Search Results

Road traffic injuries continue to be a leading cause of death around the world. Rapid emergency response is a key factor in improving occupant outcomes. Over the past ten years, Injury Severity Prediction (ISP) models have been developed and deployed to assist in effective dispatch of emergency medical services (EMS). Prior versions of ISP have relied on driver-based scenarios that are not relevant in many of the possible autonomous vehicle (AV) contexts. This paper describes the development and validation of occupant-based ISP models that predict injury severity for specific vehicle seat positions. Models show improved predictive performance, sensitivity 80% and specificity over 95%, for front row occupants. Second row occupant models have similar specificity, but sensitivity scores dropped due to occupant heterogeneity and small sample sizes of seriously injured occupants.

This study investigates the isolated effect of rib shape on the mechanical characteristics of ribs subjected to multiple forms of loading. It aims to measure the variation in stiffness due to shape that is seen throughout the population and, in particular, provide a tool for researchers to better understand the influence of shape on resulting stiffness. A previously published six-parameter shape model of the central axis of human ribs was used. It has been shown to accurately model the overall rib path using intrinsic geometric properties such as size, aspect ratio, and skewness, through shapes based on logarithmic spirals with high curvature continuity. In this study the model was fitted to 19,500 ribs from 989 adult female and male CT scans having demographic distributions matching the US adult population. Mechanical loading was simulated through a simplified finite element model aimed at isolating rib shape from other factors influencing mechanical response.

Liver injuries can be significant in vehicle crashes. In this study, the liver anatomy was quantified in both adult and pediatric populations as a function of gender and age. Five anatomical liver measurements were determined using CT scans of 260 normal livers. These measurements include the area and volume, and the length, width, and girth of the liver (IRB HUM00041441). To characterize geometrical shape, an inscribed sphere and circumscribed ellipsoid were fitted on the measurements. In the pediatric population the liver area and volume continuously increased with age. When normalized by patient weight, volume measurements show a decrease in volume with age, suggesting that the liver occupies a smaller proportion of the body with age. In the adult population, liver measurements varied with gender. The superior and inferior locations of the liver were also recorded with respect to the spine. The lower portion was at the L3 in small children and at L2 as children approached puberty.

The size and shape of the acetabulum and of the femoral head influence the injury tolerance of the hip joint. The aim of this study is to quantify changes in acetabular cup geometry that occur with age, gender, height, and weight. Anonymized computed tomography (CT) scans of 1,150 individuals 16+ years of age, both with and without hip trauma, were used to describe the acetabular rim with 100 equally spaced points. Bilateral measurements were taken on uninjured patients, while only the uninjured side was valuated in those with hip trauma. Multinomial logistic regression found that after controlling for age, height, weight, and gender, each 1 degree decrease in acetabular anteversion angle (AAA) corresponded to an 8 percent increase in fracture likelihood (p≺0.001).

General Motors (GM), OnStar and the University of Michigan International Center for Automotive Medicine (ICAM) have formed a partnership to investigate and analyze real world rollover crashes involving GM vehicles equipped with rollover sensing technology and rollover-capable roof rail airbag systems. Candidates for the study are initially identified by OnStar, who receive notification of a rollover crash through the vehicle's Automatic Crash Response system. If the customer agrees to participate in the study, medical, vehicle and crash scene information are quickly gathered. This information is then reviewed by the medical and GM engineering communities to provide field relevant learning on injury mechanisms and vehicle system performance in rollover events. This paper provides a detailed review of the field case studies collected to date.

A method has been developed to identify and document the locations of rib fractures from two-dimensional CT images obtained from occupants of crashes investigated in the Crash Injury Research Engineering Network (CIREN). The location of each rib fracture includes the vertical location by rib number (1 through 12), the lateral location by side of the thorax (inboard and outboard), and the circumferential location by five 36-degree segments relative to the sternum and spine. The latter include anterior, anterior-lateral, lateral, posterior-lateral, and posterior regions. 3D reconstructed images of the whole ribcage created from the 2D CT images using Voxar software are used to help identify fractures and their rib number. A geometric method for consistently locating each fracture circumferentially is described.

