Evidence map›Paper›PMID 28663736›Full record

ArticleFrontiers in neurology2017

A Mechanistic End-to-End Concussion Model That Translates Head Kinematics to Neurologic Injury.

Laurel J Ng, Vladislav Volman, Melissa M Gibbons, Pi Phohomsiri, Jianxia Cui, Darrell J Swenson, James H Stuhmiller

Abstract read
In one paragraph

Article in Frontiers in neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Autonomic dysfunction and exercise intolerance in concussion: a scoping review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  3. Group characterization of impact-induced,Journal of the Royal Society, Interface · 2021
    Article
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.

Laurel J NgSimulation Engineering and Testing, L-3 Applied Technologies, Inc., San Diego, CA, United States.
Vladislav VolmanSimulation Engineering and Testing, L-3 Applied Technologies, Inc., San Diego, CA, United States.
Melissa M GibbonsSimulation Engineering and Testing, L-3 Applied Technologies, Inc., San Diego, CA, United States.
Pi PhohomsiriSimulation Engineering and Testing, L-3 Applied Technologies, Inc., San Diego, CA, United States.
Jianxia CuiSimulation Engineering and Testing, L-3 Applied Technologies, Inc., San Diego, CA, United States.
Darrell J SwensonCardiac Rhythm and Heart Failure Numerical Modeling, Medtronic, Mounds View, MN, United States.
James H StuhmillerSimulation Engineering and Testing, L-3 Applied Technologies, Inc., San Diego, CA, United States.

Funding

Development of a Brain Template for Diffusion-Tensor MRIR21EB006525 · NIBIB · ILLINOIS INSTITUTE OF TECHNOLOGY · PI ARFANAKIS, KONSTANTINOS · 2008 to 2009
$394k
Probabilistic White and Gray Matter Atlas of the Adult Human BrainR21NS076827 · NINDS · ILLINOIS INSTITUTE OF TECHNOLOGY · PI ARFANAKIS, KONSTANTINOS · 2012 to 2013
$388k
NIBIB NIH HHS R21 EB006525NINDS NIH HHS R21 NS076827
6 · The paper itself

Abstract

Past concussion studies have focused on understanding the injury processes occurring on discrete length scales (e.g., tissue-level stresses and strains, cell-level stresses and strains, or injury-induced cellular pathology). A comprehensive approach that connects all length scales and relates measurable macroscopic parameters to neurological outcomes is the first step toward rationally unraveling the complexity of this multi-scale system, for better guidance of future research. This paper describes the development of the first quantitative end-to-end (E2E) multi-scale model that links gross head motion to neurological injury by integrating fundamental elements of tissue and cellular mechanical response with axonal dysfunction. The model quantifies axonal stretch (i.e., tension) injury in the corpus callosum, with axonal functionality parameterized in terms of axonal signaling. An internal injury correlate is obtained by calculating a neurological injury measure (the average reduction in the axonal signal amplitude) over the corpus callosum. By using a neurologically based quantity rather than externally measured head kinematics, the E2E model is able to unify concussion data across a range of exposure conditions and species with greater sensitivity and specificity than correlates based on external measures. In addition, this model quantitatively links injury of the corpus callosum to observed specific neurobehavioral outcomes that reflect clinical measures of mild traumatic brain injury. This comprehensive modeling framework provides a basis for the systematic improvement and expansion of this mechanistic-based understanding, including widening the range of neurological injury estimation, improving concussion risk correlates, guiding the design of protective equipment, and setting safety standards.

Indexed as

axonal dysfunctionaxon injuryconcussion mechanismdose-responseinternal dosekinematic correlatesmTBInode of Ranvier

Identifiers

PMID28663736
PMCPMC5471336

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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.