Rizkalla James, Botros David, Alqahtani Nasser, Patnala Mounica, Salama Paul, Perez Felipe Pablo, Rizkalla Maher
Baylor University Medical Center, Dallas, Texas, USA.
John Hopkins Medicine, Department of Neurology, Baltimore, MD, USA.
J Biomed Sci Eng. 2021 Nov;14(11):347-360. doi: 10.4236/jbise.2021.1411030. Epub 2021 Nov 24.
Mild traumatic brain injury (mTBI) is a common injury, with nearly 3 - 4 million cases annually in the United States alone. Neuroimaging in patients with mTBI provides little benefit, and is usually not indicated as the diagnosis is primarily clinical. It is theorized that microvascular trauma to the brain may be present in mTBI, that may not be captured by routine MRI and CT scans. Electromagnetic (EM) waves may provide a more sensitive medical imaging modality to provide objective data in the diagnosis of mTBI.
COMSOL simulation software was utilized to mimic the anatomy of the human skull including skin, cranium, cerebrospinal fluid (CSF), gray-matter tissue of the brain, and microvasculature within the neural tissue. The effects of penetrating EM waves were simulated using the finite element analysis software and results were generated to identify feasibility and efficacy. Frequency ranges from 7 GHz to 15 GHz were considered, with 0.6 and 1 W power applied.
Variations between the differing frequency levels generated different energy levels within the neural tissue-particularly when comparing normal microvasculature versus hemorrhage from microvasculature. This difference within the neural tissue was subsequently identified, via simulation, serving as a potential imaging modality for future work.
The use of electromagnetic imaging of the brain after concussive events may play a role in future mTBI diagnosis. Utilizing the proper depth frequency and wavelength, neural tissue and microvascular trauma may be identified utilizing finite element analysis.
轻度创伤性脑损伤(mTBI)是一种常见损伤,仅在美国每年就有近300 - 400万例。mTBI患者的神经影像学检查益处不大,通常不建议进行,因为诊断主要基于临床。理论上,mTBI可能存在脑微血管创伤,而常规MRI和CT扫描可能无法检测到。电磁波可能提供一种更敏感的医学成像方式,为mTBI的诊断提供客观数据。
利用COMSOL模拟软件模拟人类颅骨的解剖结构,包括皮肤、颅骨、脑脊液(CSF)、脑灰质组织以及神经组织内的微血管。使用有限元分析软件模拟穿透电磁波的影响,并生成结果以确定可行性和有效性。考虑的频率范围为7 GHz至15 GHz,施加的功率为0.6和1 W。
不同频率水平之间的差异在神经组织内产生了不同的能量水平,特别是在比较正常微血管与微血管出血时。随后通过模拟确定了神经组织内的这种差异,可作为未来研究的潜在成像方式。
震荡事件后脑的电磁成像在未来mTBI诊断中可能发挥作用。利用适当的深度频率和波长,可通过有限元分析识别神经组织和微血管创伤。