Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical Spine

Football exposes its players to traumatic brain, neck, and spinal injury. It is unknown whether the adolescent football player develops imaging abnormalities of the brain and spine that are detectable on magnetic resonance imaging (MRI). The objective of this observational study was to identify pote...

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Main Authors: Hon J. Yu, Lara Wadi, Irene Say, Annlia Paganini-Hill, Daniel Chow, Arash Hosseini Jafari, Saifal-Deen Farhan, Shane Rayos Del Sol, Osama Mobayed, Andrew Alvarez, Anton Hasso, Scott Shunshan Li, Hung Do, Dawn Berkeley, Yu-Po Lee, Lydia Min-Ying Su, Charles Rosen, Mark Fisher
Format: Article
Language:English
Published: Mary Ann Liebert 2022-03-01
Series:Neurotrauma Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/NEUR.2021.0026
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author Hon J. Yu
Lara Wadi
Irene Say
Annlia Paganini-Hill
Daniel Chow
Arash Hosseini Jafari
Saifal-Deen Farhan
Shane Rayos Del Sol
Osama Mobayed
Andrew Alvarez
Anton Hasso
Scott Shunshan Li
Hung Do
Dawn Berkeley
Yu-Po Lee
Lydia Min-Ying Su
Charles Rosen
Mark Fisher
author_facet Hon J. Yu
Lara Wadi
Irene Say
Annlia Paganini-Hill
Daniel Chow
Arash Hosseini Jafari
Saifal-Deen Farhan
Shane Rayos Del Sol
Osama Mobayed
Andrew Alvarez
Anton Hasso
Scott Shunshan Li
Hung Do
Dawn Berkeley
Yu-Po Lee
Lydia Min-Ying Su
Charles Rosen
Mark Fisher
author_sort Hon J. Yu
collection DOAJ
description Football exposes its players to traumatic brain, neck, and spinal injury. It is unknown whether the adolescent football player develops imaging abnormalities of the brain and spine that are detectable on magnetic resonance imaging (MRI). The objective of this observational study was to identify potential MRI signatures of early brain and cervical spine (c-spine) injury in high school football players. Eighteen football players (mean age, 17.0???1.5 years; mean career length, 6.3???4.0 years) had a baseline brain MRI, and 7 had a follow-up scan 9?42 months later. C-spine MRIs were performed on 11 of the 18 subjects, and 5 had a follow-up scan. C-spine MRIs from 12 age-matched hospital controls were also retrospectively retrieved. Brain MRIs were reviewed by a neuroradiologist, and no cerebral microbleeds were detected. Three readers (a neuroradiologist, a neurosurgeon, and an orthopedic spine surgeon) studied the cervical intervertebral discs at six different cervical levels and graded degeneration using an established five-grade scoring system. We observed no statistically significant difference in disc degeneration or any trend toward increased disc degeneration in the c-spine of football players as compared with age-matched controls. Further research is needed to validate our findings and better understand the true impact of contact sports on young athletes.
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spelling doaj.art-29568a5647f14ec68dcc2fb10dadcff32024-01-26T04:32:47ZengMary Ann LiebertNeurotrauma Reports2689-288X2022-03-013112913810.1089/NEUR.2021.0026Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical SpineHon J. YuLara WadiIrene SayAnnlia Paganini-HillDaniel ChowArash Hosseini JafariSaifal-Deen FarhanShane Rayos Del SolOsama MobayedAndrew AlvarezAnton HassoScott Shunshan LiHung DoDawn BerkeleyYu-Po LeeLydia Min-Ying SuCharles RosenMark FisherFootball exposes its players to traumatic brain, neck, and spinal injury. It is unknown whether the adolescent football player develops imaging abnormalities of the brain and spine that are detectable on magnetic resonance imaging (MRI). The objective of this observational study was to identify potential MRI signatures of early brain and cervical spine (c-spine) injury in high school football players. Eighteen football players (mean age, 17.0???1.5 years; mean career length, 6.3???4.0 years) had a baseline brain MRI, and 7 had a follow-up scan 9?42 months later. C-spine MRIs were performed on 11 of the 18 subjects, and 5 had a follow-up scan. C-spine MRIs from 12 age-matched hospital controls were also retrospectively retrieved. Brain MRIs were reviewed by a neuroradiologist, and no cerebral microbleeds were detected. Three readers (a neuroradiologist, a neurosurgeon, and an orthopedic spine surgeon) studied the cervical intervertebral discs at six different cervical levels and graded degeneration using an established five-grade scoring system. We observed no statistically significant difference in disc degeneration or any trend toward increased disc degeneration in the c-spine of football players as compared with age-matched controls. Further research is needed to validate our findings and better understand the true impact of contact sports on young athletes.https://www.liebertpub.com/doi/full/10.1089/NEUR.2021.0026adolescentconcussiondisc degenerationfootballMRIspinal cord injury
spellingShingle Hon J. Yu
Lara Wadi
Irene Say
Annlia Paganini-Hill
Daniel Chow
Arash Hosseini Jafari
Saifal-Deen Farhan
Shane Rayos Del Sol
Osama Mobayed
Andrew Alvarez
Anton Hasso
Scott Shunshan Li
Hung Do
Dawn Berkeley
Yu-Po Lee
Lydia Min-Ying Su
Charles Rosen
Mark Fisher
Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical Spine
Neurotrauma Reports
adolescent
concussion
disc degeneration
football
MRI
spinal cord injury
title Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical Spine
title_full Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical Spine
title_fullStr Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical Spine
title_full_unstemmed Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical Spine
title_short Magnetic Resonance Imaging Findings in High School Football Players: Brain and Cervical Spine
title_sort magnetic resonance imaging findings in high school football players brain and cervical spine
topic adolescent
concussion
disc degeneration
football
MRI
spinal cord injury
url https://www.liebertpub.com/doi/full/10.1089/NEUR.2021.0026
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