Evidence map›Paper›PMID 28500358›Full record

ArticleBiomechanics and modeling in mechanobiology2017

Injury prediction and vulnerability assessment using strain and susceptibility measures of the deep white matter.

Wei Zhao, Yunliang Cai, Zhigang Li, Songbai Ji

Open access · greenAbstract read
In one paragraph

Article in Biomechanics and modeling in mechanobiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  11. Data-driven Uncertainty Quantification in Computational Human Head Models.Computer methods in applied mechanics and engineering · 2022
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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

4 authors at 2 institutions in 1 country.

Wei ZhaoDepartment of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, MA, 01609, USA.
Yunliang CaiDepartment of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, MA, 01609, USA.
Zhigang LiDepartment of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Lebanon, NH, 03766, USA.
Songbai JiDepartment of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, MA, 01609, USA. sji@wpi.edu.
Worcester Polytechnic Institute · USDartmouth College · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Accumulated white matter fiber strain from repetitive head impacts in contact sportsR01NS092853 · NINDS · WORCESTER POLYTECHNIC INSTITUTE · PI JI, SONGBAI · 2015 to 2018
$1.5M
Model-Based Cumulative Analysis of On-Field Head Impacts in Contact SportsR21NS088781 · NINDS · WORCESTER POLYTECHNIC INSTITUTE · PI JI, SONGBAI · 2015 to 2016
$462k
National Institute of Neurological Disorders and Stroke R01 NS092853National Institute of Neurological Disorders and Stroke R21 NS088781NCI NIH HHS P30 CA023108NINDS NIH HHS R01 NS092853NINDS NIH HHS R21 NS088781
6 · The paper itself

Abstract

Reliable prediction and diagnosis of concussion is important for its effective clinical management. Previous model-based studies largely employ peak responses from a single element in a pre-selected anatomical region of interest (ROI) and utilize a single training dataset for injury prediction. A more systematic and rigorous approach is necessary to scrutinize the entire white matter (WM) ROIs as well as ROI-constrained neural tracts. To this end, we evaluated injury prediction performances of the 50 deep WM regions using predictor variables based on strains obtained from simulating the 58 reconstructed American National Football League head impacts. To objectively evaluate performance, repeated random subsampling was employed to split the impacts into independent training and testing datasets (39 and 19 cases, respectively, with 100 trials). Univariate logistic regressions were conducted based on training datasets to compute the area under the receiver operating characteristic curve (AUC), while accuracy, sensitivity, and specificity were reported based on testing datasets. Two tract-wise injury susceptibilities were identified as the best overall via pair-wise permutation test. They had comparable AUC, accuracy, and sensitivity, with the highest values occurring in superior longitudinal fasciculus (SLF; 0.867-0.879, 84.4-85.2, and 84.1-84.6%, respectively). Using metrics based on WM fiber strain, the most vulnerable ROIs included genu of corpus callosum, cerebral peduncle, and uncinate fasciculus, while genu and main body of corpus callosum, and SLF were among the most vulnerable tracts. Even for one un-concussed athlete, injury susceptibility of the cingulum (hippocampus) right was elevated. These findings highlight the unique injury discriminatory potentials of computational models and may provide important insight into how best to incorporate WM structural anisotropy for investigation of brain injury.

Indexed as

Area Under CurveAthletesBrain InjuriesCraniocerebral TraumaDatabases as TopicHumansModels, BiologicalWhite MatterConcussionDeep white matterFiber strainInjury susceptibilityTractography

Identifiers

PMID28500358
PMCPMC5682246
OpenAlexW2614092181

What OpenQuestion holds

Textmetadata
LicenceTDM
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.