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Biomedical subjects

Karol Miller

Publications and source records attributed to Karol Miller.

13 recordsLinked to original sources

Patient-specific model of brain deformation: application to medical image registration.

This contribution presents finite element computation of the deformation field within the brain during craniotomy-induced brain shift. The results were used to illustrate the capabilities of non-linear (i.e. accounting for both geometric and material non-linearities) finite element analysis in non-rigid registration of pre- and intra-operative magnetic resonance images of the brain. We used patient-specific hexahedron-dominant finite element mesh, together with realistic material properties for the brain tissue and appropriate contact conditions at boundaries. The model was loaded by the enforced motion of nodes (i.e. through prescribed motion of a boundary) at the brain surface in the craniotomy area. We suggest using explicit time-integration scheme for discretised equations of motion, as the computational times are much shorter and accuracy, for practical purposes, the same as in the case of implicit integration schemes. Application of the computed deformation field to register (i.e. align) the pre-operative images with the intra-operative ones indicated that the model very accurately predicts the displacements of the tumour and the lateral ventricles even for limited information about the brain surface deformation. The prediction accuracy improves when information about deformation of not only exposed (during craniotomy) but also unexposed parts of the brain surface is used when prescribing loading. However, it appears that the accuracy achieved using information only about the deformation of the exposed surface, that can be determined without intra-operative imaging, is acceptable. The presented results show that non-linear biomechanical models can complement medical image processing techniques when conducting non-rigid registration. Important advantage of such models over the previously used linear ones is that they do not require unrealistic assumptions that brain deformations are infinitesimally small and brain stress-strain relationship is linear.

Brain↗

Numerical analysis of maximal bat performance in baseball.

Metal baseball bats have been experimentally demonstrated to produce higher ball exit velocity (BEV) than wooden bats. In the United States, all bats are subject to BEV tests using hitting machines that rotate the bat in a horizontal plane. In this paper, a model of bat-ball impact was developed based on 3-D translational and rotational kinematics of a swing performed by high-level players. The model was designed to simulate the maximal performance of specific models of a wooden bat and a metal bat when swung by a player, and included material properties and kinematics specific to each bat. Impact dynamics were quantified using the finite element method (ANSYS/LSDYNA, version 6.1). Maximum BEV from both a metal (61.5 m/s) and a wooden (50.9 m/s) bat exceeded the 43.1 m/s threshold by which bats are certified as appropriate for commercial sale. The lower BEV from the wooden bat was attributed to a lower pre-impact bat linear velocity, and a more oblique impact that resulted in a greater proportion of BEV being lost to lateral and vertical motion. The results demonstrate the importance of factoring bat linear velocity and spatial orientation into tests of maximal bat performance, and have implications for the design of metal baseball bats.

Acceleration↗

Constitutive modeling of cartilaginous tissues: a review.

An important and longstanding field of research in orthopedic biomechanics is the elucidation and mathematical modeling of the mechanical response of cartilaginous tissues. Traditional approaches have treated such tissues as continua and have described their mechanical response in terms of macroscopic models borrowed from solid mechanics. The most important of such models are the biphasic and single-phase viscoelastic models, and the many variations thereof. These models have reached a high level of maturity and have been successful in describing a wide range of phenomena. An alternative approach that has received considerable recent interest, both in orthopedic biomechanics and in other fields, is the description of mechanical response based on consideration of a tissue's structure--so-called microstructural modeling. Examples of microstructurally based approaches include fibril-reinforced biphasic models and homogenization approaches. A review of both macroscopic and microstructural constitutive models is given in the present work.

Animals↗

Brain shift computation using a fully nonlinear biomechanical model.

In the present study, fully nonlinear (i.e. accounting for both geometric and material nonlinearities) patient specific finite element brain model was applied to predict deformation field within the brain during the craniotomy-induced brain shift. Deformation of brain surface was used as displacement boundary conditions. Application of the computed deformation field to align (i.e. register) the preoperative images with the intraoperative ones indicated that the model very accurately predicts the displacements of gravity centers of the lateral ventricles and tumor even for very limited information about the brain surface deformation. These results are sufficient to suggest that nonlinear biomechanical models can be regarded as one possible way of complementing medical image processing techniques when conducting nonrigid registration. Important advantage of such models over the linear ones is that they do not require unrealistic assumptions that brain deformations are infinitesimally small and brain tissue stress-strain relationship is linear.

