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An Investigation of the Effects of Sports-related Concussion in Youth Using Functional Magnetic Resonance Imaging and the Head Impact Telemetry System
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Examining post-concussion white matter change in a pediatric sample.

Michael Takagi1, Gareth Ball2, Franz E Babl3

  • 1Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Melbourne School of Psychological Sciences, University of Melbourne, Victoria, Australia; Department of Rehabilitation Medicine, The Royal Children's Hospital, Melbourne, Victoria, Australia; Monash School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.

Neuroimage. Clinical
|August 27, 2023
PubMed
Summary

Diffusion-Weight Imaging (DWI) did not reveal significant white matter differences in children with concussion, suggesting current methods may not detect subtle neurobiological changes impacting recovery.

Keywords:
Diffusion weighted imagingMild traumatic brain injuryPediatric concussionPediatric neuroimagingPersisting post-concussion symptomsPost-concussion syndrome

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Area of Science:

  • Neuroimaging
  • Pediatric Neurology
  • Biomedical Engineering

Background:

  • Diffusion-Weight Imaging (DWI) is crucial for pediatric concussion research, but findings are inconsistent due to methodological variations.
  • Understanding the neurobiological basis of symptom recovery in pediatric concussion is essential.

Purpose of the Study:

  • To conduct a comprehensive, multi-parametric survey of white matter microstructure in pediatric concussion using standardized criteria and imaging timepoints.
  • To investigate if white matter microstructure changes detected by DWI correlate with delayed recovery from concussion.

Main Methods:

  • Utilized Linked Independent Component Analysis (LICA) to combine multiple DWI metrics from four modeling approaches.
  • Analyzed neuroimaging data from 43 children with concussion, categorized by recovery status at 2 weeks post-injury.
  • Applied internationally recognized concussion criteria and a consistent imaging timepoint.

Main Results:

  • No significant differences in white matter microstructure patterns were found between symptomatic and asymptomatic children.
  • No identified components from the DWI analysis significantly predicted delayed concussion recovery.
  • The study cohort included 27 normally recovering and 14 delayed recovering children.

Conclusions:

  • Current diffusion imaging techniques may be insufficient to detect white matter microstructural changes associated with delayed recovery in pediatric concussion.
  • Further research is needed to refine imaging methods for better understanding concussion neurobiology and recovery.
  • The heterogeneity in DWI findings in pediatric concussion literature highlights the need for standardized methodologies.