Evidence map›Paper›PMID 32228304›Full record

ArticleBrain injury2020

Traumatic microbleeds persist for up to five years following traumatic brain injury despite resolution of other acute findings on MRI.

Theresa Rizk, L Christine Turtzo, Martin Cota, Andre J Van Der Merwe, Lawrence Latour, Mark D Whiting, Leighton Chan

Abstract read
In one paragraph

Article in Brain injury, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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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.

Theresa RizkDepartment of Rehabilitation Medicine, National Institutes of Health Clinical Center , Bethesda, MD, USA.
L Christine TurtzoNational Institutes of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, MD, USA.
Martin CotaCenter for Neuroscience and Regenerative Medicine , Rockville, MD, USA.
Andre J Van Der MerweCenter for Neuroscience and Regenerative Medicine , Rockville, MD, USA.
Lawrence LatourNational Institutes of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, MD, USA.
Mark D WhitingCenter for Neuroscience and Regenerative Medicine , Rockville, MD, USA.
Leighton ChanDepartment of Rehabilitation Medicine, National Institutes of Health Clinical Center , Bethesda, MD, USA.

Funding

Eval, Pathogenesis, Outcome of Subjects with or Suspected Traumatic Brain InjuryZIANS003120 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI LATOUR, LAWRENCE · 2010 to 2025
$16.5M
Intramural NIH HHS ZIA NS003120
6 · The paper itself

Abstract

objectiveThe primary objective of this study was to track the incidence and progression of traumatic microbleeds (TMBs) for up to five years following traumatic brain injury (TBI).

methodsThirty patients with mild, moderate, or severe TBI received initial MRI within 48 h of injury and continued in a longitudinal study for up to five years. The incidence and progression of MRI findings was assessed across the five year period. In addition to TMBs, we noted the presence of other imaging findings including diffusion weighted imaging (DWI) lesions, extra-axial and intraventricular hemorrhage, hematoma, traumatic meningeal enhancement (TME), fluid-attenuated inversion recovery (FLAIR) hyperintensities, and encephalomalacia.

resultsTMBs were observed in 60% of patients at initial presentation. At one-year follow-up, TMBs were more persistent than other neuroimaging findings, with 83% remaining visible on MRI. In patients receiving serial MRI 2-5 years post-injury, acute TMBs were visible on all follow-up scans. In contrast, most other imaging markers of TBI had either resolved or evolved into ambiguous abnormalities on imaging by one year post-injury.

conclusionsThese findings suggest that TMBs may serve as a uniquely persistent indicator of TBI and reinforce the importance of acute post-injury imaging for accurate characterization of persistent imaging findings.

Indexed as

Brain Injuries, TraumaticMagnetic Resonance ImagingCerebral HemorrhageHumansLongitudinal StudiesNeuroimagingbiomarkermicrobleedMRIneuroimagingTraumatic brain injury

Identifiers

PMID32228304
PMCPMC8409128

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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.