Evidence map›Paper›PMID 36152948›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2024

Emotional Resilience Predicts Preserved White Matter Microstructure Following Mild Traumatic Brain Injury.

Lanya T Cai, Benjamin L Brett, Eva M Palacios, Esther L Yuh, Ioanna Bourla, Jamie Wren-Jarvis, Yang Wang, Christine Mac Donald, Ramon Diaz-Arrastia, Joseph T Giacino and 12 more

Abstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. 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

22 authors.

Lanya T CaiDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Benjamin L BrettDepartments of Neurosurgery and Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Eva M PalaciosDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Esther L YuhDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Ioanna BourlaDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Jamie Wren-JarvisDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Yang WangDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Christine Mac DonaldDepartment of Neurological Surgery, University of Washington, Seattle, Washington.
Ramon Diaz-ArrastiaDepartment of Neurology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Joseph T GiacinoDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts.
David O OkonkwoDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Harvey S LevinDepartment of Physical Medicine & Rehabilitation, Baylor College of Medicine, Houston, Texas.
Claudia S RobertsonDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Nancy TemkinDepartment of Neurological Surgery, University of Washington, Seattle, Washington.
Amy J MarkowitzDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Geoffrey T ManleyDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
Murray B SteinDepartment of Psychiatry, University of California, San Diego, San Diego, California.
Michael A McCreaDepartments of Neurosurgery and Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Ross D ZafonteDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts.
Lindsay D NelsonDepartments of Neurosurgery and Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: linelson@mcw.edu.
Pratik MukherjeeDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California. Electronic address: pratik.mukherjee@ucsf.edu.
TRACK-TBI Investigators

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
Clinical Validation of Serum Neurofilament Light as a Biomarker of Traumatic Axonal InjuryU01NS114140 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DIAZ-ARRASTIA, RAMON · 2020 to 2025
$3.9M
Improving Patient Classification and Outcome Measurement in Traumatic Brain Injury (TBI)R01NS110856 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI NELSON, LINDSAY · 2019 to 2023
$3.0M
The effects of cumulative concussion, repetitive head impacts, and comorbid cardiovascular risk factors on MRI metrics of pathological aging and neurobehavioral functioning across the lifespanK23AG073528 · NIA · MEDICAL COLLEGE OF WISCONSIN · PI BRETT, BENJAMIN L · 2021 to 2025
$661k
NIA NIH HHS K23 AG073528NINDS NIH HHS R01 NS110856NINDS NIH HHS U01 NS086090NINDS NIH HHS U01 NS114140
6 · The paper itself

Abstract

backgroundAdult patients with mild traumatic brain injury (mTBI) exhibit distinct phenotypes of emotional and cognitive functioning identified by latent profile analysis of clinical neuropsychological assessments. When discerned early after injury, these latent clinical profiles have been found to improve prediction of long-term outcomes from mTBI. The present study hypothesized that white matter (WM) microstructure is better preserved in an emotionally resilient mTBI phenotype compared with a neuropsychiatrically distressed mTBI phenotype.

methodsThe present study used diffusion magnetic resonance imaging to investigate and compare WM microstructure in major association, projection, and commissural tracts between the two phenotypes and over time. Diffusion magnetic resonance images from 172 patients with mTBI were analyzed to compute individual diffusion tensor imaging maps at 2 weeks and 6 months after injury.

resultsBy comparing the diffusion tensor imaging parameters between the two phenotypes at global, regional, and voxel levels, emotionally resilient patients were shown to have higher axial diffusivity compared with neuropsychiatrically distressed patients early after mTBI. Longitudinal analysis revealed greater compromise of WM microstructure in neuropsychiatrically distressed patients, with greater decrease of global axial diffusivity and more widespread decrease of regional axial diffusivity during the first 6 months after injury compared with emotionally resilient patients.

conclusionsThese results provide neuroimaging evidence of WM microstructural differences underpinning mTBI phenotypes identified from neuropsychological assessments and show differing longitudinal trajectories of these biological effects. These findings suggest that diffusion magnetic resonance imaging can provide short- and long-term imaging biomarkers of resilience.

Indexed as

Brain ConcussionResilience, PsychologicalWhite MatterAdultDiffusion Tensor ImagingHumansMagnetic Resonance ImagingDiffusion MRIDTINeuroimagingNeuropsychologyResilienceTraumatic brain injury

Identifiers

PMID36152948
PMCPMC10065831

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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.