Evidence map›Paper›PMID 23481161›Full record

ArticleRadiology2013

Mild traumatic brain injury: longitudinal regional brain volume changes.

Yongxia Zhou, Andrea Kierans, Damon Kenul, Yulin Ge, Joseph Rath, Joseph Reaume, Robert I Grossman, Yvonne W Lui

Registry-linked trialAbstract read
In one paragraph

Article in Radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02118220 (Effects of Anesthesia on Pediatric Surgical Patients With a History of Concussion - Phase I), which is not on this map. Cited by 110 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

NCT02118220 phase1completednot on this mapstarted 2014, after this paper: background citation

Effects of Anesthesia on Pediatric Surgical Patients With a History of Concussion - Phase I

TypeinterventionalSponsorBoston Children's HospitalRan2014 to 2015Enrolled125ConditionsPost Concussion SymptomsArmsConcussion Questionnaire
3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Trial
  6. Article
  7. Article
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  11. Phenotype discovery of traumatic brain injury segmentations from heterogeneous multi-site data.Proceedings of SPIE--the International Society for Optical Engineering · 2026
    Article
  12. The Role of MRI in Debunking the Fallacy of "Mild" Traumatic Brain Injury.Journal of magnetic resonance imaging : JMRI · 2026
    Review
  13. Article
  14. Serum Biomarkers in Paediatric Neurosurgery: Traumatic Brain Injury and Beyond.Advances and technical standards in neurosurgery · 2026
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Yongxia ZhouDepartment of Radiology, New York University School of Medicine, 660 First Ave, 2nd Floor, New York, NY 10016, USA.
Andrea Kierans
Damon Kenul
Yulin Ge
Joseph Rath
Joseph Reaume
Robert I Grossman
Yvonne W Lui

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029893 · NCRR · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2009 to 2011
$17.7M
Institutional Clinical and Translational Science AwardUL1TR000038 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2012 to 2014
$16.8M
QUANTITATIVE MRI AND 1H-MRS IN TRAUMATIC BRAIN INJURYR01NS039135 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI LUI, YVONNE W · 2000 to 2017
$10.1M
NCATS NIH HHS UL1 TR000038NCRR NIH HHS 5UL1RR029893NCRR NIH HHS UL1 RR029893NINDS NIH HHS R01 NS039135NINDS NIH HHS R01 NS039135-10
6 · The paper itself

Abstract

purposeTo investigate longitudinal changes in global and regional brain volume in patients 1 year after mild traumatic brain injury (MTBI) and to correlate such changes with clinical and neurocognitive metrics. MATERIALS AND

methodsThis institutional review board-approved study was HIPAA compliant. Twenty-eight patients with MTBI (with 19 followed up at 1 year) with posttraumatic symptoms after injury and 22 matched control subjects (with 12 followed up at 1 year) were enrolled. Automated segmentation of brain regions to compute regional gray matter (GM) and white matter (WM) volumes was performed by using three-dimensional T1-weighted 3.0-T magnetic resonance imaging, and results were correlated with clinical metrics. Pearson and Spearman rank correlation coefficients were computed between longitudinal brain volume and neurocognitive scores, as well as clinical metrics, over the course of the follow-up period.

resultsOne year after MTBI, there was measurable global brain atrophy, larger than that in control subjects. The anterior cingulate WM bilaterally and the left cingulate gyrus isthmus WM, as well as the right precuneal GM, showed significant decreases in regional volume in patients with MTBI over the 1st year after injury (corrected P < .05); this was confirmed by means of cross-sectional comparison with data in control subjects (corrected P < .05). Left and right rostral anterior cingulum WM volume loss correlated with changes in neurocognitive measures of memory (r = 0.65, P = .005) and attention (r = 0.60, P = .01). At 1-year follow-up, WM volume in the left cingulate gyrus isthmus correlated with clinical scores of anxiety (Spearman rank correlation r = -0.68, P = .007) and postconcussive symptoms (Spearman rank correlation r = -0.65, P = .01).

conclusionThese observations demonstrate structural changes to the brain 1 year after injury after a single concussive episode. Regional brain atrophy is not exclusive to moderate and severe traumatic brain injury but may be seen after mild injury. In particular, the anterior part of the cingulum and the cingulate gyrus isthmus, as well as the precuneal GM, may be distinctively vulnerable 1 year after MTBI.

Indexed as

AdolescentAdultAnalysis of VarianceAtrophyBrain InjuriesCase-Control StudiesFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedOrgan SizeTime Factors

Identifiers

PMID23481161
PMCPMC3662902

What OpenQuestion holds

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Registered trials

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.