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Hossein Vahid Alizadeh

Publications and source records attributed to Hossein Vahid Alizadeh.

7 recordsLinked to original sources

Machine-learning-based head impact subtyping based on the spectral densities of the measurable head kinematics

Objective: Traumatic brain injury can be caused by head impacts, but many brain injury risk estimation models are not equally accurate across the variety of impacts that patients may undergo and the characteristics of different types of impacts are not well studied. We investigated the spectral characteristics of different head impact types with kinematics classification. Methods: Data was analyzed from 3,262 head impacts from lab reconstruction, American football, mixed martial arts, and publicly available car crash data. A random forest classifier with spectral densities of linear acceleration and angular velocity was built to classify head impact types (e.g., football, car crash, mixed martial arts). To test the classifier robustness, another 271 lab-reconstructed impacts were obtained from 5 other instrumented mouthguards. Finally, with the classifier, type-specific, nearest-neighbor regression models were built for brain strain. Results: The classifier reached a median accuracy of 96% over 1,000 random partitions of training and test sets. The most important features in the classification included both low-frequency and high-frequency features, both linear acceleration features and angular velocity features. Different head impact types had different distributions of spectral densities in low-frequency and high-frequency ranges (e.g., the spectral densities of MMA impacts were higher in high-frequency range than in the low-frequency range). The type-specific regression showed a generally higher R^2-value than baseline models without classification. Conclusion: The machine-learning-based classifier enables a better understanding of the impact kinematics spectral density in different sports, and it can be applied to evaluate the quality of impact-simulation systems and on-field data augmentation.

q-bio.QM↗

Physics-informed machine learning improves detection of head impacts

In this work we present a new physics-informed machine learning model that can be used to analyze kinematic data from an instrumented mouthguard and detect impacts to the head. Monitoring player impacts is vitally important to understanding and protecting from injuries like concussion. Typically, to analyze this data, a combination of video analysis and sensor data is used to ascertain the recorded events are true impacts and not false positives. In fact, due to the nature of using wearable devices in sports, false positives vastly outnumber the true positives. Yet, manual video analysis is time-consuming. This imbalance leads traditional machine learning approaches to exhibit poor performance in both detecting true positives and preventing false negatives. Here, we show that by simulating head impacts numerically using a standard Finite Element head-neck model, a large dataset of synthetic impacts can be created to augment the gathered, verified, impact data from mouthguards. This combined physics-informed machine learning impact detector reported improved performance on test datasets compared to traditional impact detectors with negative predictive value and positive predictive values of 88% and 87% respectively. Consequently, this model reported the best results to date for an impact detection algorithm for American Football, achieving an F1 score of 0.95. In addition, this physics-informed machine learning impact detector was able to accurately detect true and false impacts from a test dataset at a rate of 90% and 100% relative to a purely manual video analysis workflow. Saving over 12 hours of manual video analysis for a modest dataset, at an overall accuracy of 92%, these results indicate that this model could be used in place of, or alongside, traditional video analysis to allow for larger scale and more efficient impact detection in sports such as American Football.

cs.CE↗

Predictive Factors of Kinematics in Traumatic Brain Injury from Head Impacts Based on Statistical Interpretation

Brain tissue deformation resulting from head impacts is primarily caused by rotation and can lead to traumatic brain injury. To quantify brain injury risk based on measurements of kinematics on the head, finite element (FE) models and various brain injury criteria based on different factors of these kinematics have been developed, but the contribution of different kinematic factors has not been comprehensively analyzed across different types of head impacts in a data-driven manner. To better design brain injury criteria, the predictive power of rotational kinematics factors, which are different in 1) the derivative order (angular velocity, angular acceleration, angular jerk), 2) the direction and 3) the power (e.g., square-rooted, squared, cubic) of the angular velocity, were analyzed based on different datasets including laboratory impacts, American football, mixed martial arts (MMA), NHTSA automobile crashworthiness tests and NASCAR crash events. Ordinary least squares regressions were built from kinematics factors to the 95\% maximum principal strain (MPS95), and we compared zero-order correlation coefficients, structure coefficients, commonality analysis, and dominance analysis. The angular acceleration, the magnitude, and the first power factors showed the highest predictive power for the majority of impacts including laboratory impacts, American football impacts, with few exceptions (angular velocity for MMA and NASCAR impacts). The predictive power of rotational kinematics in three directions (x: posterior-to-anterior, y: left-to-right, z: superior-to-inferior) of kinematics varied with different sports and types of head impacts.

physics.bio-ph↗

Relationship between brain injury criteria and brain strain across different types of head impacts can be different

