Evidence map›Paper›PMID 28210542›Full record

ArticleNeuroImage. Clinical2017

Dynamic association between perfusion and white matter integrity across time since injury in Veterans with history of TBI.

Alexandra L Clark, Katherine J Bangen, Scott F Sorg, Dawn M Schiehser, Nicole D Evangelista, Benjamin McKenna, Thomas T Liu, Lisa Delano-Wood

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

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  12. Imaging biomarkers of vascular and axonal injury are spatially distinct in chronic traumatic brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  13. Cerebral perfusion is associated with blast exposure in military personnel without moderate or severe TBI.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  14. Repetitive mTBI is associated with age-related reductions in cerebral blood flow but not cortical thickness.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
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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

8 authors at 2 institutions in 1 country.

Alexandra L ClarkSan Diego State University/University of California, San Diego (SDSU/UCSD) Joint Doctoral Program in Clinical Psychology, United States; VA San Diego Healthcare System (VASDHS), United States.
Katherine J BangenVA San Diego Healthcare System (VASDHS), United States; University of California San Diego, School of Medicine, Department of Psychiatry, United States.
Scott F SorgVA San Diego Healthcare System (VASDHS), United States; University of California San Diego, School of Medicine, Department of Psychiatry, United States.
Dawn M SchiehserVA San Diego Healthcare System (VASDHS), United States; Center of Excellence for Stress and Mental Health, VASDHS, United States; University of California San Diego, School of Medicine, Department of Psychiatry, United States.
Nicole D EvangelistaVA San Diego Healthcare System (VASDHS), United States; University of California San Diego, School of Medicine, Department of Psychiatry, United States.
Benjamin McKennaVA San Diego Healthcare System (VASDHS), United States; University of California San Diego, School of Medicine, Department of Psychiatry, United States.
Thomas T LiuUniversity of California San Diego, Department of Radiology, Keck Center for Functional MRI, United States.
Lisa Delano-WoodVA San Diego Healthcare System (VASDHS), United States; Center of Excellence for Stress and Mental Health, VASDHS, United States; University of California San Diego, School of Medicine, Department of Psychiatry, United States.
University of California, San Diego · USVA San Diego Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCerebral blood flow (CBF) plays a critical role in the maintenance of neuronal integrity, and CBF alterations have been linked to deleterious white matter changes. Although both CBF and white matter microstructural alterations have been observed within the context of traumatic brain injury (TBI), the degree to which these pathological changes relate to one another and whether this association is altered by time since injury have not been examined. The current study therefore sought to clarify associations between resting CBF and white matter microstructure post-TBI.

methods37 veterans with history of mild or moderate TBI (mmTBI) underwent neuroimaging and completed health and psychiatric symptom questionnaires. Resting CBF was measured with multiphase pseudocontinuous arterial spin labeling (MPPCASL), and white matter microstructural integrity was measured with diffusion tensor imaging (DTI). The cingulate cortex and cingulum bundle were selected as a priori regions of interest for the ASL and DTI data, respectively, given the known vulnerability of these regions to TBI.

resultsRegression analyses controlling for age, sex, and posttraumatic stress disorder (PTSD) symptoms revealed a significant time since injury × resting CBF interaction for the left cingulum (

conclusionsOur results showed that reduced CBF was associated with poorer white matter integrity in those who were further removed from their brain injury. Findings provide preliminary evidence of a possible dynamic association between CBF and white matter microstructure that warrants additional consideration within the context of the negative long-term clinical outcomes frequently observed in those with history of TBI. Additional cross-disciplinary studies integrating multiple imaging modalities (e.g., DTI, ASL) and refined neuropsychiatric assessment are needed to better understand the nature, temporal course, and dynamic association between brain changes and clinical outcomes post-injury.

Indexed as

Magnetic Resonance AngiographyAdultAfghan Campaign 2001-BrainBrain Injuries, TraumaticBrain MappingCerebrovascular CirculationHumansImage Processing, Computer-AssistedIraq War, 2003-2011Linear ModelsMaleNeuropsychological TestsSpin LabelsTime FactorsVeteransSpin LabelsArterial spin labelingASLCBFCerebral blood flowDiffusion tensor imagingDTIPerfusionTBITime since injuryTraumatic brain injuryWhite matterWhite matter microstructure

Identifiers

PMID28210542
PMCPMC5299206
OpenAlexW2563440935

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.