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Updated: Jun 30, 2025

Objectively Assessing Sports Concussion Utilizing Visual Evoked Potentials
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Return to Play Following Concussion: Role for Imaging?

Drew Sanclemente1, Jeffrey A Belair2, Kiran S Talekar3

  • 1Medical Student, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Seminars in Musculoskeletal Radiology
|March 14, 2024
PubMed
Summary
This summary is machine-generated.

Neuroimaging techniques show promise for improving concussion diagnosis and guiding return to play (RTP) decisions. Further research is needed to integrate these advanced methods into clinical practice for better concussion management.

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Area of Science:

  • Neuroscience
  • Sports Medicine
  • Radiology

Background:

  • Traditional concussion diagnosis relies on subjective clinical assessments.
  • Limitations in subjective assessments necessitate objective diagnostic tools.
  • The need for enhanced concussion management and accurate return to play (RTP) protocols is critical.

Approach:

  • Review of advanced neuroimaging modalities for concussion assessment.
  • Exploration of techniques including Magnetic Resonance Spectroscopy (MRS), Diffusion Tensor Imaging (DTI), Functional Magnetic Resonance Imaging (fMRI), and Positron Emission Tomography (PET).
  • Inclusion of Vestibulo-ocular dysfunction screening and eye tracking for functional assessment.

Key Points:

  • MRS detects metabolic changes, DTI reveals white matter microstructural alterations, and fMRI assesses neuronal activity.
  • PET offers insights into metabolic disturbances and long-term concussion effects.
  • Vestibulo-ocular screening and eye tracking evaluate specific functional deficits.

Conclusions:

  • Neuroimaging holds significant potential for enhancing concussion diagnosis accuracy.
  • These techniques can provide objective data to guide return to play (RTP) decisions.
  • Continued research and standardization are essential for clinical integration of neuroimaging in concussion management.