Evidence map›Paper›PMID 29786476›Full record

ArticleJournal of neurotrauma2019

Orthopedic Injured versus Uninjured Comparison Groups for Neuroimaging Research in Mild Traumatic Brain Injury.

Elisabeth A Wilde, Ashley L Ware, Xiaoqi Li, Trevor C Wu, Stephen R McCauley, Amanda Barnes, Mary R Newsome, Brian D Biekman, Jill V Hunter, Zili D Chu and 1 more

Abstract read
In one paragraph

Article in Journal of neurotrauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
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  10. Article
  11. Unveiling the predictive power of biomarkers in traumatic brain injury: A narrative review focused on clinical outcomes.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2025
    Review
  12. Article
  13. Review
  14. Observational
  15. Article
  16. Cognition and post-concussive symptom status after pediatric mild traumatic brain injury.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Article
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  18. Article
  19. Observational
  20. 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

11 authors.

Elisabeth A Wilde1 Michael E. DeBakey VA Medical Center, Houston, Texas.
Ashley L Ware3 Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.
Xiaoqi Li3 Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.
Trevor C Wu3 Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.
Stephen R McCauley3 Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.
Amanda Barnes10 Department of Obstetrics and Gynecology, University of Southern California Medical Center, Los Angeles, California.
Mary R Newsome1 Michael E. DeBakey VA Medical Center, Houston, Texas.
Brian D Biekman3 Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.
Jill V Hunter3 Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.
Zili D Chu5 Department of Radiology, and Baylor College of Medicine, Houston, Texas.
Harvey S Levin1 Michael E. DeBakey VA Medical Center, Houston, Texas.

Funding

NeuroimagingP01NS056202 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI LEVIN, HARVEY · 2008 to 2012
$6.6M
NINDS NIH HHS P01 NS056202
6 · The paper itself

Abstract

To address controversy surrounding the most appropriate comparison group for mild traumatic brain injury (mTBI) research, mTBI patients 12-30 years of age were compared with an extracranial orthopedic injury (OI) patient group and an uninjured, typically developing (TD) participant group with comparable demographic backgrounds. Injured participants underwent subacute (within 96 h) and late (3 months) diffusion tensor imaging (DTI); TD controls underwent DTI once. Group differences in fractional anisotropy (FA) and mean diffusivity (MD) of commonly studied white matter tracts were assessed. For FA, subacute group differences occurred in the bilateral inferior frontal occipital fasciculus (IFOF) and right inferior longitudinal fasciculus (ILF), and for MD, differences were found in the total corpus callosum, right uncinate fasciculus, IFOF, ILF, and bilateral cingulum bundle (CB). In these analyses, differences (lower FA and higher MD) were generally observed between the mTBI and TD groups but not between the mTBI and OI groups. After a 3 month interval, groups significantly differed in left IFOF FA and in right IFOF and CB MD; the TD group had significantly higher FA and lower MD than both injury groups, which did not differ. There was one exception to this pattern, in which the OI group demonstrated significantly lower FA in the left ILF than the TD group, although neither group differed from the mTBI group. The mTBI and OI groups had generally similar longitudinal results. Findings suggest that different conclusions about group-level DTI analyses could be drawn, depending on the selected comparison group, highlighting the need for additional research in this area. Where possible, mTBI studies may benefit from the inclusion of both OI and TD controls.

Indexed as

Control GroupsAdolescentAdultBrain ConcussionChildDiffusion Tensor ImagingFemaleHumansMaleMusculoskeletal SystemNeuroimagingResearch DesignYoung AdultDTIMRImTBIOI

Identifiers

PMID29786476
PMCPMC6338561

What OpenQuestion holds

Textmetadata
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.