在钝性创伤中模拟人类脑血管的重要性。

The importance of modeling the human cerebral vasculature in blunt trauma.

机构信息

Department of Defense Biotechnology High Performance Computing Software Applications Institute, Telemedicine and Advanced Technology Research Center, United States Army Medical Research and Development Command, FCMR-TT, 504 Scott Street, Fort Detrick, MD, 21702-5012, USA.

The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720A Rockledge Drive, Bethesda, MD, 20817, USA.

出版信息

Biomed Eng Online. 2021 Jan 14;20(1):11. doi: 10.1186/s12938-021-00847-x.

Abstract

BACKGROUND

Multiple studies describing human head finite element (FE) models have established the importance of including the major cerebral vasculature to improve the accuracy of the model predictions. However, a more detailed network of cerebral vasculature, including the major veins and arteries as well as their branch vessels, can further enhance the model-predicted biomechanical responses and help identify correlates to observed blunt-induced brain injury.

METHODS

We used an anatomically accurate three-dimensional geometry of a 50th percentile U.S. male head that included the skin, eyes, sinuses, spine, skull, brain, meninges, and a detailed network of cerebral vasculature to develop a high-fidelity model. We performed blunt trauma simulations and determined the intracranial pressure (ICP), the relative displacement (RD), the von Mises stress, and the maximum principal strain. We validated our detailed-vasculature model by comparing the model-predicted ICP and RD values with experimental measurements. To quantify the influence of including a more comprehensive network of brain vessels, we compared the biomechanical responses of our detailed-vasculature model with those of a reduced-vasculature model and a no-vasculature model.

RESULTS

For an inclined frontal impact, the predicted ICP matched well with the experimental results in the fossa, frontal, parietal, and occipital lobes, with peak-pressure differences ranging from 2.4% to 9.4%. For a normal frontal impact, the predicted ICP matched the experimental results in the frontal lobe and lateral ventricle, with peak-pressure discrepancies equivalent to 1.9% and 22.3%, respectively. For an offset parietal impact, the model-predicted RD matched well with the experimental measurements, with peak RD differences of 27% and 24% in the right and left cerebral hemispheres, respectively. Incorporating the detailed cerebral vasculature did not influence the ICP but redistributed the brain-tissue stresses and strains by as much as 30%. In addition, our detailed-vasculature model predicted strain reductions by as much as 28% when compared to current reduced-vasculature FE models that only include the major cerebral vessels.

CONCLUSIONS

Our study highlights the importance of including a detailed representation of the cerebral vasculature in FE models to more accurately estimate the biomechanical responses of the human brain to blunt impact.

摘要

背景

描述人类头部有限元(FE)模型的多项研究已经证实,包含主要脑血管对于提高模型预测的准确性非常重要。然而,更详细的脑血管网络,包括主要的动脉和静脉及其分支血管,可以进一步增强模型预测的生物力学响应,并有助于确定与观察到的钝性脑损伤相关的因素。

方法

我们使用了一个具有美国 50 百分位男性头部解剖学准确性的三维几何模型,其中包括皮肤、眼睛、鼻窦、脊柱、颅骨、大脑、脑膜和详细的脑血管网络,以开发一个高保真模型。我们进行了钝性创伤模拟,并确定了颅内压(ICP)、相对位移(RD)、von Mises 应力和最大主应变。我们通过将模型预测的 ICP 和 RD 值与实验测量值进行比较,验证了我们详细血管模型的准确性。为了量化包含更全面的脑血管网络的影响,我们比较了详细血管模型与简化血管模型和无血管模型的生物力学响应。

结果

对于倾斜的额部撞击,预测的 ICP 与额、顶、枕叶的实验结果吻合良好,峰值压力差异范围为 2.4%至 9.4%。对于正常的额部撞击,预测的 ICP 与额叶和侧脑室的实验结果吻合良好,峰值压力差异分别相当于 1.9%和 22.3%。对于偏移的顶叶撞击,模型预测的 RD 与实验测量值吻合良好,左右大脑半球的 RD 峰值差异分别为 27%和 24%。包含详细的脑血管不会影响 ICP,但会重新分配脑组织的应力和应变,最大可达 30%。此外,与仅包含主要脑动脉的当前简化血管 FE 模型相比,我们的详细血管模型预测的应变减少了多达 28%。

结论

我们的研究强调了在 FE 模型中包含详细的脑血管表示对于更准确估计人类大脑对钝性冲击的生物力学响应的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e24f/7809851/f3e371b69734/12938_2021_847_Fig1_HTML.jpg

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