1
|
Sachdeva T, Ganpule SG. Twenty Years of Blast-Induced Neurotrauma: Current State of Knowledge. Neurotrauma Rep 2024; 5:243-253. [PMID: 38515548 PMCID: PMC10956535 DOI: 10.1089/neur.2024.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024] Open
Abstract
Blast-induced neurotrauma (BINT) is an important injury paradigm of neurotrauma research. This short communication summarizes the current knowledge of BINT. We divide the BINT research into several broad categories-blast wave generation in laboratory, biomechanics, pathology, behavioral outcomes, repetitive blast in animal models, and clinical and neuroimaging investigations in humans. Publications from 2000 to 2023 in each subdomain were considered. The analysis of the literature has brought out salient aspects. Primary blast waves can be simulated reasonably in a laboratory using carefully designed shock tubes. Various biomechanics-based theories of BINT have been proposed; each of these theories may contribute to BINT by generating a unique biomechanical signature. The injury thresholds for BINT are in the nascent stages. Thresholds for rodents are reasonably established, but such thresholds (guided by primary blast data) are unavailable in humans. Single blast exposure animal studies suggest dose-dependent neuronal pathologies predominantly initiated by blood-brain barrier permeability and oxidative stress. The pathologies were typically reversible, with dose-dependent recovery times. Behavioral changes in animals include anxiety, auditory and recognition memory deficits, and fear conditioning. The repetitive blast exposure manifests similar pathologies in animals, however, at lower blast overpressures. White matter irregularities and cortical volume and thickness alterations have been observed in neuroimaging investigations of military personnel exposed to blast. Behavioral changes in human cohorts include sleep disorders, poor motor skills, cognitive dysfunction, depression, and anxiety. Overall, this article provides a concise synopsis of current understanding, consensus, controversies, and potential future directions.
Collapse
Affiliation(s)
- Tarun Sachdeva
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
| | - Shailesh G. Ganpule
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
- Department of Design, Indian Institute of Technology Roorkee, Roorkee, India
| |
Collapse
|
2
|
Pai A, Rodriguez-Millan M, Kini CR, Shenoy BS. Multiple impact effects of helium-driven shocks on thin fiber-metal laminates. Sci Rep 2023; 13:19506. [PMID: 37945574 PMCID: PMC10636057 DOI: 10.1038/s41598-023-42861-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 09/15/2023] [Indexed: 11/12/2023] Open
Abstract
Fiber Metal Laminates (FMLs) have garnered considerable attention and are increasingly being utilized in the development of protective armors for explosion and ballistic scenarios. While most research has focused on assessing the response of FMLs to single impacts, real battlefield situations often require shielding structures to endure multiple impacts. Thus, this study revolves around the creation of hybrid FMLs designed for shock shielding purposes. The primary focus is on how these laminates withstand repetitive impacts from high-intensity shock waves, aiming to pinpoint the optimal sequence that offers the highest resistance against multiple shock impacts. To establish effective shielding, a multi-layered FML configuration is employed. This configuration incorporates AA6061-T6 facing plates, ballistic-grade synthetic materials like aramid/epoxy ply, and ultra-high molecular weight polyethylene (UHMWPE)/epoxy ply. Additionally, a paperboard/epoxy lamina is introduced to induce functional grading based on layerwise shock impedance mismatches. Shock impact experiments are conducted using a shock tube equipped with helium as the driver gas. Critical shock parameters, including Mach Number, positive impulse, and peak overpressure, are meticulously evaluated. For validation purposes, a numerical model is employed to project the damage profile as a function of radial distance across different laminate sequences. The study unveils that ply deformations are strongly influenced by the arrangement of core layers, particularly the positions of the paperboard and UHMWPE layers within the core structure. To contextualize the findings, the shock impact results obtained from this study are compared with those from prior experiments that employed nitrogen-driven shocks.
