Evidence map›Paper›PMID 25659079›Full record

ArticlePloS one2015

Cerebral hemodynamic changes of mild traumatic brain injury at the acute stage.

Hardik Doshi, Natalie Wiseman, Jun Liu, Wentao Wang, Robert D Welch, Brian J O'Neil, Conor Zuk, Xiao Wang, Valerie Mika, Jerzy P Szaflarski and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
9.8field-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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. The Role of MRI in Debunking the Fallacy of "Mild" Traumatic Brain Injury.Journal of magnetic resonance imaging : JMRI · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Traumatic Brain Injury Outcomes After Recreational Cannabis Use.Neuropsychiatric disease and treatment · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Hardik DoshiDepartment of Biomedical Engineering, Wayne State University, Detroit, Michigan, United States of America.
Natalie WisemanDepartment of Psychiatry and Behavioral Neurosciences Translational Neuroscience Program, Wayne State University School of Medicine, Detroit, Michigan, United States of America.
Jun LiuDepartment of Biomedical Engineering, Wayne State University, Detroit, Michigan, United States of America; Department of Radiology, Second Xiangya Hospital, School of Public Health, Central South University, Changsha, Hunan Province, China.
Wentao WangCollege of Computer Science, South-Central University for Nationalities, Wuhan, China.
Robert D WelchDepartment of Emergency Medicine, Wayne State University School of Medicine, Detroit, Michigan, United States of America.
Brian J O'NeilDepartment of Emergency Medicine, Wayne State University School of Medicine, Detroit, Michigan, United States of America.
Conor ZukDepartment of Radiology, Wayne State University School of Medicine, Detroit, Michigan, United States of America.
Xiao WangDepartment of Biomedical Engineering, Wayne State University, Detroit, Michigan, United States of America; Department of Radiology, Wayne State University School of Medicine, Detroit, Michigan, United States of America; Zhengzhou University First Affiliated Hospital, Zhengzhou, Henan Province, China.
Valerie MikaDepartment of Biomedical Engineering, Wayne State University, Detroit, Michigan, United States of America; Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, Michigan, United States of America.
Jerzy P SzaflarskiDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
E Mark HaackeDepartment of Biomedical Engineering, Wayne State University, Detroit, Michigan, United States of America; Department of Radiology, Wayne State University School of Medicine, Detroit, Michigan, United States of America.
Zhifeng KouDepartment of Biomedical Engineering, Wayne State University, Detroit, Michigan, United States of America; Department of Psychiatry and Behavioral Neurosciences Translational Neuroscience Program, Wayne State University School of Medicine, Detroit, Michigan, United States of America; Department of Radiology, Wayne State University School of Medicine, Detroit, Michigan, United States of America.
Michigan United · USWayne State University · USFirst Affiliated Hospital of Zhengzhou University · CNSouth Central University for Nationalities · CNUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mild traumatic brain injury (mTBI) is a significant public health care burden in the United States. However, we lack a detailed understanding of the pathophysiology following mTBI and its relation to symptoms and recovery. With advanced magnetic resonance imaging (MRI), we can investigate brain perfusion and oxygenation in regions known to be implicated in symptoms, including cortical gray matter and subcortical structures. In this study, we assessed 14 mTBI patients and 18 controls with susceptibility weighted imaging and mapping (SWIM) for blood oxygenation quantification. In addition to SWIM, 7 patients and 12 controls had cerebral perfusion measured with arterial spin labeling (ASL). We found increases in regional cerebral blood flow (CBF) in the left striatum, and in frontal and occipital lobes in patients as compared to controls (p = 0.01, 0.03, 0.03 respectively). We also found decreases in venous susceptibility, indicating increases in venous oxygenation, in the left thalamostriate vein and right basal vein of Rosenthal (p = 0.04 in both). mTBI patients had significantly lower delayed recall scores on the standardized assessment of concussion, but neither susceptibility nor CBF measures were found to correlate with symptoms as assessed by neuropsychological testing. The increased CBF combined with increased venous oxygenation suggests an increase in cerebral blood flow that exceeds the oxygen demand of the tissue, in contrast to the regional hypoxia seen in more severe TBI. This may represent a neuroprotective response following mTBI, which warrants further investigation.

Indexed as

Cerebrovascular CirculationHemodynamicsAdultBlood Gas AnalysisBrainBrain InjuriesCase-Control StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsRegional Blood FlowReproducibility of ResultsTime Factors

Identifiers

PMID25659079
PMCPMC4320047
OpenAlexW2071670618

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.