Traumatic brain injury (TBI) due to blast exposure or head impacts in accidents or contact sports is one of the most critical and poorly understood areas of research in the 21st century. To date, the unavailability of human brain tissues (grey and white matter especially) due to ethical and biosafety issues has not allowed for much experimental research into the study of the mechanics of brain tissues under impact or dynamic loading. In the current work, for the first time, biofidelic brain tissue surrogates have been developed using a low cost, castable (to any shape or size), two-part silicone-based material system to precisely mimic the nonlinear mechanical properties of both the white and the grey matter. The fabrication methodology involves the iterative mixing of the two parts of silicone at certain mix ratios (by weight) to generate a biomechanical behavior similar to the white and the grey matter tissues, respectively, at two different strain rates (low and high). The nonlinear behavior of these novel brain tissue surrogates have been characterized using five hyperelastic material models. These brain tissue simulant materials would be indispensable not only for the study of TBI, but also to allow doctors to practice brain surgeries (for training purposes) in a clinical setting. Additionally, crucial brain tissue modifications in Alzheimer's disease and dementia can be studied in the future with such accessible biofidelic brain tissue surrogate materials.
Soft tissues in general exhibit anisotropic mechanical behavior, which varies in three dimensions based on the location of the tissue in the body. In the past, there have been few attempts to numerically model tissue anisotropy using composite-based formulations (involving fibers embedded within a matrix material). However, so far, tissue anisotropy has not been modeled experimentally. In the current work, novel elastomer-based soft composite materials were developed in the form of experimental test coupons, to model the macroscopic anisotropy in tissue mechanical properties. A soft elastomer matrix was fabricated, and fibers made of a stiffer elastomer material were embedded within the matrix material to generate the test coupons. The coupons were tested on a mechanical testing machine, and the resulting stress-versus-stretch responses were studied. The fiber volume fraction (FVF), fiber spacing, and orientations were varied to estimate the changes in the mechanical responses. The mechanical behavior of the soft composites was characterized using hyperelastic material models such as Mooney-Rivlin's, Humphrey's, and Veronda-Westmann's model and also compared with the anisotropic mechanical behavior of the human skin, pelvic tissues, and brain tissues. This work lays the foundation for the experimental modelling of tissue anisotropy, which combined with microscopic studies on tissues can lead to refinements in the simulation of localized fiber distribution and orientations, and enable the development of biofidelic anisotropic tissue phantom materials for various tissue engineering and testing applications.
Blast injuries affect millions of lives across the globe due to its traumatic after effects on the brain and the whole body. To date, military grade armour materials are designed to mitigate ballistic and shrapnel attacks but are less effective in resisting blast impacts. In order to improve blast absorption characteristics of armours, the first key step is thoroughly understands the effects of blasts on the human body itself. In the last decade, a plethora of experimental and computational work has been carried out to investigate the mechanics and pathophysiology of Traumatic Brain Injury (TBI). However, very few attempts have been made so far to study the effect of blasts on the various other parts of the body such as the sensory organs (eyes and ears), nervous system, thorax, extremities, internal organs (such as the lungs) and the skeletal system. While an experimental evaluation of blast effects on such physiological systems is difficult, developing finite element (FE) models could allow the recreation of realistic blast scenarios on full scale human models and simulate the effects. The current article reviews the state-of-the-art in computational research in blast induced whole-body injury modelling, which would not only help in identifying the areas in which further research is required, but would also be indispensable for understanding body location specific armour design criteria for improved blast injury mitigation.
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