Evidence map›Paper›PMID 24893322›Full record

ArticleNeuroImage2014

Combat-related blast exposure and traumatic brain injury influence brain glucose metabolism during REM sleep in military veterans.

Ryan P J Stocker, Marissa A Cieply, Benjamin Paul, Hassen Khan, Luke Henry, Anthony P Kontos, Anne Germain

Open access · greenAbstract read
In one paragraph

Article in NeuroImage, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 46 citations in OpenAlex.

  1. PDE5 inhibition restores mitochondrial function and improves neurobehavioral outcomes after repeated mild blast TBI.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Frontiers in neuroscience · 2021
    Article
  13. Article
  14. Neuroimaging of traumatic brain injury in military personnel: An overview.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2019
    Review
  15. Article
  16. Review
  17. Mapping the Connectome Following Traumatic Brain Injury.Current neurology and neuroscience reports · 2016
    Review
  18. Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2016
    Article
  19. Effects of Blast Exposure on Subjective and Objective Sleep Measures in Combat Veterans with and without PTSD.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016
    Article
  20. Review
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.

Ryan P J StockerUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA; Department of Counseling Psychology, Chatham University, Pittsburgh, PA, USA.
Marissa A CieplyUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Benjamin PaulSchool of Social Work, University of Pittsburgh, Pittsburgh, PA, USA.
Hassen KhanUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Luke HenryDepartment of Orthopaedic Surgery, Pittsburgh, PA, USA.
Anthony P KontosDepartment of Orthopaedic Surgery, Pittsburgh, PA, USA.
Anne GermainDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: germax@upmc.edu.
University of Pittsburgh · USUniversity of Pittsburgh Medical Center · USChatham University · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Neurobiology of PTSD During REM SleepR21MH083035 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GERMAIN, ANNE · 2009 to 2010
$417k
NCATS NIH HHS UL1 TR000005NIMH NIH HHS MH083035NIMH NIH HHS R21 MH083035
6 · The paper itself

Abstract

Traumatic brain injury (TBI), a signature wound of Operations Enduring and Iraqi Freedom, can result from blunt head trauma or exposure to a blast/explosion. While TBI affects sleep, the neurobiological underpinnings between TBI and sleep are largely unknown. To examine the neurobiological underpinnings of this relationship in military veterans, [(18)F]-fluorodeoxyglucose positron emission tomography (FDG PET) was used to compare mTBI-related changes in relative cerebral metabolic rate of glucose (rCMRglc) during wakefulness, Rapid Eye Movement (REM) sleep, and non-REM (NREM) sleep, after adjusting for the effects of posttraumatic stress (PTS). Fourteen veterans with a history of blast exposure and/or mTBI (B/mTBI) (age 27.5±3.9) and eleven veterans with no history (No B/mTBI) (age 28.1±4.3) completed FDG PET studies during wakefulness, REM sleep, and NREM sleep. Whole-brain analyses were conducted using Statistical Parametric Mapping (SPM8). Between group comparisons revealed that B/mTBI was associated with significantly lower rCMRglc during wakefulness and REM sleep in the amygdala, hippocampus, parahippocampal gyrus, thalamus, insula, uncus, culmen, visual association cortices, and midline medial frontal cortices. These results suggest that alterations in neurobiological networks during wakefulness and REM sleep subsequent to B/mTBI exposure may contribute to chronic sleep disturbances and differ in individuals with acute symptoms.

Indexed as

Brain ChemistrySleep, REMAdultBlast InjuriesBrain InjuriesCombat DisordersFemaleFluorodeoxyglucose F18GlucoseHumansMalePolysomnographyPositron-Emission TomographyStress Disorders, Post-TraumaticVeteransFluorodeoxyglucose F18GlucoseBlast exposureCerebral glucose metabolismMilitary veteransmTBIRapid eye movement sleep

Identifiers

PMID24893322
PMCPMC4112017
OpenAlexW1978037048

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.