Biomechanical Phenomena↗

Method of testing very soft biological tissues in compression.

Mechanical properties of very soft tissues, such as brain, liver, kidney and prostate have recently joined the mainstream research topics in biomechanics. This has happened in spite of the fact that these tissues do not bear mechanical loads. The interest in the biomechanics of very soft tissues has been motivated by the developments in computer-integrated and robot-aided surgery--in particular, the emergence of automatic surgical tools and robots-as well as advances in virtual reality techniques. Mechanical testing of very soft tissues provides a formidable challenge for an experimenter. Very soft tissues are usually tested in compression using an unconfined compression set-up, which requires ascertaining that friction between sample faces and stress-strain machine platens is close to zero. In this paper a more reliable method of testing is proposed. In the proposed method top and bottom faces of a cylindrical specimen with low aspect ratio are rigidly attached to the platens of the stress-strain machine (e.g. using surgical glue). This arrangement allows using a no-slip boundary condition in the analysis of the results. Even though the state of deformation in the sample cannot be treated as orthogonal the relationships between total change of height (measured) and strain are obtained. Two important results are derived: (i) deformed shape of a cylindrical sample subjected to uniaxial compression is independent on the form of constitutive law, (ii) vertical extension in the plane of symmetry lambda(z) is proportional to the total change of height for strains as large as 30%. The importance and relevance of these results to testing procedures in biomechanics are highlighted.

Biomechanical Phenomena↗

Modeling deformation behavior of the baseball.

Regulating ball response to impact is one way to control ball exit velocity in baseball. This is necessary to reduce injuries to defensive players and maintain the balance between offense and defense in the game. This paper presents a model for baseball velocity-dependent behavior. Force-displacement data were obtained using quasi-static compression tests to 50% of ball diameter (n = 70 baseballs). The force-displacement curves for a very stiff baseball (Model B) and a softer type (Model C) were characterized by a Mooney-Rivlin model using implicit finite element analysis (ANSYS software, version 6.1). Agreement between experimental and numerical results was excellent for both Model B (C(10) = 0, C(01) = 3.7e(6) Pa) and Model C (C(10) = 0, C(01) = 2.6e(6) Pa). However, this material model was not available in the ANSYS/LSDYNA explicit dynamic software (version 6.1) used to quantify the transient behavior of the ball. Therefore the modeling process was begun again using a linear viscoelastic material. G(infinity), the long-term shear modulus of the material, was determined by the same implicit FEA procedure. Explicit FEA was used to quantify the time-dependent response of each ball in terms of instantaneous shear modulus (G0) and a decay term (beta). The results were evaluated with respect to published experimental data for the ball coefficient of restitution at five velocities (13.4-40.2 ms(-1)) and were in agreement with the experimental values. The model forms the basis for future research on baseball response to impact with the bat.

Baseball↗

A numerical model for risk of ball-impact injury to baseball pitchers.

INTRODUCTION: Metal baseball bats produce higher ball exit velocity (BEV) than wood bats, increasing the risk of impact injuries to infield players. In this paper, maximum BEV from a wood and a metal bat were determined using the finite element method. METHODS: Three-dimensional (3-D) bat kinematics at the instant of impact were determined from high-speed videography (N = 17 high-performance batters). A linear viscoelastic constitutive model was developed for stiffer and softer types of baseballs. The risk of impact injury was determined using available movement time data for adult pitchers; the data indicate that 0.400 s is required to evade a batted ball. RESULTS: The highest BEV (61.5 m.s(-1)) was obtained from the metal bat and the stiffer ball model, equating to 0.282 s of available movement time. For five impacts along the long axis of each bat, the "best case scenario" resulted from the wood bat and the softer ball (46.0 m.s(-1), 0.377 s). CONCLUSIONS: The performance difference between the bats was attributed to the preimpact linear velocity of the bat impact point and to differences in orientation on the horizontal plane. Reducing the swing moment of the baseball bat, and the shear and relaxation modulii of the baseball, increased the available movement time.

Algorithms↗

Using numerical approximation as an intermediate step in analytical derivations: some observations from biomechanics.

