Evidence map›Paper›PMID 21994062›Full record

ArticleAnnals of biomedical engineering2012

Maximum principal strain and strain rate associated with concussion diagnosis correlates with changes in corpus callosum white matter indices.

Thomas W McAllister, James C Ford, Songbai Ji, Jonathan G Beckwith, Laura A Flashman, Keith Paulsen, Richard M Greenwald

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 4 pooled it
9.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 4 syntheses or guidelines pooled it, 250 citations in OpenAlex.

  1. Pooled it
  2. Head-Impact-Measurement Devices: A Systematic Review.Journal of athletic training · 2017
    Pooled it
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  6. Review
  7. Article
  8. Article
  9. An MRI-derived head-neck finite element model.Biomechanics and modeling in mechanobiology · 2025
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  16. Finite element brain deformation in adolescent soccer heading.Computer methods in biomechanics and biomedical engineering · 2024
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  20. Article

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Thomas W McAllisterDepartment of Psychiatry, Section of Neuropsychiatry, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA. thomas.w.mcallister@dartmouth.edu
James C Ford
Songbai Ji
Jonathan G Beckwith
Laura A Flashman
Keith Paulsen
Richard M Greenwald
Dartmouth College · USDartmouth–Hitchcock Medical Center · USSimbex (United States) · US

Funding

Biomechanical Basis of Mild Traumatic Brain InjuryR01HD048638 · NICHD · SIMBEX, LLC · PI GREENWALD, RICHARD M · 2007 to 2011
$3.7M
Effect of Biomechanical Force Exposure on Cognition and Brain Activation in TBIR01NS055020 · NINDS · DARTMOUTH COLLEGE · PI MCALLISTER, THOMAS · 2007 to 2011
$2.1M
Effect of Biomechanical Force Exposure on Cognition & Brain Activation in StudentR01CE001254 · CE · DARTMOUTH COLLEGE · PI MCALLISTER, THOMAS · 2007 to 2009
$891k
NCIPC CDC HHS R01 CE001254NCIPC CDC HHS R01/CE001254NICHD NIH HHS R01 HD048638NICHD NIH HHS R01HD048638NINDS NIH HHS R01 NS055020NINDS NIH HHS R01NS055020
6 · The paper itself

Abstract

On-field monitoring of head impacts, combined with finite element (FE) biomechanical simulation, allow for predictions of regional strain associated with a diagnosed concussion. However, attempts to correlate these predictions with in vivo measures of brain injury have not been published. This article reports an approach to and preliminary results from the correlation of subject-specific FE model-predicted regions of high strain associated with diagnosed concussion and diffusion tensor imaging to assess changes in white matter integrity in the corpus callosum (CC). Ten football and ice hockey players who wore instrumented helmets to record head impacts sustained during play completed high field magnetic resonance imaging preseason and within 10 days of a diagnosed concussion. The Dartmouth Subject-Specific FE Head model was used to generate regional predictions of strain and strain rate following each impact associated with concussion. Maps of change in fractional anisotropy (FA) and median diffusivity (MD) were generated for the CC of each athlete to correlate strain with change in FA and MD. Mean and maximum strain rate correlated with change in FA (Spearman ρ = 0.77, p = 0.01; 0.70, p = 0.031), and there was a similar trend for mean and maximum strain (0.56, p = 0.10; 0.6, p = 0.07), as well as for maximum strain with change in MD (-0.63, p = 0.07). Change in MD correlated with injury-to-imaging interval (ρ = -0.80, p = 0.006) but change in FA did not (ρ = 0.18, p = 0.62). These results provide preliminary confirmation that model-predicted strain and strain rate in the CC correlate with changes in indices of white matter integrity.

Indexed as

Models, BiologicalAccelerationAdolescentAdultAthletic InjuriesBrain ConcussionCorpus CallosumFinite Element AnalysisFootballHead Protective DevicesHockeyHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleNew Hampshire

Identifiers

PMID21994062
PMCPMC4388259
OpenAlexW2006844787

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.