Evidence map›Paper›PMID 28257413›Full record

Trial reportPloS one2017

Uncovering precision phenotype-biomarker associations in traumatic brain injury using topological data analysis.

Jessica L Nielson, Shelly R Cooper, John K Yue, Marco D Sorani, Tomoo Inoue, Esther L Yuh, Pratik Mukherjee, Tanya C Petrossian, Jesse Paquette, Pek Y Lum and 9 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01565551 (Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot), which is not on this map. Cited by 60 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 7 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.

NCT01565551 completednot on this map

Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot

TypeobservationalSponsorUniversity of California, San FranciscoRan2010 to 2013Enrolled650ConditionsTraumatic Brain InjuryArmsN/A (Observational Study)
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  8. 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
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  12. Review
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  16. Multimodal Data Hybrid Fusion and Natural Language Processing for Clinical Prediction Models.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
  17. The role of artificial intelligence for the application of integrating electronic health records and patient-generated data in clinical decision support.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
  18. Article
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  20. Increasing Rigor of Preclinical Research to Maximize Opportunities for Translation.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    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

19 authors.

Jessica L NielsonBrain and Spinal Injury Center (BASIC), Zuckerberg San Francisco General Hospital, San Francisco, CA, United States of America.
Shelly R CooperBrain and Spinal Injury Center (BASIC), Zuckerberg San Francisco General Hospital, San Francisco, CA, United States of America.
John K YueBrain and Spinal Injury Center (BASIC), Zuckerberg San Francisco General Hospital, San Francisco, CA, United States of America.ORCID http://orcid.org/0000-0001-9694-7722
Marco D SoraniDepartment of Neurological Surgery, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA.
Tomoo InoueBrain and Spinal Injury Center (BASIC), Zuckerberg San Francisco General Hospital, San Francisco, CA, United States of America.
Esther L YuhDepartment of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States of America.
Pratik MukherjeeDepartment of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States of America.
Tanya C PetrossianAyasdi, Inc, Palo Alto, CA, United States of America.
Jesse PaquetteAyasdi, Inc, Palo Alto, CA, United States of America.ORCID http://orcid.org/0000-0003-0509-1012
Pek Y LumAyasdi, Inc, Palo Alto, CA, United States of America.
Gunnar E CarlssonAyasdi, Inc, Palo Alto, CA, United States of America.ORCID http://orcid.org/0000-0002-3416-5861
Mary J VassarBrain and Spinal Injury Center (BASIC), Zuckerberg San Francisco General Hospital, San Francisco, CA, United States of America.ORCID http://orcid.org/0000-0001-6748-6939
Hester F LingsmaPublic Health, Erasmus Medical Center, Rotterdam, Netherlands.
Wayne A GordonDepartment of Rehabilitation Medicine, Icahn School of Medicine, Mount Sinai, New York, NY, United States of America.
Alex B ValadkaDepartment of Neurosurgery, Virginia Commonwealth University, Richmond, VA, United States of America.ORCID http://orcid.org/0000-0003-0156-1531
David O OkonkwoDepartment of Neurosurgery, University of Pittsburgh, Pittsburgh, PA, United States of America.
Geoffrey T ManleyBrain and Spinal Injury Center (BASIC), Zuckerberg San Francisco General Hospital, San Francisco, CA, United States of America.
Adam R FergusonBrain and Spinal Injury Center (BASIC), Zuckerberg San Francisco General Hospital, San Francisco, CA, United States of America.ORCID http://orcid.org/0000-0001-7102-1608
TRACK-TBI Investigators

Funding

Transforming Research and Clinical Knowledge in Traumatic Brain InjuryU01NS086090 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAZ-ARRASTIA, RAMON, GIACINO, JOSEPH THOMAS · 2013 to 2017
$19.1M
Transforming Traumatic Brain Injury Research and Clinical CareRC2NS069409 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MANLEY, GEOFFREY T · 2009 to 2011
$4.3M
Bioinformatics For Translational Spinal Cord Injury ResearchR01NS067092 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FERGUSON, ADAM R · 2010 to 2014
$1.6M
NINDS NIH HHS R01 NS067092NINDS NIH HHS RC2 NS069409NINDS NIH HHS U01 NS086090
6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) is a complex disorder that is traditionally stratified based on clinical signs and symptoms. Recent imaging and molecular biomarker innovations provide unprecedented opportunities for improved TBI precision medicine, incorporating patho-anatomical and molecular mechanisms. Complete integration of these diverse data for TBI diagnosis and patient stratification remains an unmet challenge. METHODS AND

findingsThe Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Pilot multicenter study enrolled 586 acute TBI patients and collected diverse common data elements (TBI-CDEs) across the study population, including imaging, genetics, and clinical outcomes. We then applied topology-based data-driven discovery to identify natural subgroups of patients, based on the TBI-CDEs collected. Our hypothesis was two-fold: 1) A machine learning tool known as topological data analysis (TDA) would reveal data-driven patterns in patient outcomes to identify candidate biomarkers of recovery, and 2) TDA-identified biomarkers would significantly predict patient outcome recovery after TBI using more traditional methods of univariate statistical tests. TDA algorithms organized and mapped the data of TBI patients in multidimensional space, identifying a subset of mild TBI patients with a specific multivariate phenotype associated with unfavorable outcome at 3 and 6 months after injury. Further analyses revealed that this patient subset had high rates of post-traumatic stress disorder (PTSD), and enrichment in several distinct genetic polymorphisms associated with cellular responses to stress and DNA damage (PARP1), and in striatal dopamine processing (ANKK1, COMT, DRD2).

conclusionsTDA identified a unique diagnostic subgroup of patients with unfavorable outcome after mild TBI that were significantly predicted by the presence of specific genetic polymorphisms. Machine learning methods such as TDA may provide a robust method for patient stratification and treatment planning targeting identified biomarkers in future clinical trials in TBI patients.

trial registrationClinicalTrials.gov Identifier NCT01565551.

Indexed as

BiomarkersAdultBrain Injuries, TraumaticCatechol O-MethyltransferaseFemaleHumansMachine LearningMaleMiddle AgedPoly (ADP-Ribose) Polymerase-1Polymorphism, Single NucleotideProtein Serine-Threonine KinasesReceptors, Dopamine D2Stress Disorders, Post-TraumaticANKK1 protein, humanBiomarkersCatechol O-MethyltransferaseCOMT protein, humanDRD2 protein, humanPARP1 protein, humanPoly (ADP-Ribose) Polymerase-1Protein Serine-Threonine KinasesReceptors, Dopamine D2

Identifiers

PMID28257413
PMCPMC5336356

What OpenQuestion holds

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LicenceCC BY
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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.