Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study

We explored the prognostic value of diffusion tensor imaging (DTI) parameters of selected white matter (WM) tracts in predicting neuropsychological outcome, both at baseline and 6 months later, among well-characterized patients diagnosed with mild traumatic brain injury (mTBI). Sixty-one patients wi...

Full description

Bibliographic Details
Main Authors: Veeramuthu, V., Narayanan, V., Tan, L.K., Delano-Wood, L., Chinna, K., Bondi, M.W., Waran, V., Ganesan, D., Ramli, N.
Format: Article
Published: Mary Ann Liebert 2015
Subjects:
_version_ 1825721311749472256
author Veeramuthu, V.
Narayanan, V.
Tan, L.K.
Delano-Wood, L.
Chinna, K.
Bondi, M.W.
Waran, V.
Ganesan, D.
Ramli, N.
author_facet Veeramuthu, V.
Narayanan, V.
Tan, L.K.
Delano-Wood, L.
Chinna, K.
Bondi, M.W.
Waran, V.
Ganesan, D.
Ramli, N.
author_sort Veeramuthu, V.
collection UM
description We explored the prognostic value of diffusion tensor imaging (DTI) parameters of selected white matter (WM) tracts in predicting neuropsychological outcome, both at baseline and 6 months later, among well-characterized patients diagnosed with mild traumatic brain injury (mTBI). Sixty-one patients with mTBI (mean age=27.08; standard deviation [SD], 8.55) underwent scanning at an average of 10h (SD, 4.26) post-trauma along with assessment of their neuropsychological performance at an average of 4.35h (SD, 7.08) upon full Glasgow Coma Scale recovery. Results were then compared to 19 healthy control participants (mean age=29.05; SD, 5.84), both in the acute stage and 6 months post-trauma. DTI and neuropsychological measures between acute and chronic phases were compared, and significant differences emerged. Specifically, chronic-phase fractional anisotropy and radial diffusivity values showed significant group differences in the corona radiata, anterior limb of internal capsule, cingulum, superior longitudinal fasciculus, optic radiation, and genu of corpus callosum. Findings also demonstrated associations between DTI indices and neuropsychological outcome across two time points. Our results provide new evidence for the use of DTI as an imaging biomarker and indicator of WM damage occurring in the context of mTBI, and they underscore the dynamic nature of brain injury and possible biological basis of chronic neurocognitive alterations.
first_indexed 2024-03-06T05:48:29Z
format Article
id um.eprints-19501
institution Universiti Malaya
last_indexed 2024-03-06T05:48:29Z
publishDate 2015
publisher Mary Ann Liebert
record_format dspace
spelling um.eprints-195012018-10-01T04:41:26Z http://eprints.um.edu.my/19501/ Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study Veeramuthu, V. Narayanan, V. Tan, L.K. Delano-Wood, L. Chinna, K. Bondi, M.W. Waran, V. Ganesan, D. Ramli, N. R Medicine We explored the prognostic value of diffusion tensor imaging (DTI) parameters of selected white matter (WM) tracts in predicting neuropsychological outcome, both at baseline and 6 months later, among well-characterized patients diagnosed with mild traumatic brain injury (mTBI). Sixty-one patients with mTBI (mean age=27.08; standard deviation [SD], 8.55) underwent scanning at an average of 10h (SD, 4.26) post-trauma along with assessment of their neuropsychological performance at an average of 4.35h (SD, 7.08) upon full Glasgow Coma Scale recovery. Results were then compared to 19 healthy control participants (mean age=29.05; SD, 5.84), both in the acute stage and 6 months post-trauma. DTI and neuropsychological measures between acute and chronic phases were compared, and significant differences emerged. Specifically, chronic-phase fractional anisotropy and radial diffusivity values showed significant group differences in the corona radiata, anterior limb of internal capsule, cingulum, superior longitudinal fasciculus, optic radiation, and genu of corpus callosum. Findings also demonstrated associations between DTI indices and neuropsychological outcome across two time points. Our results provide new evidence for the use of DTI as an imaging biomarker and indicator of WM damage occurring in the context of mTBI, and they underscore the dynamic nature of brain injury and possible biological basis of chronic neurocognitive alterations. Mary Ann Liebert 2015 Article PeerReviewed Veeramuthu, V. and Narayanan, V. and Tan, L.K. and Delano-Wood, L. and Chinna, K. and Bondi, M.W. and Waran, V. and Ganesan, D. and Ramli, N. (2015) Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study. Journal of Neurotrauma, 32 (19). pp. 1497-1509. ISSN 0897-7151, DOI https://doi.org/10.1089/neu.2014.3750 <https://doi.org/10.1089/neu.2014.3750>. http://dx.doi.org/10.1089/neu.2014.3750 doi:10.1089/neu.2014.3750
spellingShingle R Medicine
Veeramuthu, V.
Narayanan, V.
Tan, L.K.
Delano-Wood, L.
Chinna, K.
Bondi, M.W.
Waran, V.
Ganesan, D.
Ramli, N.
Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study
title Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study
title_full Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study
title_fullStr Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study
title_full_unstemmed Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study
title_short Diffusion Tensor Imaging Parameters in Mild Traumatic Brain Injury and Its Correlation with Early Neuropsychological Impairment: A Longitudinal Study
title_sort diffusion tensor imaging parameters in mild traumatic brain injury and its correlation with early neuropsychological impairment a longitudinal study
topic R Medicine
work_keys_str_mv AT veeramuthuv diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT narayananv diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT tanlk diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT delanowoodl diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT chinnak diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT bondimw diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT waranv diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT ganesand diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy
AT ramlin diffusiontensorimagingparametersinmildtraumaticbraininjuryanditscorrelationwithearlyneuropsychologicalimpairmentalongitudinalstudy