Embedded-AI-Driven On-Site Traumatic Brain Injury Assessment Using Wireless Flexible Wearable Sensors for Real-Time Impact Force and Acceleration Estimation

Traumatic brain injury (TBI) assessment is crucial for protecting the health of casualties involved in sudden head-impact incidents. However, traditional methods for assessing TBI are primarily based on bulky imaging equipment, which suffers from time lag, leading to misjudgment of the injury and missing the golden opportunity for treatment. Moreover, most existing Internet of Things (IoT)-aided sensor-based head impact detection studies monitor only a single biomechanical parameter, either the external head impact force or the head center-of-mass acceleration, thus offering an incomplete injury profile. This study proposed a method for rapidly acquiring on-site time-series data to support TBI assessment, which employed flexible piezoelectric sensors to detect head impact, whose electromechanical coupling was characterized by an equivalent-impedance model identified with the genetic algorithm (GA). The voltage signal from the sensor was transmitted to mobile devices via Bluetooth to estimate head-impact biomechanics. Specifically, the impact force on the wearer’s head was converted from the voltage using the sequential quadratic programming algorithm (SQP). Based on the impact force data, the acceleration of the center of mass of the head was predicted with a neural network containing the long short-term memory (LSTM) layer. The experiments were carried out on a head-neck dummy subjected to different levels of impact. The resulting models achieved coefficients of determination (R2) of 0.935 for impact force (amplitude of 0–3 kN) and 0.848 for acceleration of the center of mass (amplitude of 0–120 g). The fabricated wireless flexible wearable sensor was installed on the dummy for performance validation, successfully demonstrating collision detection, impact force and acceleration estimation for TBI assessment, which can be conveniently deployed in helmets used in construction, sports, and emergency rescue, leveraging IoT technology for real-time dual-parameter head-impact estimation and medical-data synchronization to safeguard the golden treatment window and hopefully promote the efficient allocation of medical resources.