Collapse
Affiliation(s)
- Anand Pai
- Department of Aeronautical and Automobile Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Marcos Rodriguez-Millan
- Department of Mechanical Engineering, University Carlos III of Madrid, Avda. de la Universidad 30, 28911, Leganés, Madrid, Spain
| | - Chandrakant R Kini
- Department of Aeronautical and Automobile Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - B Satish Shenoy
- Department of Aeronautical and Automobile Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
| |
Collapse
|
3
|
Ma L, Hu W, Wang W, Wang Y. Transfer-learning-based multi-wavelength laser sensor for high fidelity and real-time monitoring of ambient temperature and humidity. APPLIED OPTICS 2023; 62:5932-5945. [PMID: 37706946 DOI: 10.1364/ao.495482] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 07/12/2023] [Indexed: 09/15/2023]
Abstract
Multi-wavelength laser absorption spectroscopy has the advantages of superior sensitivity, accuracy, and robustness for gas sensing applications, offering an opportunity for the development of high-performance laser-based hygrothermographs. However, accurate and fast determination of gas parameters from multiple spectral features can be quite challenging in the presence of large numbers of features, measurement noise, and increasing demands for real-time measurements. To address this challenge, we propose a transfer-learning-based multi-wavelength laser absorption sensor for the quantitative and simultaneous measurement of temperature and concentration of water vapor, with a focus on real-time monitoring of ambient temperature and relative humidity (RH). A spectral simulation based on the most-updated HITRAN database was employed as the dataset for model pre-training and transfer learning. The experimental dataset was obtained from absorption measurements using a distributed feedback laser that probed multiple water absorption features within the band of 7179-7186c m -1. To evaluate the sensor performance, mean absolute error, error distribution, and linearity were selected. In the presence of an insufficient experimental dataset for direct data training, the proposed transfer learning approach outperformed the traditional deep learning method with a lower prediction error of 0.14°C and 0.42% for temperature and RH, respectively, as compared to the values of 0.84°C and 0.66% obtained using the traditional deep learning method. Finally, the fast data post-processing performance of the proposed transfer learning approach was demonstrated in a field test against the conventional baseline fitting method.
Collapse
|
4
|
Mohammed FS, Omay SB, Sheth KN, Zhou J. Nanoparticle-based drug delivery for the treatment of traumatic brain injury. Expert Opin Drug Deliv 2023; 20:55-73. [PMID: 36420918 PMCID: PMC9983310 DOI: 10.1080/17425247.2023.2152001] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 10/10/2022] [Accepted: 11/22/2022] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Traumatic brain injuries (TBIs) impact the breadth of society and remain without any approved pharmacological treatments. Despite successful Phase II clinical trials, the failure of many Phase III clinical trials may be explained by insufficient drug targeting and retention, preventing the proper attainment of an observable dosage threshold. To address this challenge, nanoparticles can be functionalized to protect pharmacological payloads, improve targeted drug delivery to sites of injury, and can be combined with supportive scaffolding to improve secondary outcomes. AREAS COVERED This review briefly covers the pathophysiology of TBIs and their subtypes, the current pre-clinical and clinical management strategies, explores the common models of focal, diffuse, and mixed traumatic brain injury employed in experimental animals, and surveys the existing literature on nanoparticles developed to treat TBIs. EXPERT OPINION Nanoparticles are well suited to improve secondary outcomes as their multifunctionality and customizability enhance their potential for efficient targeted delivery, payload protection, increased brain penetration, low off-target toxicity, and biocompatibility in both acute and chronic timescales.
Collapse
Affiliation(s)
- Farrah S. Mohammed
- Department of Biomedical Engineering, Yale University, New Haven, Connecticut, USA
| | - Sacit Bulent Omay
- Department of Neurosurgery, Yale University, New Haven, Connecticut, USA
| | - Kevin N. Sheth
- Department of Neurosurgery, Yale University, New Haven, Connecticut, USA
- Department of Neurology, Yale University, New Haven, Connecticut, USA
| | - Jiangbing Zhou
- Department of Biomedical Engineering, Yale University, New Haven, Connecticut, USA
- Department of Neurosurgery, Yale University, New Haven, Connecticut, USA
| |
Collapse
|
5
|
Paik CB, Pei M, Oghalai JS. Review of blast noise and the auditory system. Hear Res 2022; 425:108459. [PMID: 35181171 PMCID: PMC9357863 DOI: 10.1016/j.heares.2022.108459] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Revised: 02/03/2022] [Accepted: 02/07/2022] [Indexed: 11/22/2022]
Abstract
The auditory system is particularly vulnerable to blast injury due to the ear's role as a highly sensitive pressure transducer. Over the past several decades, studies have used a variety of animal models and experimental procedures to recreate blast-induced acoustic trauma. Given the developing nature of this field and our incomplete understanding of molecular mechanisms underlying blast-related auditory disturbances, an updated discussion about these studies is warranted. Here, we comprehensively review well-established blast-related auditory pathology including tympanic membrane perforation and hair cell loss. In addition, we discuss important mechanistic studies that aim to bridge gaps in our current understanding of the molecular and microstructural events underlying blast-induced cochlear, auditory nerve, brainstem, and central auditory system damage. Key findings from the recent literature include the association between endolymphatic hydrops and cochlear synaptic loss, blast-induced neuroinflammatory markers in the peripheral and central auditory system, and therapeutic approaches targeting biochemical markers of blast injury. We conclude that blast is an extreme form of noise exposure. Blast waves produce cochlear damage that appears similar to, but more extreme than, the standard noise exposure protocols used in auditory research. However, experimental variations in studies of blast-induced acoustic trauma make it challenging to compare and interpret data across studies.
