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Computed tomography and magnetic resonance imaging comparisons in boxers
1Sports Neurology Program, Hospital for Special Surgery, New York, NY 10021.
JAMA
|March 23, 1990
Summary
Magnetic resonance imaging (MRI) is superior to computed tomography (CT) for detecting traumatic brain injuries in boxers. MRI identified abnormalities missed by CT, including subdural hematomas and contusions.
Area of Science:
- Neurology
- Radiology
- Sports Medicine
Background:
- Traumatic brain injuries (TBIs) are a significant concern in boxing.
- Accurate diagnostic imaging is crucial for managing TBIs in athletes.
Purpose of the Study:
- To compare the efficacy of computed tomography (CT) and magnetic resonance imaging (MRI) in detecting traumatic brain injuries in boxers.
- To determine the preferred neuroradiodiagnostic imaging modality for boxers.
Main Methods:
- A comparative study involving 21 amateur and professional boxers.
- Analysis of CT and MRI scans to identify brain abnormalities.
- Direct comparison of findings between CT and MRI.
Main Results:
- MRI detected abnormalities not visible on CT, including subdural hematomas, white-matter changes, and focal contusions.
- CT scans showed equivocal findings later identified as artifacts by MRI.
- All CT-detected abnormalities were also identified by MRI.
Conclusions:
- MRI is more sensitive than CT in detecting traumatic brain injuries in boxers.
- MRI is the neuroradiodiagnostic test of choice for evaluating brain trauma in this population.
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