Evidence map›Paper›PMID 28291459›Full record

ArticleMilitary medicine2017

Clinical and Magnetic Resonance Spectroscopic Imaging Findings in Veterans With Blast Mild Traumatic Brain Injury and Post-Traumatic Stress Disorder.

Anthony P Kontos, Anne C Van Cott, Jodilyn Roberts, Jullie W Pan, Monique B Kelly, Jamie McAllister-Deitrick, Hoby P Hetherington

Abstract read
In one paragraph

Article in Military medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. 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.

Anthony P KontosDepartment of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, #1010, Pittsburgh, PA 15213.
Anne C Van CottVA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240.
Jodilyn RobertsVA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240.
Jullie W PanDepartment of Neurology, University of Pittsburgh, 811 Kaufmann Medical Building, 3471 Fifth Avenue #810, Pittsburgh, PA 15213.
Monique B KellyVA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240.
Jamie McAllister-DeitrickDepartment of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, #1010, Pittsburgh, PA 15213.
Hoby P HetheringtonMagnetic Resonance Research Center, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA 15213.

Funding

Spectroscopic imaging of human epilepsyR01NS090417 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PAN, JULLIE W · 2014 to 2017
$2.4M
7T MR spectroscopic imaging for human epilepsyR01EB011639 · NIBIB · YALE UNIVERSITY · PI HETHERINGTON, HOBY P, PAN, JULLIE W · 2011 to 2014
$2.0M
Multiplexed Multiband MR at 7T: Studies of mild Traumatic Brain InjuryR01NS081772 · NINDS · YALE UNIVERSITY · PI HETHERINGTON, HOBY P · 2012 to 2015
$2.0M
Balance-Attention Interference Following ConcussionK01DC012332 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KONTOS, ANTHONY P · 2013 to 2017
$741k
NIBIB NIH HHS R01 EB011639NIDCD NIH HHS K01 DC012332NINDS NIH HHS R01 NS081772NINDS NIH HHS R01 NS090417
6 · The paper itself

Abstract

objectivesTo compare magnetic resonance spectroscopic imaging (MRSI) findings from the hippocampal regions of military veterans with blast-related mild traumatic brain injury (blast mTBI) and post-traumatic stress disorder (PTSD) to those with PTSD only; and to examine the relationship of MRSI findings to cognitive and neuromotor impairment.

methods35 military veterans-23 with blast mTBI and PTSD (blast mTBI/PTSD) and 12 with PTSD only participated in the study. Whole plane MRSI data including N-acetyl aspartate (NAA) and choline (Ch) were acquired at 7T for the hippocampus. Concurrent cognitive and neuromotor data were collected using established assessments. General linear models (GLMs) with Bonferroni correction were used to compare the two groups on NAA/Ch ratios across regions of the hippocampus. Spearman's correlations were used to examine correlations between NAA/Ch and cognitive and neuromotor impairment.

resultsThe NAA/Ch results for the left hippocampus were lower in the blast mTBI/PTSD group than the PTSD-only group. The blast mTBI/PTSD group also scored worse on the WAIS-IV-vocabulary. Significant correlations between NAA/Ch and neuromotor outcomes-including vestibular impairment-were supported.

conclusionsCombined MRSI and cognitive and neuromotor data may help inform more objective and accurate diagnoses and effective treatments for patients with blast mTBI and PTSD.

Indexed as

AdultAgedAspartic AcidBlast InjuriesBrain ConcussionCholineFemaleHippocampusHumansMagnetic Resonance SpectroscopyMaleMiddle AgedNeuropsychological TestsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsAspartic AcidCholineN-acetylaspartate

Identifiers

PMID28291459
PMCPMC6946024

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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.