We present four examples to illustrate the use of a type of numerical approximation as an intermediate step in analytical derivation of seemingly complicated biomechanical equations. The method involves examination of curve shapes to elucidate useful underlying trends, which may otherwise be overlooked through consideration of only the equations themselves. Two examples of the method's use are drawn from recently published results in the area of experimental methods in biomechanics of very soft tissues, and two others are taken from our current work on cartilage tissue mechanics. We think that such observations provide a useful means of circumventing complexity issues when deriving models for biomechanical analysis, and further that the method, while simple in concept, could be effective in a range of biomechanics applications.

Algorithms↗

Reassessment of brain elasticity for analysis of biomechanisms of hydrocephalus.

This paper presents results from a finite element study of the biomechanics of hydrocephalus, with special emphasis on a reassessment of the parenchyma elastic modulus. A two-dimensional finite element model of the human brain/ventricular system is developed and analysed under hydrocephalic loading conditions. It is shown that the Young's modulus of the brain parenchyma used in previous studies (3000-10000 Pa) corresponds to strain rates much higher than those present in hydrocephalic brains. Consideration of the brain's viscoelasticity leads to the derivation of a considerably lower modulus value of approximately 584 Pa.

Brain↗

Impact injuries in baseball : prevalence, aetiology and the role of equipment performance.

Baseball has one of the highest impact injury rates of all sports. These injuries are primarily attributed to impact by a ball after it has been hit, pitched or thrown. This paper will review the incidence and causal factors for impact injuries in baseball. Attention is given to the design and material properties of bats, in light of evidence suggesting balls hit into the infield from metal bats can reach velocities potentially lethal to defensive players. The distribution of bat mass along the long axis of the implement appears a major factor in the greater performance potential of metal bats over wooden bats of equal length and mass. The dynamic behaviour of baseballs has also been implicated in the severity of head and chest injuries experienced by players. Balls of greatly reduced stiffness have been introduced for junior play, but debate still remains over their performance and impact characteristics. The behaviour of the ball during high-speed impact with the bat has been the subject of relatively limited research, and the effect of manipulating baseball material properties to decrease batted-ball velocity is unclear. The value of batting helmets is evident in the observed reduction of head injuries in baseball, but the use of protective vests to decrease the incidence and severity of cardio-thoracic trauma appears to be contraindicated.

Athletic Injuries↗

Brain mechanics For neurosurgery: modeling issues.

Brain biomechanics has been investigated for more than 30 years. In particular, finite element analyses and other powerful computational methods have long been used to provide quantitative results in the investigation of dynamic processes such as head trauma. Nevertheless, the potential of these methods to simulate and predict the outcome of quasi-static processes such as neurosurgical procedures and neuropathological processes has only recently been explored. Some inherent difficulties in modeling brain tissues, which have impeded progress, are discussed in this work. The behavior of viscoelastic and poroelastic constitutive models is compared in simple 1-D simulations using the ABAQUS finite element platform. In addition, the behaviors of quasi-static brain constitutive models that have recently been proposed are compared. We conclude that a compressible viscoelastic solid model may be the most appropriate for modeling neurosurgical procedures.

Animals↗

Mechanical properties of brain tissue in tension.

This paper contains experimental results of in vitro, uniaxial tension of swine brain tissue in finite deformation as well as proposes a new hyper-viscoelastic constitutive model for the brain tissue. The experimental results obtained for two loading velocities, corresponding to strain rates of 0.64 and 0.64 x 10(-2)s(-1), are presented. We believe that these are the first ever experiments of this kind. The applied strain rates were similar to those applied in our previous study, focused on explaining brain tissue properties in compression. The stress-strain curves are convex downward for all extension rates. The tissue response stiffened as the loading speed increased, indicating a strong stress-strain rate dependence. Swine brain tissue was found to be considerably softer in extension than in compression. Previously proposed in the literature brain tissue constitutive models, developed based on experimental data collected in compression are shown to be inadequate to explain tissue behaviour in tension. A new, non-linear, viscoelastic model based on the generalisation of the Ogden strain energy hyper-elastic constitutive equation is proposed. The new model accounts well for brain tissue deformation behaviour in both tension and compression (natural strain in <-0.3,0.2>) for strain rates ranging over five orders of magnitude.

Animals↗