A strain-based investigation of the accuracy of embedded markers used in tracking cadaveric brain motion
Measurements of intracranial brain displacement in cadaveric specimens have been instrumental to the validation finite element (FE) models of brain injury. These data collections have used radiographic and sonomicrometric techniques, requiring the use of tissue-embedded tracking markers; however, marker accuracy has never been adequately characterized. Marker tracking precision has been previously conflated with measurement accuracy, not accounting for changes in the natural responseof surrounding tissues due to marker presence. Non-negligible inertia, high stiffness, and the aspect ratio of markers all contribute to this interference. This work investigated the dynamic coupling between published marker designs (NDTs, Sonomicrometry Crystals, and Tin) and a new elastomeric marker, and a block of tissue simulant subjected to a drop impact. The measured strains were compared to the baseline response of the simulant containing massless markers. The results found notable evidence of interference in simulant strain amplitudes as well as considerable directional bias in the response of some markers. The elastomeric marker was found to have minimal interference in the deformation field. FutureFE model validation will need to account for the considerable interference and directional biases to the natural response of brain tissue in existing cadaveric datasets to maintain confidence in strain predictions.