Evidence map›Paper›PMID 39002108›Full record

ArticleMilitary medicine2024

White Matter Hyperintensities and Mild TBI in Post-9/11 Veterans and Service Members.

David F Tate, Erin D Bigler, Gerald E York, Mary R Newsome, Brian A Taylor, Andrew R Mayer, Mary Jo Pugh, Angela P Presson, Zhining Ou, Elizabeth S Hovenden and 14 more

Abstract read
In one paragraph

Article in Military medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

24 authors.

David F TateTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.ORCID 0000-0003-0213-1920
Erin D BiglerTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
Gerald E YorkAlaska Radiology Associates, Anchorage, AK 99508, USA.
Mary R NewsomeMichael E. De Bakey Veterans Affairs Medical Center, Houston, TX 77030, USA.
Brian A TaylorDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Andrew R MayerDepartments of Neurology and Psychiatry, University of New Mexico, Albuquerque, NM 87131, USA.
Mary Jo PughGeorge E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT 84103, USA.
Angela P PressonDepartment of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
Zhining OuDepartment of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
Elizabeth S HovendenTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
Josephine DimancheTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
Tracy J AbildskovTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
Rajan AgarwalMichael E. De Bakey Veterans Affairs Medical Center, Houston, TX 77030, USA.
Heather G BelangerDefense and Veterans Brain Injury Center (DVBIC), MacDill AFB, FL 33621, USA.
Aaron M BettsDepartment of Radiology, Brooke Army Medical Center, San Antonio, TX 78234, USA.
Timothy DuncanPortland Veterans Hospital, Portland, OR 97239, USA.
Blessen C EapenVA Greater Los Angeles Health Care System, Los Angeles, CA 90073, USA.
Carlos A JaramilloSouth Texas Veterans Health Care System, San Antonio, TX 78229, USA.
Michael LennonTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
Jennifer E NathanDepartment of Radiology, Johns Hopkins Medical School, Baltimore, MD 21205, USA.
Randall S ScheibelMichael E. De Bakey Veterans Affairs Medical Center, Houston, TX 77030, USA.
Matthew B SpruiellTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.
William C WalkerDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA 23220, USA.
Elisabeth A WildeTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT 84103, USA.

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
HSRD VA IK6 HX003762NCATS NIH HHS UM1 TR004409U.S. Department of Veterans Affairs W81XWH-13-2-0095U.S. Department of Veterans Affairs W81XWH1920067
6 · The paper itself

Abstract

introductionThe neurobehavioral significance of white matter hyperintensities (WMHs) seen on magnetic resonance imaging after traumatic brain injury (TBI) remains unclear, especially in Veterans and Service Members with a history of mild TBI (mTBI). In this study, we investigate the relation between WMH, mTBI, age, and cognitive performance in a large multisite cohort from the Long-term Impact of Military-relevant Brain Injury Consortium-Chronic Effects of Neurotrauma Consortium. MATERIALS AND

methodsThe neuroimaging and neurobehavioral assessments for 1,011 combat-exposed, post-9/11 Veterans and Service Members (age range 22-69 years), including those with a history of at least 1 mTBI (n = 813; median postinjury interval of 8 years) or negative mTBI history (n = 198), were examined.

resultsWhite matter hyperintensities were present in both mTBI and comparison groups at similar rates (39% and 37%, respectively). There was an age-by-diagnostic group interaction, such that older Veterans and Service Members with a history of mTBI demonstrated a significant increase in the number of WMHs present compared to those without a history of mTBI. Additional associations between an increase in the number of WMHs and service-connected disability, insulin-like growth factor-1 levels, and worse performance on tests of episodic memory and executive functioning-processing speed were found.

conclusionsSubtle but important clinical relationships are identified when larger samples of mTBI participants are used to examine the relationship between history of head injury and radiological findings. Future studies should use follow-up magnetic resonance imaging and longitudinal neurobehavioral assessments to evaluate the long-term implications of WMHs following mTBI.

Indexed as

Magnetic Resonance ImagingVeteransWhite MatterAdultAgedBrain ConcussionBrain Injuries, TraumaticCohort StudiesFemaleHumansMaleMiddle AgedMilitary PersonnelNeuropsychological Tests

Identifiers

PMID39002108
PMCPMC11536319

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Registered trials

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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.