Evidence map›Paper›PMID 32821816›Full record

ArticleScience advances2020

The evolution of white matter microstructural changes after mild traumatic brain injury: A longitudinal DTI and NODDI study.

E M Palacios, J P Owen, E L Yuh, M B Wang, M J Vassar, A R Ferguson, R Diaz-Arrastia, J T Giacino, D O Okonkwo, C S Robertson and 9 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 4 pooled it
12.0field-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

116 citing papers in PubMed, 4 syntheses or guidelines pooled it, 183 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Memory Perfectionism is Associated with Persistent Memory Complaints after Concussion.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2022
    Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Good vibrations: Sternal vibration enhances white matter density and interoceptive awareness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. The Role of MRI in Debunking the Fallacy of "Mild" Traumatic Brain Injury.Journal of magnetic resonance imaging : JMRI · 2026
    Review
  20. Article

56 more citing papers are in PubMed but not listed here.

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

19 authors at 9 institutions in 2 countries.

E M PalaciosDepartment of Radiology & Biomedical Imaging, UCSF, San Francisco, CA, USA.ORCID 0000-0001-8849-6140
J P OwenDepartment of Radiology, University of Washington, Seattle, WA, USA.
E L YuhDepartment of Radiology & Biomedical Imaging, UCSF, San Francisco, CA, USA.
M B WangDepartment of Radiology & Biomedical Imaging, UCSF, San Francisco, CA, USA.ORCID 0000-0002-9217-6593
M J VassarBrain and Spinal Cord Injury Center, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
A R FergusonBrain and Spinal Cord Injury Center, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.ORCID 0000-0001-7102-1608
R Diaz-ArrastiaDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
J T GiacinoDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, USA.
D O OkonkwoDepartment of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
C S RobertsonDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-8509-678X
M B SteinDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.ORCID 0000-0001-9564-2871
N TemkinDepartment of Neurological Surgery, University of Washington, Seattle, WA, USA.ORCID 0000-0002-6392-5292
S JainDepartment of Family Medicine & Public Health, University of California, San Diego, La Jolla, CA, USA.
M McCreaDepartments of Neurosurgery and Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0001-9791-9475
C L MacDonaldDepartment of Neurological Surgery, University of Washington, Seattle, WA, USA.ORCID 0000-0002-7419-996X
H S LevinDepartment of Neurology, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-3729-3404
G T ManleyBrain and Spinal Cord Injury Center, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
P MukherjeeDepartment of Radiology & Biomedical Imaging, UCSF, San Francisco, CA, USA.ORCID 0000-0001-7473-7409
TRACK-TBI Investigators
San Francisco General Hospital · USUniversity of Washington · USBaylor College of Medicine · USLaboratoire d’Imagerie Biomédicale · FRUniversity of California San Diego · USHarvard University · USMedical College of Wisconsin · USUniversity of Pennsylvania · USUniversity of Pittsburgh Medical Center · US

Funding

Transforming Research and Clinical Knowledge in Traumatic Brain InjuryU01NS086090 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAZ-ARRASTIA, RAMON, GIACINO, JOSEPH THOMAS · 2013 to 2017
$19.1M
NINDS NIH HHS U01 NS086090
6 · The paper itself

Abstract

Neuroimaging biomarkers that can detect white matter (WM) pathology after mild traumatic brain injury (mTBI) and predict long-term outcome are needed to improve care and develop therapies. We used diffusion tensor imaging (DTI) and neurite orientation dispersion and density imaging (NODDI) to investigate WM microstructure cross-sectionally and longitudinally after mTBI and correlate these with neuropsychological performance. Cross-sectionally, early decreases of fractional anisotropy and increases of mean diffusivity corresponded to WM regions with elevated free water fraction on NODDI. This elevated free water was more extensive in the patient subgroup reporting more early postconcussive symptoms. The longer-term longitudinal WM changes consisted of declining neurite density on NODDI, suggesting axonal degeneration from diffuse axonal injury for which NODDI is more sensitive than DTI. Therefore, NODDI is a more sensitive and specific biomarker than DTI for WM microstructural changes due to mTBI that merits further study for mTBI diagnosis, prognosis, and treatment monitoring.

Identifiers

PMID32821816
PMCPMC7413733
OpenAlexW3047684611

What OpenQuestion holds

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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.