Traumatic brain injury (TBI) is a leading, worldwide contributor to mortality and morbidity. TBI is typically initiated through an external head impact having relatively large and/or rapidly applied force that is sufficient to cause tissue damage. As such, impact forces or accelerations are considered to be the cause of brain injury, but not the best descriptor of tissue damage. Instead, there is general consensus that impact-induced brain strain, or the relatively rapid stretching of brain tissue, is the primary cause of TBI. However, given that real time and direct measurement of human brain deformation during a head impact is impractical, brain biomechanical models have been developed to estimate tissue deformation and, as a result, the occurrence of concussion and, if present, concussion severity.
Concussion detection models have been developed to produce detailed brain strains or strains in specific anatomical locations. For example, conventional neural networks can be trained using historical head impact data. The resulting concussion detection model is configured to predict brain strains associated with head impacts based upon head impact data provided to the model. The resulting brain strain can then be utilized to determine possible injury to the user, such as a concussion.
Conventional concussion detection models suffer from a variety of deficiencies. For example, head impact data can be applied to conventional concussion detection models to produce detailed brain strains or strains in specific anatomical locations. However, one challenge in applying the head impact data to the model relates to the computational efficiency in calculating strain. With conventional concussion detection models, it can take between about one hour to one day to calculate brain strain from head impact data. As such, the use of conventional concussion detection models in a real-world or real-time setting is not practical.
Further, while conventional concussion detection models provide information regarding brain tissue strain, these models fail to provide any information about strain changes in the brain over time. This can be impractical when analyzing head impact data for certain sports players. For example, football player can sustain dozens of head impacts over the course of a season. As such, an analysis of a head impact at the twelfth game of the season can be influenced by a head impact that occurred on the first game of the season.
By contrast to conventional concussion detection models, embodiments of the present innovation relate to a concussion detection system and method of operation. In one arrangement, a concussion detection system includes a concussion detection device, such as a computerized device having a controller (e.g., a memory and processor), disposed in electrical communication with a kinematic detection device. In one arrangement, the kinematic detection device can include impact sensors instrumented to provide kinematic data to the concussion detection device during operation. The concussion detection device is configured to apply kinematic data received from the kinematic detection device, such as received during an impact, to a strain prediction engine. As a result of such application, the concussion detection device is configured to generate strain identifiers, such as brain strain and strain rate, over the duration of the impact. Based upon the strain identifiers, the concussion detection device can generate an image representation of brain strain over time, as well as a concussion risk assessment, which can be utilized to facilitate concussion detection.
The concussion detection system can provide relatively rapid concussion detection following impact using both strain and strain rate, either of the whole brain or in specific brain regions and can be utilized in a variety of real-time scenarios. For example, the concussion detection system can be utilized by contact sports players, both professional and amateur, in schools, and for military personnel. Further, because of the configuration of the strain prediction engine, the concussion detection device, such as a laptop, tablet device, or mobile telecommunications device, can execute the model in a time efficient manner and does not require specialized personnel for operation.
A concussion detection system comprises a kinematic detection device configured to be carried by a head of a user and a concussion detection device disposed in electrical communication with the kinematic detection device. The concussion detection device comprises a controller having a memory and a processor, the controller configured to: receive kinematic data from the kinematic detection device, the kinematic data associated with a head impact of the user, apply the kinematic data to a strain prediction engine to generate a strain identifier associated with the head impact and a concussion risk assessment associated with the strain identifier, and output the concussion risk assessment based upon the strain identifier, the concussion risk assessment configured to identify a concussion risk associated with the head impact. The concussion detection device can assess concussion risk in the user for an individual impact, or based on a history of multiple head impacts, and can further take into account head or brain size differences.
A method for identifying concussion risk, comprises: receiving, by a concussion detection device, kinematic data from a kinematic detection device carried by a head of a user, the kinematic data associated with a head impact of a user; applying, by the concussion detection device, the kinematic data to a strain prediction engine to generate a strain identifier associated with the head impact and a concussion risk assessment associated with the strain identifier; and outputting, by the concussion detection device, the concussion risk assessment based upon the strain identifier, the concussion risk assessment configured to identify a concussion risk associated with the head impact.
