Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury

Traumatic brain injury (TBI) is a widespread and expensive problem globally. The standard diagnostic workup for new TBI includes obtaining a noncontrast computed tomography image of the head, which provides quick information on operative pathologies. However, given the limited sensitivity of compute...

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Main Authors: Jeffrey Nadel, Joseph Scott McNally, Anthony DiGiorgio, Ramesh Grandhi
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Medical Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3271/9/1/10
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author Jeffrey Nadel
Joseph Scott McNally
Anthony DiGiorgio
Ramesh Grandhi
author_facet Jeffrey Nadel
Joseph Scott McNally
Anthony DiGiorgio
Ramesh Grandhi
author_sort Jeffrey Nadel
collection DOAJ
description Traumatic brain injury (TBI) is a widespread and expensive problem globally. The standard diagnostic workup for new TBI includes obtaining a noncontrast computed tomography image of the head, which provides quick information on operative pathologies. However, given the limited sensitivity of computed tomography for identifying subtle but meaningful changes in the brain, magnetic resonance imaging (MRI) has shown better utility for ongoing management and prognostication after TBI. In recent years, advanced applications of MRI have been further studied and are being implemented as clinical tools to help guide care. These include functional MRI, diffusion tensor imaging, MR perfusion, and MR spectroscopy. In this review, we discuss the scientific basis of each of the above techniques, the literature supporting their use in TBI, and how they may be clinically implemented to improve the care of TBI patients.
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spelling doaj.art-091a532e60664af3988593344054bd1b2023-12-11T17:06:28ZengMDPI AGMedical Sciences2076-32712021-02-01911010.3390/medsci9010010Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain InjuryJeffrey Nadel0Joseph Scott McNally1Anthony DiGiorgio2Ramesh Grandhi3Clinical Neurosciences Center, Department of Neurosurgery, University of Utah, Salt Lake City, UT 84132, USADepartment of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT 84132, USADepartment of Neurological Surgery, University of California at San Francisco, San Francisco, CA 94143, USAClinical Neurosciences Center, Department of Neurosurgery, University of Utah, Salt Lake City, UT 84132, USATraumatic brain injury (TBI) is a widespread and expensive problem globally. The standard diagnostic workup for new TBI includes obtaining a noncontrast computed tomography image of the head, which provides quick information on operative pathologies. However, given the limited sensitivity of computed tomography for identifying subtle but meaningful changes in the brain, magnetic resonance imaging (MRI) has shown better utility for ongoing management and prognostication after TBI. In recent years, advanced applications of MRI have been further studied and are being implemented as clinical tools to help guide care. These include functional MRI, diffusion tensor imaging, MR perfusion, and MR spectroscopy. In this review, we discuss the scientific basis of each of the above techniques, the literature supporting their use in TBI, and how they may be clinically implemented to improve the care of TBI patients.https://www.mdpi.com/2076-3271/9/1/10traumatic brain injurymagnetic resonance imagingfunctional MRIdiffusion tensor imagingMR perfusionMR spectroscopy
spellingShingle Jeffrey Nadel
Joseph Scott McNally
Anthony DiGiorgio
Ramesh Grandhi
Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury
Medical Sciences
traumatic brain injury
magnetic resonance imaging
functional MRI
diffusion tensor imaging
MR perfusion
MR spectroscopy
title Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury
title_full Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury
title_fullStr Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury
title_full_unstemmed Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury
title_short Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury
title_sort emerging utility of applied magnetic resonance imaging in the management of traumatic brain injury
topic traumatic brain injury
magnetic resonance imaging
functional MRI
diffusion tensor imaging
MR perfusion
MR spectroscopy
url https://www.mdpi.com/2076-3271/9/1/10
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