Publications

There is mounting evidence linking the cumulative effects of repetitive head impacts to neuro-degenerative conditions. Robust clinical assessment tools to identify mild traumatic brain injuries are needed to assist with timely diagnosis for return-to-field decisions and appropriately guide rehabilitation. The focus of the present study is to investigate the potential for oculomotor features to complement existing diagnostic tools, such as measurements of Optic Nerve Sheath Diameter (ONSD) and Immediate Post-concussion Assessment and Cognitive Testing (ImPACT). Thirty-one high school American football and soccer athletes were tracked through the course of a sports season. Given the high risk of repetitive head impacts associated with both soccer and football, our hypotheses were that (1) ONSD and ImPACT scores would worsen through the season and (2) oculomotor features would effectively capture both neurophysiological changes reflected by ONSD and neuro-functional status assessed via ImPACT. Oculomotor features were used as input to Linear Mixed-Effects Regression models to predict ONSD and ImPACT scores as outcomes. Prediction accuracy was evaluated to identify explicit relationships between eye movements, ONSD, and ImPACT scores. Significant Pearson correlations were observed between predicted and actual outcomes for ONSD (Raw = 0.70; Normalized = 0.45) and for ImPACT (Raw = 0.86; Normalized = 0.71), demonstrating the capability of oculomotor features to capture neurological changes detected by both ONSD and ImPACT. The most predictive features were found to relate to motor control and visual-motor processing. In future work, oculomotor models, linking neural structures to oculomotor function, can be built to gain extended mechanistic insights into neurophysiological changes observed through seasons of participation in contact sports.

The Multi-modal Early Detection Interactive Classifier (MEDIC) is a triage system designed to enable rapid assessment of mild traumatic brain injury (mTBI) when access to expert diagnosis is limited as in a battlefield setting. MEDIC is based on supervised classification that requires three fundamental components to function correctly; these are data, features, and truth. The MEDIC system can act as a data collection device in addition to being an assessment tool. Therefore, it enables a solution to one of the fundamental challenges in understanding mTBI: the lack of useful data. The vision of MEDIC is to fuse results from stimulus tests in each of four modalitites - auditory, occular, vocal, and intracranial pressure - and provide them to a classifier. With appropriate data for training, the MEDIC classifier is expected to provide an immediate decision of whether the subject has a strong likelihood of having sustained an mTBI and therefore requires an expert diagnosis from a neurologist. The tests within each modalitity were designed to balance the capacity of objective assessment and the maturity of the underlying technology against the ability to distinguish injured from non-injured subjects according to published results. Selection of existing modalities and underlying features represents the best available, low cost, portable technology with a reasonable chance of success.

We designed and constructed a system that includes aircraft, ground vehicles, and throwable sensors to search a semiforested region that was partially covered by foliage. The system contained 4 radio-controlled (RC) trucks, 2 aircraft, and 30 SensorMotes (throwable sensors). We also investigated communications links, search strategies, and system architecture. Our system is designed to be low-cost, contain a variety of sensors, and distributed so that the system is robust even if individual components are lost.