Evidence map›Paper›PMID 40184574›Full record

ArticleNeurology2025

Neuroimaging Correlates of Traumatic Brain Injury in an Older Community-Dwelling Population: The Atherosclerosis Risk in Communities Study.

Alexa E Walter, James J Gugger, Connor A Law, Daniel James Brennan, Thomas H Mosley, Robert I Reid, Clifford R Jack, Rebecca F Gottesman, Ramon Diaz-Arrastia, Andrea Lauren Christman Schneider

Abstract read
In one paragraph

Article in Neurology, 2025. 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. Observational
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

10 authors.

Alexa E WalterDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0002-1056-1966
James J GuggerDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0003-1113-2984
Connor A LawDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0009-0008-5084-7089
Daniel James BrennanDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0002-3880-3146
Thomas H MosleyThe MIND Center, University of Mississippi Medical Center, Jackson.ORCID 0000-0003-3343-1352
Robert I ReidDepartment of Information Technology, Mayo Clinic, Rochester, MN.ORCID 0000-0003-2391-8650
Clifford R JackDepartment of Radiology, Mayo Clinic, Rochester, MN; and.ORCID 0000-0001-7916-622X
Rebecca F GottesmanNational Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD.ORCID 0000-0002-9504-1256
Ramon Diaz-ArrastiaDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0001-6051-3594
Andrea Lauren Christman SchneiderDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0003-0026-5052

Funding

ARIC Neurocognitive Study (ARIC-NCS) Renewal 2023-2028U01HL096812 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSEF CORESH, THOMAS H MOSLEY · 2010 to 2026
$65.7M
BRIAN INJURY TRAINING GRANTT32NS043126 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Douglas Hamilton Smith · 2003 to 2026
$5.9M
Neuroimaging Phenotypes of Post-Traumatic EpilepsyK23NS135101 · NINDS · UNIVERSITY OF ROCHESTER · PI James J Gugger · 2024 to 2026
$664k
NHLBI NIH HHS U01 HL096812NINDS NIH HHS K23 NS135101NINDS NIH HHS T32 NS043126
6 · The paper itself

Abstract

BACKGROUND AND

objectivesNeuroimaging correlates of remote traumatic brain injury (TBI) are not well understood. Our objective was to examine associations of TBI with brain MRI markers of degeneration and vascular disease.

methodsWe performed a cross-sectional analysis using data from a subset of participants who underwent a 3T brain MRI during the fifth Atherosclerosis Risk in Communities Study visit in 2011-2013. Prior TBI and age at first TBI (<18 years, 18-65 years, >65 years) was defined using self-report and International Classification of Diseases, Ninth Edition code data. We examined the following brain MRI metrics: presence of infarcts and microhemorrhages, white matter hyperintensity (WMH) volume, and the distribution of the number of regions of interest (ROIs) below a

resultsA total of 1,642 participants were included (mean age 76.8 ± 5.32 years, 61.0% female, 28.3% self-reported Black race, and 25.5% with a history of TBI [median time between first TBI and MRI: 38.2 years]). There was no evidence of differences in vascular imaging findings by overall TBI status, but individuals who sustained their first TBI at age <18 years had higher WMH volume (adjusted β = 0.22 mm DISCUSSION: In this community-dwelling cohort of older adults, TBI was associated with smaller brain volumes, lower cortical thickness, lower FA, and higher MD. Further work is needed in the chronic postinjury period to elucidate the mechanisms underlying the observed structural changes after TBI.

Indexed as

AtherosclerosisBrainBrain Injuries, TraumaticAgedAged, 80 and overCross-Sectional StudiesFemaleHumansIndependent LivingMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingWhite Matter

Identifiers

PMID40184574
PMCPMC11974259

What OpenQuestion holds

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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.