Experimental study of blast-induced traumatic brain injury using a physical head model.

This study was conducted to quantify intracranial biomechanical responses and external blast overpressures using physical head model to understand the biomechanics of blast traumatic brain injury and to provide experimental data for computer simulation of blast-induced brain trauma. Ellipsoidal-shaped physical head models, made from 3-mm polycarbonate shell filled with Sylgard 527 silicon gel, were used. Six blast tests were conducted in frontal, side, and 45 degrees oblique orientations. External blast overpressures and internal pressures were quantified with ballistic pressure sensors. Blast overpressures, ranging from 129.5 kPa to 769.3 kPa, were generated using a rigid cannon and 1.3 to 3.0 grams of pentaerythritol tetranitrate (PETN) plastic sheet explosive (explosive yield of 13.24 kJ and TNT equivalent mass of 2.87 grams for 3 grams of material). The PETN plastic sheet explosive consisted of 63% PETN powder, 29% plasticizer, and 8% nitrocellulose with a density of 1.48 g/cm3 and detonation velocity of 6.8 km/s. Propagation and reflection of the shockwave was captured using a shadowgraph technique. Shockwave speeds ranging from 423.3 m/s to 680.3 m/s were recorded. The model demonstrated a two-stage response: a pressure dominant (overpressure) stage followed by kinematic dominant (blast wind) stage. Positive pressures in the brain simulant ranged from 75.1 kPa to 1095 kPa, and negative pressures ranged from -43.6 kPa to -646.0 kPa. High- and normal-speed videos did not reveal observable deformations in the brain simulant from the neutral density markers embedded in the midsagittal plane of the head model. Amplitudes of the internal positive and negative pressures were found to linearly correlate with external overpressure. Results from the current study suggested a pressure-dominant brain injury mechanism instead of strain injury mechanism under the blast severity of the current study. These quantitative results also served as the validation and calibration data for computer simulation models of blast brain injuries.

[1]  M. Carey Experimental missile wounding of the brain. , 1995, Neurosurgery clinics of North America.

[2]  J. Povlishock,et al.  A mechanistic analysis of nondisruptive axonal injury: a review. , 1997, Journal of neurotrauma.

[3]  N. Yoganandan,et al.  Experimental model for civilian ballistic brain injury biomechanics quantification. , 2007, Journal of biomechanics.

[4]  D. Meaney,et al.  Tissue-level thresholds for axonal damage in an experimental model of central nervous system white matter injury. , 2000, Journal of biomechanical engineering.

[5]  Gerrit W. M. Peters,et al.  Comparison of the dynamic behaviour of brain tissue and two model materials , 1999 .

[6]  Rolf H Eppinger,et al.  On the Development of the SIMon Finite Element Head Model. , 2003, Stapp car crash journal.

[7]  Peter J. Holden The London attacks--a chronicle: Improvising in an emergency. , 2005, The New England journal of medicine.

[8]  Fredrik Arrhén,et al.  Neuropathology and pressure in the pig brain resulting from low-impulse noise exposure. , 2008, Journal of neurotrauma.

[9]  Michael J. Hodgson,et al.  CURRENT CONCEPTS blast injuries , 2005 .

[10]  Aris Makris,et al.  Comparative Study of Different Lightweight Head Protection Systems with Full-Face Visors for Humanitarian Deminers , 2000 .

[11]  J. Mcelhaney,et al.  Mechanical properties on cranial bone. , 1970, Journal of biomechanics.

[12]  P. Bovendeerd,et al.  The large shear strain dynamic behaviour of in-vitro porcine brain tissue and a silicone gel model material. , 2000, Stapp car crash journal.

[13]  N. Yoganandan,et al.  Temporal cavity and pressure distribution in a brain simulant following ballistic penetration. , 2005, Journal of neurotrauma.

[14]  Ángel Carracedo,et al.  Ancestry Analysis in the 11-M Madrid Bomb Attack Investigation , 2009, PloS one.

