Evidence map›Paper›PMID 27257516›Full record

ArticleBrain and behavior2016

Deficits in Visual System Functional Connectivity after Blast-Related Mild TBI are Associated with Injury Severity and Executive Dysfunction.

Casey S Gilmore, Jazmin Camchong, Nicholas D Davenport, Nathaniel W Nelson, Randy H Kardon, Kelvin O Lim, Scott R Sponheim

Abstract read
In one paragraph

Article in Brain and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Casey S GilmoreDefense and Veterans Brain Injury Center Minneapolis Minnesota; Minneapolis Veterans Affairs Health Care System Minneapolis Minnesota.
Jazmin CamchongDepartment of Psychiatry University of Minnesota Minneapolis Minnesota.
Nicholas D DavenportMinneapolis Veterans Affairs Health Care System Minneapolis Minnesota; Department of Psychiatry University of Minnesota Minneapolis Minnesota.
Nathaniel W NelsonMinneapolis Veterans Affairs Health Care System Minneapolis Minnesota; Univ. of St. Thomas Graduate School of Professional Psychology Minneapolis Minnesota.
Randy H KardonDepartment of Ophthalmology & Visual Science University of Iowa Iowa City Iowa; Iowa City Veterans Affairs Health Care System Iowa City Iowa.
Kelvin O LimDefense and Veterans Brain Injury Center Minneapolis Minnesota; Minneapolis Veterans Affairs Health Care System Minneapolis Minnesota; Department of Psychiatry University of Minnesota Minneapolis Minnesota.
Scott R SponheimMinneapolis Veterans Affairs Health Care System Minneapolis Minnesota; Department of Psychiatry University of Minnesota Minneapolis Minnesota.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2TR000113 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$5.4M
Essential Features of Neural Damage in Mild Traumatic Brain InjuryI01RX000622 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI SPONHEIM, SCOTT R · 2012 to 2015
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NCATS NIH HHS KL2 TR000113NCATS NIH HHS UL1 TR000114RRD VA I01 RX000622
6 · The paper itself

Abstract

introductionApproximately, 275,000 American service members deployed to Iraq or Afghanistan have sustained a mild traumatic brain injury (mTBI), with 75% of these incidents involving an explosive blast. Visual processing problems and cognitive dysfunction are common complaints following blast-related mTBI.

methodsIn 127 veterans, we examined resting fMRI functional connectivity (FC) of four key nodes within the visual system: lateral geniculate nucleus (LGN), primary visual cortex (V1), lateral occipital gyrus (LO), and fusiform gyrus (FG). Regression analyses were performed (i) to obtain correlations between time-series from each seed and all voxels in the brain, and (ii) to identify brain regions in which FC variability was related to blast mTBI severity. Blast-related mTBI severity was quantified as the sum of the severity scores assigned to each of the three most significant blast-related injuries self-reported by subjects. Correlations between FC and performance on executive functioning tasks were performed across participants with available behavioral data (n = 94).

resultsGreater blast mTBI severity scores were associated with lower FC between: (A) LGN seed and (i) medial frontal gyrus, (ii) lingual gyrus, and (iii) right ventral anterior nucleus of thalamus; (B) V1 seed and precuneus; (C) LO seed and middle and superior frontal gyri; (D) FG seed and (i) superior and medial frontal gyrus, and (ii) left middle frontal gyrus. Finally, lower FC between visual network regions and frontal cortical regions predicted worse performance on the WAIS digit-symbol coding task.

conclusionThese are the first published results that directly illustrate the relationship between blast-related mTBI severity, visual pathway neural networks, and executive dysfunction - results that highlight the detrimental relationship between blast-related brain injury and the integration of visual sensory input and executive processes.

Indexed as

AdultBlast InjuriesBrain Injuries, TraumaticCerebral CortexCognitive DysfunctionExecutive FunctionFemaleGeniculate BodiesHumansMagnetic Resonance ImagingMaleSeverity of Illness IndexTemporal LobeVeteransVisual CortexVisual Perceptionblast TBIexecutive functionfunctional connectivityrest fMRITBI severitytraumatic brain injuryVisual

Identifiers

PMID27257516
PMCPMC4873652

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.