A concussion detection device comprises a controller having a memory and a processor, the controller configured to: receive kinematic data from a kinematic detection device, the kinematic data associated with a head impact of the user; apply the kinematic data to a strain prediction engine to generate a strain identifier associated with the head impact and a concussion risk assessment associated with the strain identifier; and output the concussion risk assessment based upon the strain identifier, the concussion risk assessment configured to identify a concussion risk associated with the head impact.
The foregoing and other objects, features and advantages will be apparent from the following description of particular embodiments of the innovation, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating the principles of various embodiments of the innovation.
Embodiments of the present innovation relate to a concussion detection system and method of operation. In one arrangement, a concussion detection system includes a concussion detection device, such as a computerized device having a controller (e.g., a memory and processor), disposed in electrical communication with a kinematic detection device. In one arrangement, the kinematic detection device can include impact sensors instrumented to provide kinematic data to the concussion detection device during operation. The concussion detection device is configured to apply kinematic data received from the kinematic detection device, such as received during an impact, to a strain prediction engine. As a result of such application, the concussion detection device is configured to generate strain identifiers, such as brain strain and strain rate, over the duration of the impact. Based upon the strain identifiers, the concussion detection device can generate an image representation of brain strain over time, as well as a concussion risk assessment, which can be utilized to facilitate concussion detection.
The kinematic detection device 12 is configured to be carried by a head 24 of a user and to generate signals associated with motion of a user's head 24, such as generated during an impact. The kinematic detection device 12 can be physically configured to be disposed on the user's head 24 in a variety of ways. For example, the kinematic detection device 12 can be configured as a helmet to be worn on the user's head 24, as an in-car device, or as a behind-the-car device. In one example, with additional reference to
In one arrangement, the kinematic detection device 12 can be instrumented with a variety of sensors 22 configured to generate and provide kinematic data 26 to the concussion detection device 14 for further processing. For example, with reference to
Each sensor 22 is disposed in electrical communication with a transceiver 34 configured to transmit the linear acceleration signal 36 and the rotational velocity signal 38 to the concussion detection device 14 as kinematic data 26. The transceiver 34 can, in turn, be disposed in electrical communication with the concussion detection device 14 in a variety of ways. For example, the transceiver 34 can be configured to communicate with the concussion detection device 14 over the network 25 via a wireless communication protocol, such as the Bluetooth communication protocol.
Returning to
In one arrangement, the concussion detection device 14 is configured to generate the strain prediction engine 40. As indicated in
In one arrangement, to increase the size of the training data set, the impact training data 45 can include augmented impact data that has been interpolated from the existing impact data. For example, during an augmentation process, a device operator can select an impact data element from the impact training data 45 where the impact data element is associated with an impact at a first brain location, such as the frontal lobe. The device operator can then assign the strain and strain rate values associated with that impact data element, to a second brain location, such as the temporal lobe, hereby creating an augmented impact data element. This augmented impact data element is then included with the impact training data 45 for training of the strain prediction model 38.
During a training operation, the concussion detection device 14 can retrieve the impact training data 45 from a database and apply the impact training data 45 to the strain prediction model 38. For example, the strain prediction model 38 can include both a transformer neural network and a separate convolutional neural network. The concussion detection device 14 can sequentially train the transformer neural network and convolutional neural network using the impact training data 45 to estimate five-dimensional (5D) spatiotemporal brain-skull relative displacement (e.g., a 3D voxelized image volume with two additional dimensions for displacement components and time, respectively) resulting from an impact load 28. With training of the strain prediction model 38, the concussion detection device 14 develops the trained strain prediction engine 40 which, in turn, is configured to receive real-time kinematic or impact data 26 (e.g., velocity and acceleration) and provide strain identifiers (e.g., brain strain and brain strain rate) by region of the brain (e.g., front, back, middle). It is noted that the concussion detection device 14 can continuously train the strain prediction model 38 over time with updated impact training data 45, such as retrieved from a database, to refine and update the strain prediction engine 40.
As provided above, during operation, the concussion detection device 14 is configured to predict a user's risk of concussion following an impact.