Collapse
Affiliation(s)
- Connie B Paik
- Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA USA
| | - Michelle Pei
- Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA USA
| | - John S Oghalai
- Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA USA.
| |
Collapse
|
6
|
Brenner L, Jenni C, Guyer F, Stähli P, Eberlein R, Huber M, Zahnd A, Schneider M, Tillenkamp F. Analysis of pressure drop and blast pressure leakage of passive air blast safety valves: An experimental and numerical study. J Loss Prev Process Ind 2022. [DOI: 10.1016/j.jlp.2021.104706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
7
|
Bishop R, Won SJ, Irvine KA, Basu J, Rome ES, Swanson RA. Blast-induced axonal degeneration in the rat cerebellum in the absence of head movement. Sci Rep 2022; 12:143. [PMID: 34996954 PMCID: PMC8741772 DOI: 10.1038/s41598-021-03744-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Accepted: 12/02/2021] [Indexed: 11/16/2022] Open
Abstract
Blast exposure can injure brain by multiple mechanisms, and injury attributable to direct effects of the blast wave itself have been difficult to distinguish from that caused by rapid head displacement and other secondary processes. To resolve this issue, we used a rat model of blast exposure in which head movement was either strictly prevented or permitted in the lateral plane. Blast was found to produce axonal injury even with strict prevention of head movement. This axonal injury was restricted to the cerebellum, with the exception of injury in visual tracts secondary to ocular trauma. The cerebellar axonal injury was increased in rats in which blast-induced head movement was permitted, but the pattern of injury was unchanged. These findings support the contentions that blast per se, independent of head movement, is sufficient to induce axonal injury, and that axons in cerebellar white matter are particularly vulnerable to direct blast-induced injury.
Collapse
Affiliation(s)
- Robin Bishop
- Department of Neurology, University of California at San Francisco, San Francisco, CA, 94158, USA
- (127)Neurology, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA
| | - Seok Joon Won
- Department of Neurology, University of California at San Francisco, San Francisco, CA, 94158, USA.
- (127)Neurology, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA.
| | - Karen-Amanda Irvine
- Department of Neurology, University of California at San Francisco, San Francisco, CA, 94158, USA
- (127)Neurology, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA
- Anesthesiology Service, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Ave (E4-220), Palo Alto, CA, 94304, USA
- Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, School of Medicine, Stanford, CA, 94305, USA
| | - Jayinee Basu
- Department of Neurology, University of California at San Francisco, San Francisco, CA, 94158, USA
- (127)Neurology, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA
| | - Eric S Rome
- Department of Neurology, University of California at San Francisco, San Francisco, CA, 94158, USA
- (127)Neurology, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA
| | - Raymond A Swanson
- Department of Neurology, University of California at San Francisco, San Francisco, CA, 94158, USA
- (127)Neurology, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA
| |
Collapse
|
8
|
Sutar S, Ganpule SG. Assessment of Compression Driven Shock Tube Designs in Replicating Free-Field Blast Conditions for Traumatic Brain Injury Studies. J Neurotrauma 2021; 38:1717-1729. [PMID: 33108952 DOI: 10.1089/neu.2020.7394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Compression driven shock tubes are indispensable in studies of blast-induced traumatic brain injury (bTBI). The ability of shock tubes in faithfully recreating free-field blast conditions is of enormous interest and has a direct impact on injury outcomes. Toward this end, the evolution of blast wave inside and outside of the compression driven shock tube has been studied using validated, finite element based shock tube models. Several shock tube configurations (uniform cross-section, transition, conical, suddenly expanded, and end plate) have been considered. The finite element modeling approach has been used to simulate the transient, dynamic response of blast wave propagation. The response is studied for longer durations (40-100 msec) compared with the existing literature. We demonstrate that locations inside and outside of the shock tube can generate free-field blast profile in some form, but with numerous caveats. Our results indicate that the locations inside the shock tube are affected by higher underpressure and corresponding kinetic energy yield compared with free-field blast. These effects can be minimized using optimized end plate configuration at the exit of the shock tube, yet this is accompanied by secondary loading that is not representative of the free-field blast. Blast wave profile can be tailored using transition, conical, and suddenly expanded sections. We observe oscillations in the blast wave profile for suddenly expanded configuration. Locations outside the shock tube are affected by jet-wind effects because of the sudden expansion, barring a narrow region at the exit. For the desired overpressure yield inferred in bTBI, obtaining positive phase durations of <1 msec inside the shock tube, which are sought for studies in rodents, is challenging. Overall, these results underscore that replicating free-field blast conditions using a shock tube involves tradeoffs that need to be weighed carefully and their effect on injury outcomes should be evaluated during laboratory bTBI investigations.
Collapse
Affiliation(s)
- Sunil Sutar
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
| | - S G Ganpule
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
| |
Collapse
|