Evidence map›Paper›PMID 31457074›Full record

ArticleScience advances2019

A common neural signature of brain injury in concussion and subconcussion.

Adnan A Hirad, Jeffrey J Bazarian, Kian Merchant-Borna, Frank E Garcea, Sarah Heilbronner, David Paul, Eric B Hintz, Edwin van Wijngaarden, Giovanni Schifitto, David W Wright and 2 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 5 pooled it
10.4field-weighted citation impact, top 1% 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

57 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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  13. Review
  14. Article
  15. Article
  16. Article
  17. Functional Vision Questionnaire Detects Near Triad Impairments in Adolescent Athletes With Concussion History.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2024
    Article
  18. Article
  19. Concussion in Female Athletes of Contact Sports: A Scoping Review.Orthopaedic journal of sports medicine · 2024
    Article
  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

12 authors at 6 institutions in 1 country.

Adnan A HiradDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA.ORCID 0000-0002-0601-7423
Jeffrey J BazarianDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA.ORCID 0000-0001-7100-3805
Kian Merchant-BornaDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA.ORCID 0000-0002-6643-1597
Frank E GarceaCenter for Visual Sciences, University of Rochester, Rochester, NY 14642, USA.ORCID 0000-0002-8843-9127
Sarah HeilbronnerDepartment of Pharmacology and Physiology, University of Rochester Medical Center, Rochester, NY 14642, USA.ORCID 0000-0003-0893-5364
David PaulDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY 14642, USA.ORCID 0000-0002-3517-8787
Eric B HintzDivision of Neurosurgery, San Antonio Military Medical Center, San Antonio, TX 78234, USA.ORCID 0000-0002-7285-0720
Edwin van WijngaardenDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14642, USA.ORCID 0000-0001-7583-4630
Giovanni SchifittoDepartment of Neurology, University of Rochester Medical Center, Rochester, NY 14642, USA.ORCID 0000-0002-2115-4143
David W WrightDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.
Tamara R EspinozaDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.
Bradford Z MahonCenter for Visual Sciences, University of Rochester, Rochester, NY 14642, USA.ORCID 0000-0002-2018-4797
University of Rochester Medical Center · USEmory University · USBrooke Army Medical Center · USMoss Rehabilitation Hospital · USUniversity of Minnesota · USUniversity of Pittsburgh · US

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR002001 · NCATS · UNIVERSITY OF ROCHESTER · PI WILSON, KAREN M., ZAND, MARTIN S · 2016 to 2024
$34.6M
University of Rochester Mentoring Environment: Nurturing Training Opportunities in Research (UR-MENTOR)T32GM007356 · NIGMS · UNIVERSITY OF ROCHESTER · PI O'BANION, M. KERRY · 1985 to 2023
$15.1M
VISUAL SCIENCET32EY007125 · NEI · UNIVERSITY OF ROCHESTER · PI Krystel R Huxlin, Duje Tadin · 1990 to 2026
$7.1M
NRSA Training CoreTL1TR002000 · NCATS · UNIVERSITY OF ROCHESTER · PI THAKAR, JUILEE, VAN WIJNGAARDEN, EDWIN · 2016 to 2024
$4.1M
Representational Similarity Spaces for Objects and Actions Before and After Brain Tumor SurgeryR01NS089609 · NINDS · UNIVERSITY OF ROCHESTER · PI Constantinos George Hadjipanayis, BRADFORD Zack MAHON · 2015 to 2026
$3.3M
Chronic Exposure to cART Predispose Older HIV Infected Individuals to CNS Injury?R01MH099921 · NIMH · UNIVERSITY OF ROCHESTER · PI SCHIFITTO, GIOVANNI · 2013 to 2017
$3.0M
RESEARCH TRAINING IN NEUROLOGIC REHABILITATIONT32HD007425 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI SALCIDO, RICHARD · 1992 to 2011
$2.4M
Revealing functional networks and circuits of the posteromedial cortex withanatomical connectivityR01MH118257 · NIMH · UNIVERSITY OF MINNESOTA · PI HEILBRONNER, SARAH RACHEL · 2019 to 2023
$1.9M
Access to parietal action representations after stroke lesions in visual cortexR01EY028535 · NEI · CARNEGIE-MELLON UNIVERSITY · PI MAHON, BRADFORD ZACK, SAHIN, BOGACHAN · 2019 to 2022
$1.7M
The University of Rochester Clinical and Translational Science InstituteTL1TR000096 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$930k
Validation of Putative Serum of Axonal Damage After Mild TBIK24HD064754 · NICHD · UNIVERSITY OF ROCHESTER · PI BAZARIAN, JEFFREY JOHN · 2011 to 2015
$846k
Cortical organization of object knowledge before and after brain surgeryR21NS076176 · NINDS · UNIVERSITY OF ROCHESTER · PI MAHON, BRADFORD ZACK · 2012 to 2013
$410k
NCATS NIH HHS TL1 TR000096NCATS NIH HHS TL1 TR002000NCATS NIH HHS UL1 TR002001NEI NIH HHS R01 EY028535NEI NIH HHS T32 EY007125NICHD NIH HHS K24 HD064754NICHD NIH HHS T32 HD007425NIGMS NIH HHS T32 GM007356NIMH NIH HHS R01 MH099921NIMH NIH HHS R01 MH118257NINDS NIH HHS R01 NS089609NINDS NIH HHS R21 NS076176
6 · The paper itself

Abstract

The midbrain is biomechanically susceptible to force loading from repetitive subconcussive head impacts (RSHI), is a site of tauopathy in chronic traumatic encephalopathy (CTE), and regulates functions (e.g., eye movements) often disrupted in concussion. In a prospective longitudinal design, we demonstrate there are reductions in midbrain white matter integrity due to a single season of collegiate football, and that the amount of reduction in midbrain white matter integrity is related to the amount of rotational acceleration to which players' brains are exposed. We then replicate the observation of reduced midbrain white matter integrity in a retrospective cohort of individuals with frank concussion, and further show that variance in white matter integrity is correlated with levels of serum-based tau, a marker of blood-brain barrier disruption. These findings mean that noninvasive structural MRI of the midbrain is a succinct index of both clinically silent white matter injury as well as frank concussion.

Indexed as

AthletesBrainBrain ConcussionBrain Injuries, TraumaticCase-Control StudiesFemaleFootballHumansMagnetic Resonance ImagingMaleMesencephalonSpatial Analysistau ProteinsWhite MatterYoung Adulttau Proteins

Identifiers

PMID31457074
PMCPMC6685720
OpenAlexW2964487090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.