In element 102, the concussion detection device 14 is configured to receive kinematic data 26 from a kinematic detection device 12, the kinematic data 26 associated with a head impact of a user. For example, as illustrated in
As the user engages in the athletic event, if the user were to receive an impact load 28, such as an impact load 28 applied to the user's head 24, the impact load 28 can cause the sensors 22 of the kinematic detection device 12 to generate kinematic data 26 and provide the kinematic data 26 to the concussion detection device 14. For example, in response to motion of the user's head 24 resulting from the impact load 28, the linear accelerometer 30 can generate a linear acceleration signal 36 corresponding to the liner acceleration of the user's head 24 while the gyroscope 32 can generate a rotational velocity signal 38 corresponding to the rotational velocity of the user's head 24. A transceiver 34 of the kinematic detection device 12 can provide the linear acceleration signal 36 and the rotational velocity signal 38 to the concussion detection device 14 via network 25.
Returning to
In one arrangement, with reference to
The concussion detection device 14 can generate the concussion risk assessment 44 in a variety of ways. In one arrangement, the concussion detection device 14 is configured to compare the strain identifier 42 for various regions of the user's brain to an injury threshold value 55. In the case where the strain identifier 42 meets or exceeds the injury threshold value 55, the concussion detection device 14 is configured to generate the concussion risk assessment 44 which identifies the impact (e.g., the had impact) experienced by the user as being associated with a concussion. For example, assume that the injury threshold value 55 identifies a maximum tissue strain of 0.2 and a maximum tissue strain rate greater than 50 s−1. Based on a comparison of the user's tissue strain value 50 and tissue strain rate value 52 with the injury threshold value 55, in the case where the concussion detection device 14 identifies the tissue strain value 50 being greater than or equal to 0.2 and/or the tissue strain rate value 52 as being greater than or equal to 50 s−1, the concussion detection device 14 can generate a concussion risk assessment 44 that indicates the probable presence of a concussion in the user. Alternately, in the case where the concussion detection device 14 identifies the tissue strain value 50 as being less than 0.2 and/or the tissue strain rate value 52 as being less than 50 s−1, the concussion detection device 14 can generate a concussion risk assessment 44 that indicates the probable absence of a concussion in the user.
Returning to
In traumatic brain injury, relatively high thresholds of either strain or strain rate can cause neurological damage. As such, the concussion detection system 10 is configured to provide relatively rapid concussion detection following impact using both strain 50 and strain rate 52, either of the whole brain or in specific brain regions, and can be utilized in a variety of real-time scenarios. For example, the concussion detection system can be utilized by contact sports players, both professional and amateur, in schools, and for military personnel. Further, because of the configuration of the strain prediction engine 40, the concussion detection device 14, such as a conventional laptop, tablet device, or mobile telecommunications device, can execute the model 40 in a time efficient manner and does not require specialized personnel for operation.
As provided above, the concussion detection device 14 is configured to output the concussion risk assessment 44 based upon predicted strain identifiers 42 associated with a user receiving an impact loading 28. In one arrangement, as shown in
The brain image 46 can be configured in a variety of ways. For example, as illustrated in
In one arrangement, the concussion detection device 14 can also output brain images 46 over an impact duration, such as the time interval when the impact load 28 is applied to the user. As such, the concussion detection device 14 can show the change in strain data of the user's brain over time (e.g., the temporal domain), such as from beginning of an impact until the end of the impact,
With reference to
By displaying the consecutive set of brain images 60 identifying the predicted displacement field 74 and the corresponding tissue strain values 50 and tissue strain rate values 52, the concussion detection device 14 provides a dynamic representation of the user's brain responses during an impact. As such, the concussion detection device 14 allows the system operator to better understand the predicted brain reaction to an impact loading 28 over the duration of the impact, in order to select an optimal concussion testing and/or treatment protocol for the user.
As provided above, when generating a concussion risk assessment 44, the concussion detection device 14 is configured to compare the strain identifier 42 for various regions of the user's brain to an injury threshold value 55. In the case where the concussion detection device 14 identifies the tissue strain value 50 and/or the tissue strain rate value 52 as being less than the injury threshold value 55, the concussion detection device 14 can generate a concussion risk assessment 44 that indicates the probable absence of a concussion in the user. However, in certain cases, a user, such as a football player may experience a relatively large number of head impacts over his career where no one single impact produces a tissue strain value 50 or tissue strain rate value 52 strain exceeds the injury threshold 55. Additionally, the user may have experienced repeated head impacts that generate these sub-threshold tissue strain values 50 or tissue strain rate values 52 in a particular brain region. If a particular region has experienced a number of sub-threshold strains and or strain rates over time (e.g., over a season or a career), this may be indicative of brain injury. Accordingly, in one arrangement, the concussion detection device 14 can be configured to take into account the history of the user, such as a career athlete, when generating the concussion risk assessment 44.