The intent of this study was to compare the neck responses measured from the Hybrid III 3 and 6-year-old ATDs in laboratory testing to injuries sustained by three children in a field crash and investigate the appropriateness of recommended in-position neck injury assessment reference values (IARVs), and the regulated out-of-position (OOP) IARVs specified in FMVSS 208 for the Hybrid III 3 and 6-year-old ATDs. This paper principally reports on apparent artifacts associated with the Hybrid III 3 and 6-year-old ATDs, which complicated investigating the appropriateness of the in-position and out-of-position neck IARVs. In tests using 3-point belt restraints, these apparent artifacts included: 1) High neck extension moments, which produced the peak Nij values, without significant observed relative head-to-neck motion, 2) Neck tension forces well in excess of the IARVs that occurred when the ATD's chin contacted the chest.

Lateral (or side impact) air bags have been in the field since model year 1995. However, relatively low installation rates have limited wide-ranging analyses of the effectiveness of these air bag systems to date. The CIREN database was surveyed to examine the real-world performance of lateral air bag systems and address the following three basic questions: 1) Are lateral air bags providing benefit? 2) Are lateral air bags being overwhelmed by some crash characteristics? 3) Are lateral air bag inflation forces potentially inducing some injury? In the detailed survey afforded by the CIREN database, all three of these conditions were found.

Injuries of the Occipitoatlantoaxial (Occ-C2) region (also known as atlanto-occipital injuries) are the most common form of cervical injury in children aged ten years and younger. The crash studied in this paper is unique in that there were three children ages 3, 6 and 7 involved in a frontal crash with a delta V of 28mph with each child receiving a nonfatal Occ-C2 injury of varying degrees. The 3 and 6 year-old children were remarkably similar in height and weight to the 3 and 6 year-old Hybrid III ATD's. Also, unique to this case is the fact that the right rear 6 year-old occupant likely sustained an Occ-C2 injury prior to impact with the frame of the front passenger seat. This crash environment was recreated utilizing MADYMO occupant simulation software. The models for the Hybrid III 3 and 6 year-old ATDs were used to represent the occupants in this crash.

Late model passenger cars and light trucks incorporate occupant protection systems with airbags and knee restraints. Knee restraints have been designed principally to meet the unbelted portions of FMVSS 208 that require femur load limits of 10-kN to be met in barrier crashes up to 30 mph, +/- 30 degrees utilizing the 50% male Anthropomorphic Test Device (ATD). In addition, knee restraints provide additional lower-torso restraint for belt-restrained occupants in higher-severity crashes. An analysis of frontal crashes in the University of Michigan Crash Injury Research and Engineering Network (UM CIREN) database was performed to determine the influence of vehicle, crash and occupant parameters on knee, thigh, and hip injuries. The data sample consists of drivers and right front passengers involved in frontal crashes who sustained significant injuries (Abbreviated Injury Scale [AIS] ≥ 3 or two or more AIS ≥ 2) to any body region.

Based on an analysis of the National Automotive Sampling System (NASS) database from calendar years 1995-2000, over 30,000 fractures and dislocations of the knee-thigh-hip (KTH) complex occur in frontal motor-vehicle crashes each year in the United States. This analysis also shows that the risk of hip injury is generally higher than the risks of knee and thigh injuries in frontal crashes, that hip injuries are occurring to adult occupants of all ages, and that most hip injuries occur at crash severities that are equal to, or less than, those used in FMVSS 208 and NCAP testing. Because previous biomechanical research produced mostly knee or distal femur injuries, and because knee and femur injuries were frequently documented in early crash investigation data, the femur has traditionally been viewed as the weakest part of the KTH complex.