s00193-017-0791-z. Epub 2017 Dec 18.

DOI:10.1007/s00193-017-0791-z
PMID:29662272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5898454/
Abstract

Traumatic brain injury such as that developed as a consequence of blast is a complex injury with a broad range of symptoms and disabilities. Computational models of brain biomechanics hold promise for illuminating the mechanics of traumatic brain injury (TBI) and for developing preventive devices. However, reliable material parameters are needed for models to be predictive. Unfortunately, the properties of human brain tissue are difficult to measure, and the bulk modulus of brain tissue in particular is not well-characterized. Thus, a wide range of bulk modulus values are used in computational models of brain biomechanics, spanning up to three orders of magnitude in the differences between values. However, the sensitivity of these variations on computational predictions is not known. In this work, we study the sensitivity of a 3D computational human head model to various bulk modulus values. A subject-specific human head model was constructed from T1-weighted MRI images at 2 mm voxel resolution. Diffusion tensor imaging provided data on spatial distribution and orientation of axonal fiber-bundles for modeling white-matter anisotropy. Non-injurious, full-field brain deformations in a human volunteer were used to assess the simulated predictions. The comparison suggests that a bulk modulus value on the order of GPa gives the best agreement with experimentally measured deformation in the human brain. Further, simulations of injurious loading suggest that bulk modulus values on the order of GPa provide the closest match with the clinical findings in terms of predicated injured regions and extent of injury.

摘要

诸如爆炸导致的创伤性脑损伤是一种复杂的损伤,伴有广泛的症状和残疾。脑生物力学的计算模型有望阐明创伤性脑损伤(TBI)的力学原理并开发预防装置。然而,模型要具有预测性就需要可靠的材料参数。不幸的是,人类脑组织的特性难以测量,尤其是脑组织的体积模量尚未得到很好的表征。因此,在脑生物力学的计算模型中使用了广泛的体积模量值,其数值差异跨度高达三个数量级。然而,这些变化对计算预测的敏感性尚不清楚。在这项工作中,我们研究了三维计算人体头部模型对各种体积模量值的敏感性。根据体素分辨率为2毫米的T1加权MRI图像构建了一个特定个体的人体头部模型。扩散张量成像提供了轴突纤维束的空间分布和方向数据,用于对白质各向异性进行建模。利用人类志愿者的无损伤全场脑变形来评估模拟预测。比较结果表明,吉帕量级的体积模量值与在人类大脑中实验测量的变形最为吻合。此外,损伤载荷模拟表明,吉帕量级的体积模量值在预测损伤区域和损伤程度方面与临床发现最为匹配。