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Early Detection of Traumatic Brain Hematoma Using Machine Learning-Powered Near-Infrared Spectroscopy: A Case Report
Neil Manjunath Salian1, Dhaval Shukla, Subhas Konar
1Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Summary
Machine learning-powered near-infrared spectroscopy (mNIRS) offers a rapid, noninvasive method for detecting traumatic brain hematomas in athletes. This technology shows promise for on-field assessment following head injuries in high-contact sports like Kabaddi.
Area of Science:
- Neuroscience
- Sports Medicine
- Biomedical Engineering
Background:
- Traumatic brain injuries, particularly concussions, are prevalent in contact sports.
- Kabaddi poses a high risk for head injuries, with limited research on acute neurological effects.
- Current gold-standard hematoma detection (CT scans) is often unavailable in field settings.
Purpose of the Study:
- To report the first use of machine learning-powered near-infrared spectroscopy (mNIRS) for detecting traumatic brain hematoma.
- To evaluate mNIRS as a rapid, noninvasive screening tool for on-field assessment in sports.
- To highlight the potential of mNIRS in managing acute head injuries in athletes.
Main Methods:
- A 13-year-old Kabaddi player sustained a head injury during a match.
- Machine learning-powered near-infrared spectroscopy (mNIRS) was used for initial assessment.
- Computed tomography (CT) was employed for confirmation of findings.
Main Results:
- mNIRS indicated a suspected traumatic brain hematoma post-injury.
- CT confirmed a right frontoparietal subdural hematoma with a 6-mm midline shift.
- A left temporal bone fracture was also identified.
Conclusions:
- mNIRS demonstrated effectiveness as a rapid, noninvasive screening tool for on-field traumatic brain hematoma detection.
- This case highlights the potential clinical utility of mNIRS in sports medicine.
- Further research is needed to optimize mNIRS for integration into sports medicine protocols.