For example,
In element 202, the concussion detection device 14 is configured to identify a brain region of the head 24 associated with the strain identifier 42. For example, as provided above, in response to receiving an impact load 28, the kinematic detection device 12 generates and provides kinematic data 26 to the concussion detection device 14. The concussion detection device 14 applies the kinematic data 26 to the strain prediction engine 40 to generate predicted tissue strain values 50 and tissue strain rate values 52 for one or more regions of the user's brain. As such, each strain identifier 42 can include one or more associated brain region identifiers for a given user.
In element 204, the concussion detection device 14 is configured to identify the brain region of the head 24 as having a previous strain identifier. For example, the concussion detection device 14 can identify the user who has generated the kinematic data 26, such as via a user identifier associated with the kinematic data 26. The concussion detection device 14 is then configured to access historical strain identifier information, such as stored in a historical database, and to identify every instance of a user record within the database based upon the user identifier. In one arrangement, the historical database can store previously generated strain identifiers and associated brain region information which has been accumulated over some time duration (e.g., game, series of gams, user's career, etc.). For each user record associated with the user, the concussion detection device 14 is configured to identify the historic brain region data associated with each historical strain identifier stored for the user and to compare the brain region identifiers of the current (e.g., recently generated) strain identifier 42 with the identified historic brain region data.
In element 206, following identification of the brain region as having the strain identifier 42 and the previous strain identifier, the concussion detection device 14 is configured to generate the concussion risk assessment 44 identifying a concussion associated with the head impact 28. For example, assume the case where the historical strain identifier information identifies the user as having several head impacts which generated sub-threshold strains and strain rates in the frontal lobe of the user's brain. In the case where the concussion detection device 14 detects the strain identifier 42 as also being associated with the frontal lobe of the user's brain, the concussion detection device 14 can generate a concussion risk assessment 44 that indicates the probable presence of a concussion in the user and can provide a recommendation that the user refrain from further participation in the athletic event.
As indicated above, the concussion detection device 14 is configured to train a strain prediction model 38 to generate a strain prediction engine 40 and to utilize the strain prediction engine 40 to predict a user's risk of concussion following an impact. However, the size of each user's head can be different. For example, a male head can typically be larger than a female head. In another example, the head of a young adult can typically be larger than that of a pre-teenager. In one arrangement, in order to increase the accuracy of the predicted strain identifiers 42 and concussion risk assessments 44 for a user, the concussion detection device 14 can be configured to take into account the cranial sizes of users to make the predicted strain identifiers 42 and resulting concussion risk assessments 44 more personalized and accurate.
With reference to
During operation, prior to use, a user can have either his head size measured (e.g., head length 90, head width 92, and head circumference 94) or his brain size measured (e.g., brain length 95, brain width 96, and brain volume 98) which can be included within the kinematic detection device 12, for example, as either user head size data 86 or user brain size data 86, respectively. In the event that the user receives an impact load 28, the kinematic detection device can transmit resulting kinematic data 26 generated by the kinematic detection device 12, along with either the user head size data 86 or user brain size data 86, to the concussion detection device 14. Upon receipt, the concussion detection device 14 can apply the kinematic data 26, along with either the user head size data 86 or user brain size data 86, to the sized strain prediction engine 85. Such application results in a strain identifier 42 having predicted tissue strain values 50 and tissue strain rate values 52 which are more tailored to user's individual head or brain size. As such, by taking a user's head or brain size into account, the concussion detection device 14 can generate a customized concussion risk assessment 44 for a particular user.
While various embodiments of the innovation have been particularly shown and described, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the innovation as defined by the appended claims.
This patent application claims the benefit of U.S. Provisional Application No. 63/450,842, filed on Mar. 8, 2023, entitled “Deep-learning Model-based Concussion Detection System,” the contents and teachings of which are hereby incorporated by reference in their entirety.
This invention was made with government support under Award Number 2114697 awarded by the National Science Foundation. The government has certain rights in the invention.
Number | Date | Country | |
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63450842 | Mar 2023 | US |