Evidence map›Paper›PMID 32580671›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2021

Cerebral perfusion is associated with blast exposure in military personnel without moderate or severe TBI.

Danielle R Sullivan, Mark W Miller, Erika J Wolf, Mark W Logue, Meghan E Robinson, Catherine B Fortier, Jennifer R Fonda, Danny Jj Wang, William P Milberg, Regina E McGlinchey and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2021. 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
1.9field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 20 citations in OpenAlex.

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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

11 authors at 5 institutions in 1 country.

Danielle R SullivanNational Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0002-0141-5887
Mark W MillerNational Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
Erika J WolfNational Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
Mark W LogueNational Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
Meghan E RobinsonCore for Advanced MRI and Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Catherine B FortierTranslational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA, USA.
Jennifer R FondaDepartment of Psychiatry, Boston University School of Medicine, Boston, MA, USA.
Danny Jj WangLaboratory of FMRI Technology (LOFT), Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, CA, USA.
William P MilbergTranslational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA, USA.
Regina E McGlincheyTranslational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA, USA.
David H SalatTranslational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA, USA.
Boston University · USHarvard University · USBaylor College of Medicine · USUniversity of Southern California · USVA Boston Healthcare System · US

Funding

Neural Metabolic Stress in mTBI and PTSDIK2CX001772 · VA · VA BOSTON HEALTH CARE SYSTEM · PI SULLIVAN, DANIELLE R · 2018 to 2022
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CSRD VA I01 CX001586CSRD VA IK2 CX001772
6 · The paper itself

Abstract

Due to the use of improvised explosive devices, blast exposure and mild traumatic brain injury (mTBI) have become hallmark injuries of the Iraq and Afghanistan wars. Although the mechanisms of the effects of blast on human neurobiology remain active areas of investigation, research suggests that the cerebrovasculature may be particularly vulnerable to blast via molecular processes that impact cerebral blood flow. Given that recent work suggests that blast exposure, even without a subsequent TBI, may have negative consequences on brain structure and function, the current study sought to further understand the effects of blast exposure on perfusion. One hundred and eighty military personnel underwent pseudo-continuous arterial spin labeling (pCASL) imaging and completed diagnostic and clinical interviews. Whole-brain analyses revealed that with an increasing number of total blast exposures, there was significantly increased perfusion in the right middle/superior frontal gyri, supramarginal gyrus, lateral occipital cortex, and posterior cingulate cortex as well as bilateral anterior cingulate cortex, insulae, middle/superior temporal gyri and occipital poles. Examination of other neurotrauma and clinical variables such as close-range blast exposures, mTBI, and PTSD yielded no significant effects. These results raise the possibility that perfusion may be an important neural marker of brain health in blast exposure.

Indexed as

Cerebrovascular CirculationMilitary PersonnelAdultAfghan Campaign 2001-Blast InjuriesBrainBrain ConcussionBrain Injuries, TraumaticFemaleHumansImage Processing, Computer-AssistedIraq War, 2003-2011Magnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsASLblastCBFcerebral blood flowmild traumatic brain injurymTBIperfusionveterans

Identifiers

PMID32580671
PMCPMC7983507
OpenAlexW3037177843

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.