Evidence map›Paper›PMID 34710284›Full record

ArticleBrain and behavior2021

Longitudinal changes in brain parenchyma due to mild traumatic brain injury during the first year after injury.

Angela M Muller, William J Panenka, Rael T Lange, Grant L Iverson, Jeffrey R Brubacher, Naznin Virji-Babul

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Charcot-Marie-Tooth disease and related neuropathies.Nature reviews. Disease primers · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Significant Acceleration of Regional Brain Aging and Atrophy After Mild Traumatic Brain Injury.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  10. Article
  11. Article
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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

6 authors at 3 institutions in 2 countries.

Angela M MullerFaculty of Medicine, Department of Physical Therapy, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, Canada.ORCID 0000-0002-9866-2285
William J PanenkaBritish Columbia Neuropsychiatry Program, University of British Columbia, Vancouver, Canada.
Rael T LangeDepartment of Psychiatry, University of British Columbia, Vancouver, Canada.ORCID 0000-0002-2792-302X
Grant L IversonDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Jeffrey R BrubacherDepartment of Emergency Medicine, University of British Columbia, Vancouver, Canada.
Naznin Virji-BabulFaculty of Medicine, Department of Physical Therapy, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, Canada.
University of British Columbia · CAVancouver Coastal Health · CAHarvard University · US

Funding

Canadian Institute of Health Research 200903MOP-200377-BSB-CAAA-161276
6 · The paper itself

Abstract

Chronic gray matter (GM) atrophy is a known consequence of moderate and severe traumatic brain injuries but has not been consistently shown in mild traumatic brain injury (mTBI). The aim of this study was to investigate the longitudinal effect of uncomplicated mTBI on the brain's GM and white matter (WM) from 6 weeks to 12 months after injury. Voxel-based-morphometry (VBM) was computed with the T1-weighted images of 48 uncomplicated mTBI patients and 37 orthopedic controls. Over the period from 6 weeks to 12 months, only patients who experienced uncomplicated mTBI, but not control participants, showed significant GM decrease predominantly in the right hemisphere along the GM-CSF border in lateral and medial portions of the sensorimotor cortex extending into the rolandic operculum, middle frontal gyrus, insula, and temporal pole. Additionally, only mTBI patients, but not controls, experienced significant WM decrease predominantly in the right hemisphere in the superior fasciculus longitudinalis, arcuate fasciculus, and cortical-pontine tracts as well as a significant WM increase in left arcuate fasciculus and left capsula extrema. We did not observe any significant change in the controls for the same time interval or any significant group differences in GM and WM probability at each of the two timepoints. This suggests that the changes along the brain tissue borders observed in the mTBI group represent a reorganization associated with subtle microscopical changes in intracortical myelin and not a direct degenerative process as a result of mTBI.

Indexed as

Brain ConcussionWhite MatterBrainGray MatterHumansMagnetic Resonance Imagingattentionconcussiongray matter volumelongitudinalvoxel-wise morphometrywhite matter

Identifiers

PMID34710284
PMCPMC8671787
OpenAlexW3207999685

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.