[15]  T A Gennarelli,et al.  Biomechanical analysis of experimental diffuse axonal injury. , 1995, Journal of neurotrauma.

[16]  I Cernak,et al.  Ultrastructural and functional characteristics of blast injury-induced neurotrauma. , 2001, The Journal of trauma.

[17]  Gary S. Settles,et al.  High-speed imaging of shock waves, explosions and gunshots , 2006 .

[18]  S. Wessely The London attacks--aftermath: Victimhood and resilience. , 2005, The New England journal of medicine.

[19]  A. King,et al.  Comparison of brain responses between frontal and lateral impacts by finite element modeling. , 2001, Journal of neurotrauma.

[20]  A. Gawande,et al.  Casualties of war--military care for the wounded from Iraq and Afghanistan. , 2004, The New England journal of medicine.

[21]  Henry L. Lew,et al.  Soldiers with Occult Traumatic Brain Injury , 2005, American journal of physical medicine & rehabilitation.

[22]  Albert I. King,et al.  SHEAR STRESS DISTRIBUTION IN THE PORCINE BRAIN DUE TO ROTATIONAL IMPACT , 1994 .

[23]  E. G. Damon,et al.  The Biodynamics of Air Blast , 1971 .

[24]  J. Nerenberg,et al.  Reduction of blast induced head acceleration in the field of anti-personnel mine clearance , 2000 .

[25]  Albert I. King,et al.  Literature review of head injury biomechanics , 1994 .

[26]  J. Ryan,et al.  The London attacks--preparedness: Terrorism and the medical response. , 2005, The New England journal of medicine.

[27]  T A Gennarelli,et al.  Physical model simulations of brain injury in the primate. , 1990, Journal of biomechanics.

[28]  N. Yoganandan,et al.  How to test brain and brain simulant at ballistic and blast strain rates. , 2008, Biomedical sciences instrumentation.

[29]  James H. McElhaney,et al.  Handbook of human tolerance , 1976 .

[30]  J. J. Vázquez,et al.  Early Psychological Consequences of the March 11, 2004, Terrorist Attacks in Madrid, Spain , 2005, Psychological reports.

[31]  I Cernak,et al.  Involvement of the central nervous system in the general response to pulmonary blast injury. , 1996, The Journal of trauma.

[32]  D C Viano,et al.  Simulation of acute subdural hematoma and diffuse axonal injury in coronal head impact. , 2001, Journal of biomechanics.

[33]  N. Yoganandan,et al.  A finite element study of blast traumatic brain injury - biomed 2009. , 2009, Biomedical sciences instrumentation.

[34]  M. A. Clark The pathology of terrorism. Acts of violence directed against citizens of the United States while abroad. , 1998, Clinics in laboratory medicine.

[35]  Weinong W Chen,et al.  Dynamic mechanical response of bovine gray matter and white matter brain tissues under compression. , 2009, Journal of biomechanics.

[36]  Alejandro López Carresi The 2004 Madrid train bombings: an analysis of pre-hospital management. , 2008, Disasters.

[37]  D C Viano,et al.  Strain relief from the cerebral ventricles during head impact: experimental studies on natural protection of the brain. , 2000, Journal of biomechanics.

[38]  N. Batrick,et al.  The London attacks--response: Prehospital and hospital care. , 2005, The New England journal of medicine.

[39]  E. N. Harvey,et al.  Secondary damage in wounding due to pressure changes accompanying the passage of high velocity missiles. , 1947, Surgery.

[40]  Jac S H M Wismans,et al.  On the potential importance of non-linear viscoelastic material modelling for numerical prediction of brain tissue response: test and application. , 2002, Stapp car crash journal.

[41]  A. Hamberger,et al.  Low-level blasts raise intracranial pressure and impair cognitive function in rats. , 2009, Journal of neurotrauma.

[42]  R. Bauman,et al.  Blast overpressure in rats: recreating a battlefield injury in the laboratory. , 2009, Journal of neurotrauma.