Multiple brain injury criteria (BIC) are developed to quickly quantify brain injury risks after head impacts. These BIC originated from different types of head impacts (e.g., sports and car crashes) are widely used in risk evaluation. However, the accuracy of using the BIC on brain injury risk estimation across different types of head impacts has not been evaluated. Physiologically, brain strain is often considered the key parameter of brain injury. To evaluate the BIC's risk estimation accuracy across five datasets comprising different head impact types, linear regression was used to model 95% maximum principal strain, 95% maximum principal strain at the corpus callosum, and cumulative strain damage (15%) on each of 18 BIC respectively. The results show a significant difference in the relationship between BIC and brain strain across datasets, indicating the same BIC value may suggest different brain strain in different head impact types. The accuracy of brain strain regression is generally decreasing if the BIC regression models are fit on a dataset with a different type of head impact rather than on the dataset with the same type. Given this finding, this study raises concerns for applying BIC to estimate the brain injury risks for head impacts different from the head impacts on which the BIC was developed.

q-bio.TO↗

Theoretical and numerical analysis for angular acceleration being determinant of brain strain in mTBI

Mild traumatic brain injury (mTBI, also known as concussion) caused by the head impact is a crucial global public health problem, but the physics of mTBI is still unclear. During the impact, the rapid movement of the head injures the brain, so researchers have been endeavoring to investigate the relationship between head kinematic parameters (e.g., linear acceleration, angular velocity, angular acceleration) and brain strain, which is associated with the injury of the brain tissue. Although previous studies have shown that linear acceleration had a limited contribution to brain strain, whether angular velocity or angular acceleration causes brain strain is still unclear because of their interdependency (acceleration being the velocity time-derivative). By reframing the problem through the lens of inertial forces, we propose to use the skull frame of reference instead of the ground frame of reference to describe brain deformation during head impact. Based on the rigid-body rotation of the brain, we present a theoretical framework of mechanical analysis about how the inertial forces cause brain strain. In this way, we theoretically show that angular acceleration determines brain strain, and we validate this by numerical simulations using a finite element head model. We also provide an explanation of why previous studies based on peak values found the opposite: that angular velocity determined brain strain in certain situations. Furthermore, we use the same framework to show that linear acceleration causes brain strain in a different mechanism from angular acceleration. However, because of the brain's different resistances to compressing and shearing, the brain strain caused by linear acceleration is small compared with angular acceleration.

physics.bio-ph↗

Deep Learning Head Model for Real-time Estimation of Entire Brain Deformation in Concussion

Objective: Many recent studies have suggested that brain deformation resulting from a head impact is linked to the corresponding clinical outcome, such as mild traumatic brain injury (mTBI). Even though several finite element (FE) head models have been developed and validated to calculate brain deformation based on impact kinematics, the clinical application of these FE head models is limited due to the time-consuming nature of FE simulations. This work aims to accelerate the process of brain deformation calculation and thus improve the potential for clinical applications. Methods: We propose a deep learning head model with a five-layer deep neural network and feature engineering, and trained and tested the model on 1803 total head impacts from a combination of head model simulations and on-field college football and mixed martial arts impacts. Results: The proposed deep learning head model can calculate the maximum principal strain for every element in the entire brain in less than 0.001s (with an average root mean squared error of 0.025, and with a standard deviation of 0.002 over twenty repeats with random data partition and model initialization). The contributions of various features to the predictive power of the model were investigated, and it was noted that the features based on angular acceleration were found to be more predictive than the features based on angular velocity. Conclusion: Trained using the dataset of 1803 head impacts, this model can be applied to various sports in the calculation of brain strain with accuracy, and its applicability can even further be extended by incorporating data from other types of head impacts. Significance: In addition to the potential clinical application in real-time brain deformation monitoring, this model will help researchers estimate the brain strain from a large number of head impacts more efficiently than using FE models.

q-bio.TO↗

Prevention of Traumatic Brain Injury with Liquid Shock Absorption

The discovery that repetitive mild traumatic brain injury (mTBI) can result in chronic traumatic encephalopathy (CTE) in high risk contact sports has led to increased scrutiny of head protective gear. In this work, we asked if it was physically possible to prevent mTBI in American football with helmets alone. Here, we show that modern helmets of several types are unlikely to prevent mTBI from high speed collisions as might be seen in the NFL, but that introducing liquid as an energy absorbing medium can dramatically reduce the forces of impact across a spectrum of impact severities. We hypothesized that a helmet which transmits a nearly constant force during football impacts is sufficient to reduce biomechanical loading in the brain below the threshold of mTBI. To test this hypothesis, we first show that the optimal impact force transmitted to the head, in terms of brain strain, is in fact a constant force profile. Then, to generate a constant force with a helmet, we implement a computational model of a fluid-based shock absorber that adapts passively to any given impact speed. Computer simulation of head impacts with liquid shock absorption indicate that, at the highest impact speed, the average brain tissue strain is reduced by 27.6% $\pm$ 9.3 compared to existing helmet padding that is available on the market. These simulations are based on the NFL's helmet test protocol and predict that adding liquid shock absorbers could reduce the number of concussions by at least 75%. Taken together, these results suggest that the majority of mTBI in football could be prevented with more efficient helmet technology.

q-bio.QM↗