Bidirectional changes in anisotropy are associated with outcomes in mild traumatic brain injury

S. B. Strauss, N. Kim, Craig A. Branch, M. E. Kahn, Mimi Kim, Richard B. Lipton, J. M. Provataris, H. F. Scholl, M. E. Zimmerman, Michael L. Lipton

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: Mild traumatic brain injury results in a heterogeneous constellation of deficits and symptoms that persist in a subset of patients. This prospective longitudinal study identifies early diffusion tensor imaging biomarkers of mild traumatic brain injury that significantly relate to outcomes at 1 year following injury. MATERIALS AND METHODS: DTI was performed on 39 subjects with mild traumatic brain injury within 16 days of injury and 40 controls; 26 subjects with mild traumatic brain injury returned for follow-up at 1 year. We identified subject-specific regions of abnormally high and low fractional anisotropy and calculated mean fractional anisotropy, axial diffusivity, radial diffusivity, and mean diffusivity across all white matter voxels brain-wide and each of several white matter regions. Assessment of cognitive performance and symptom burden was performed at 1 year. RESULTS: Significant associations of brain-wide DTI measures and outcomes included the following: mean radial diffusivity and mean diffusivity with memory; and mean fractional anisotropy, radial diffusivity, and mean diffusivity with health-related quality of life. Significant differences in outcomes were found between subjects with and without abnormally high fractional anisotropy for the following white matter regions and outcome measures: left frontal lobe and left temporal lobe with attention at 1 year, left and right cerebelli with somatic postconcussion symptoms at 1 year, and right thalamus with emotional postconcussion symptoms at 1 year. CONCLUSIONS: Individualized assessment of DTI abnormalities significantly relates to long-Term outcomes in mild traumatic brain injury. Abnormally high fractional anisotropy is significantly associated with better outcomes and might represent an imaging correlate of postinjury compensatory processes.

Original languageEnglish (US)
Pages (from-to)1983-1991
Number of pages9
JournalAmerican Journal of Neuroradiology
Volume37
Issue number11
DOIs
StatePublished - Nov 1 2016

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Brain Concussion
Anisotropy
Outcome Assessment (Health Care)
Neurobehavioral Manifestations
Diffusion Tensor Imaging
Wounds and Injuries
Brain
Frontal Lobe
Temporal Lobe
Thalamus
Longitudinal Studies
Biomarkers
Quality of Life
Prospective Studies
White Matter

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Bidirectional changes in anisotropy are associated with outcomes in mild traumatic brain injury. / Strauss, S. B.; Kim, N.; Branch, Craig A.; Kahn, M. E.; Kim, Mimi; Lipton, Richard B.; Provataris, J. M.; Scholl, H. F.; Zimmerman, M. E.; Lipton, Michael L.

In: American Journal of Neuroradiology, Vol. 37, No. 11, 01.11.2016, p. 1983-1991.

Research output: Contribution to journalArticle

Strauss, S. B. ; Kim, N. ; Branch, Craig A. ; Kahn, M. E. ; Kim, Mimi ; Lipton, Richard B. ; Provataris, J. M. ; Scholl, H. F. ; Zimmerman, M. E. ; Lipton, Michael L. / Bidirectional changes in anisotropy are associated with outcomes in mild traumatic brain injury. In: American Journal of Neuroradiology. 2016 ; Vol. 37, No. 11. pp. 1983-1991.
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